Margaret Sicari, LCSW

Margaret Sicari is a Licensed Clinical Social Worker (LCSW) based in New York with 34 years of clinical experience. She has served in private practice, community agencies, a high school setting, and in leadership roles as a clinical supervisor and program director. Over the course of her career she has provided therapy to individuals, couples, families, and groups, bringing a broad perspective shaped by diverse professional settings.

Her practice focuses on common presenting concerns such as anxiety and depression, relationship difficulties, emotional abuse, childhood trauma, low self-esteem, and limited coping skills. She has extensive experience supporting people and families affected by substance use disorders, working to promote recovery and to assist family members impacted by addiction including Adult Children of Alcoholics and other addictions (ACOAs).

Counseling with Margaret is collaborative and strengths-based. She emphasizes building a trusting relationship, clarifying goals together, and expanding self-understanding while teaching practical coping tools. Clients work with her to identify a plan that fits their situation and priorities. Having reached out for help, prospective clients will find a practitioner prepared to take the next step alongside them.

Therapeutic Approaches Adapted for Online Care

Margaret applies client-centered therapy to help clients explore their concerns at their own pace, emphasizing empathy and respect to strengthen self-understanding and self-esteem. This approach is helpful for people facing relationship issues, grief, or low self-worth. Cognitive Behavioral Therapy (CBT) is used to identify and shift unhelpful thought patterns and behaviors, offering practical tools for anxiety, depression, panic, and mood regulation. Mindfulness therapy introduces simple awareness and grounding practices to reduce reactivity and improve emotional coping, which can support stress management and relapse prevention.

Choosing the right approach is part of the therapeutic process. Margaret works collaboratively with each person to determine which methods align with their goals, needs, and preferences, and she adapts strategies over time as progress is made.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, and text-based messaging. These options allow clients to fit sessions into busy schedules, maintain continuity during life transitions, and work with licensed professionals from different locations while receiving consistent therapeutic support.