- Stress and anxiety
- Addictions support
- Practical coping skills
About Thomas
Dr. Thomas Mackarevich is a Licensed Clinical Social Worker with 35 years of practice. He focuses on helping people who are struggling with stress, anxiety, addictions, trauma, anger, low self-esteem, and grief. He uses direct, practical methods to help people regain control of their emotions and everyday life.
Dr. Mackarevich emphasizes a blend of empathy and clear feedback in sessions. He believes people can change their reactions to situations and learn healthier ways to cope. Sessions tend to focus on identifying unhelpful thoughts and testing new behaviors that feel achievable.
With long experience in New Jersey, he has worked across many concerns including abandonment, attachment issues, chronic illness and pain, caregiver stress, communication problems, and codependency. He also supports people facing aging and geriatric issues, cancer-related stress, and challenges tied to personality concerns such as avoidant or dependent patterns.
His main approaches are Client-Centered Therapy and Cognitive Behavioral Therapy. Client-Centered Therapy creates space for people to describe their experience and set their own goals. Cognitive Behavioral Therapy helps take apart thinking patterns that fuel anxiety, anger, or compulsive behaviors.
Dr. Mackarevich describes his role as encouraging and sometimes confrontational when needed, always aimed at helping people become agents of change in their own lives.
How his approaches translate to online work
Client-Centered Therapy focuses on listening, understanding, and following the person's goals. In practice this means the therapist gives space to tell your story and helps you set steps that feel realistic. Cognitive Behavioral Therapy (CBT) looks at the connection between thoughts, feelings, and actions. It involves learning to notice unhelpful thoughts and testing small changes in behavior to reduce anxiety, anger, or addictive urges.Choosing the right approach is a team effort. He will talk with you about your goals and preferences and together decide which methods to try. That collaboration can include mixing listening-based work with CBT exercises, depending on what helps most.
If you are considering online therapy, confirm the session formats before booking since the profile does not list specific formats. Online options can make scheduling easier and help sessions fit into busy days. For example, shorter check-ins can be easier to fit during a lunch break, and not needing to travel can reduce stress on a bad day. The focus remains on practical tools for coping with stress, anxiety, trauma-related symptoms, and managing addictive behaviors rather than on the technology itself.
Areas of focus
Frequently asked questions
What kinds of problems does he address?
He works with stress, anxiety, addictions, trauma and abuse, anger, low self-esteem, and grief. The profile also lists related concerns such as caregiver stress, chronic pain, and communication problems.
What is his therapy style like?
He combines a warm, validating stance with clear, candid feedback. Sessions focus on changing thoughts and behaviors that get in the way of daily functioning.
How much experience does he have?
He has 35 years of professional experience practicing in clinical settings and community work in New Jersey.
What are his credentials and where is he based?
He holds the LCSW credential and practices in New Jersey.
Which languages are available for sessions?
Sessions are offered in English.
Can international clients work with him?
International clients are not currently accepted.
How are sessions billed or priced?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin the matching and scheduling process?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.