About Thomas
Dr. Thomas Mackarevich helps people regain steadiness when life feels overwhelming. He aims to make strong emotions easier to understand and manage.
He writes plainly and focuses on practical steps that people can use right away. He works from ideas in client-centered work and cognitive behavioral therapy to guide sessions. That means he listens closely, reflects what he hears, and then offers ways to test new thoughts and habits.
Conversations mix encouragement with clear feedback so people can try different responses to stress and anxiety.
Background and approach
Across 35 years in practice he has supported people coping with addiction, trauma and abuse, grief, anger, and self-esteem struggles. He also addresses concerns such as abandonment, attachment problems, chronic illness, caregiver stress, and communication difficulties. These areas often overlap, and he helps people sort out what matters most for them now.
Sessions focus on immediate problems and on skills that build longer-term resilience. He uses straightforward exercises to change unhelpful thinking and to practice calmer behavior in real situations. Progress is measured by how life feels day to day and by whether people can try new ways of coping.
Dr. Mackarevich holds a Licensed Clinical Social Worker credential, LCSW, in New Jersey. He draws on decades of experience to help people find steadier ground and clearer choices.
How client-centered and CBT work online
Dr. Mackarevich uses client-centered techniques that focus on listening and reflecting what matters most to the person. This approach helps people feel heard and clarifies their priorities before moving to skills work.Cognitive Behavioral Therapy, or CBT, involves identifying unhelpful thoughts and testing small behavior changes. It is useful for stress, anxiety, anger, and patterns that keep returning in daily life.
Choosing the right approach is part of the work together. The therapist will talk with each person about goals and preferences, then tailor sessions so the methods fit those needs. That collaborative planning can shift over time as progress is made.
Online therapy offers several practical benefits. Video calls let people read facial expressions and body language while meeting from another location. Phone sessions can be easier when video is not required or bandwidth is limited. Live chat and text-based messaging allow brief check-ins, ongoing reflection, and flexible scheduling during busy days. These formats make it simpler to keep therapy consistent and to practice new skills between sessions.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Blended family issues
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Coping with natural or human-caused disaster
- Dependent personality
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 35 years
- Licensed
- New Jersey
- Languages
- English