About Thomas
Dr. Thomas Mackarevich offers direct, steady support for people coping with stress, anxiety, addictions, trauma, anger, low self-esteem, or grief. He speaks plainly and focuses on practical steps that help people feel less overwhelmed and more in control of their reactions.
He draws on 35 years of clinical experience as an LCSW working in New Jersey. That background means he has handled a wide range of concerns, from chronic stress and addiction to trauma and bereavement.
How Thomas works
He aims to help people notice patterns and try different ways of responding to difficult feelings. In sessions, he blends a person-centered stance with cognitive behavioral techniques. He listens for what matters to each person and then helps them test new thoughts and behaviors.
Conversations tend to be straightforward and goal-oriented, with an emphasis on skills that can be practiced between meetings. Thomas also works with issues tied to abandonment, attachment and personality-related struggles, as well as caregiving strain, chronic illness, and life transitions. He uses clear discussion and gentle challenge to help people move toward better day-to-day coping.
People who prefer practical tools and an experienced guide often find his style helpful. He encourages realistic change, offers direct feedback, and focuses on small steps that add up to real difference.
Thomas lists 2 ways of working on the entry:
What Thomas works with
The areas below are the ones Thomas selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- 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
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 35 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New Jersey |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How his approaches translate to online care
Dr. Mackarevich uses Client-Centered Therapy to create a respectful, listening space where people can say what matters most to them. This approach focuses on empathy, acceptance, and helping people find their own solutions to stress, grief, and relationship-related concerns.He also uses Cognitive Behavioral Therapy, which helps people identify unhelpful thoughts and try different responses. CBT is practical and skills-focused, so it adapts well to online work when someone wants tools for anxiety, anger, or addictive urges.
Choosing the right approach is a collaborative process. He will talk with each person about their goals and preferences and adjust methods as needed. The aim is to find what feels most useful and realistic for daily life.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets for in-depth conversation and visual cues, phone works well when bandwidth is limited, live chat can be a focused short check-in, and text messaging supports ongoing reflection between sessions. These options make therapy more flexible and easier to fit into a busy schedule.
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Common questions
What concerns does he help with?
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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