About Margaret
Margaret Sicari is a Licensed Clinical Social Worker with more than three decades of experience. She guides people through stress, anxiety, depression, relationship struggles, addiction concerns, grief, trauma, and ADHD-related challenges. Her tone is direct and warm, focused on practical steps and clear goals.
Peggy draws on long experience in independent practice, schools, agencies, and supervisory roles. That background means she has sat with people in many life stages and situations.
Background and approach
She listens first, then helps identify what feels most urgent and doable. Sessions are collaborative. She works with each person to set realistic goals and pick tools that fit daily life.
Expect conversations about coping skills, communication strategies, mood management, and patterns that sustain problems. Her approach blends client-centered listening with cognitive behavioral ideas and mindfulness skills. She also uses motivational interviewing and solution-focused techniques to support change and build momentum.
The emphasis is on skills you can use between sessions. Margaret addresses both immediate problems and longer patterns, such as family of origin issues, codependency, and substance-related concerns. She helps people strengthen self-esteem, manage panic or bipolar mood swings, and navigate major life changes.
Based in New York and practicing as an LCSW, Peggy works with people who want straightforward guidance, practical tools, and a steady therapeutic presence as they make changes.
Approaches that guide online sessions and practical tools
Margaret blends client-centered work with cognitive behavioral ideas to make sessions goal-oriented and useful. Client-centered Therapy centers the conversation on the person's experiences and priorities, with the therapist offering reflective listening and support. This approach is helpful when someone needs a safe space to sort feelings and decide what matters most.Cognitive Behavioral Therapy (CBT) focuses on noticing unhelpful thoughts and testing them against real-life evidence. CBT offers clear strategies for managing anxiety, panic, mood swings, and everyday worry by teaching coping skills and behavioral experiments.
She also uses Mindfulness Therapy to teach simple attention and breathing practices that reduce reactivity and improve focus. Mindfulness can help with stress, attention challenges, and emotional regulation.
Choosing the right approach is a team effort. The therapist will talk with the client about goals, try out methods, and adjust the plan as needed. That collaborative process helps match tools to a person's life, schedule, and comfort level.
Online formats offer practical benefits for many people. Video calls let the therapist and client connect visually for discussion and skill coaching. Phone sessions work well when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging are useful for brief updates, between-session support, or when writing feels easier than speaking. These options increase flexibility and make it simpler to keep momentum between sessions.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Codependency
- Communication problems
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Midlife crisis
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Self esteem
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 34 years
- Licensed
- New York
- Languages
- English
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