Margaret Sicari

Margaret Sicari is a Licensed Clinical Social Worker who calls herself Peggy. She has worked in New York for decades and brings calm, practical support to people dealing with anger, anxiety, depression, relationship strain, and addiction. Peggy aims to make new clients feel heard and respected from the first conversation.

She describes counseling as a collaborative process. Sessions focus on goals the client and she agree on together. Peggy helps people understand patterns that keep causing pain, and she offers tools to manage strong feelings and improve coping skills.

Her background spans private practice, agency work, high school social work, clinical supervision, and program direction. That variety means she is used to helping people facing different life pressures, including substance use and the impact of addiction on family members.

In the room she emphasizes building trust and practical plans. She draws on client-centered techniques to follow a person's lead and on cognitive behavioral ideas to change unhelpful thinking and behavior. Mindfulness and solution-focused steps are used for short-term relief and skill building.

With 34 years of experience as an LCSW, Peggy blends steady clinical experience with a straightforward, conversational style. She supports people working through grief, trauma, parenting challenges, career stress, anger, and adjusting to major life changes.

How her approaches translate to online work

Client-Centered Therapy focuses on listening, reflecting, and following your priorities. It helps when someone needs a therapist who adapts to their pace and concerns. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions connect and teaches practical steps to shift unhelpful patterns. This approach can help with anxiety, anger, and mood problems.

Deciding which approach to use is a team effort. The therapist will talk with the client about goals and preferences, and together they will try methods that fit the situation. If something isn’t helpful, they can change course and try different techniques.

The profile does not specify session formats, so please confirm current online options before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when needed. It also lets people keep therapy consistent through life transitions and while managing work or caregiving responsibilities.