About Carole
Carole Spivack is a licensed clinical social worker in New York with 20 years of experience. She focuses on anger, relationship and intimacy-related concerns, and issues that affect self-esteem and career motivation. She takes a warm and direct approach in sessions.
Conversations are interactive and collaborative. She helps people build a more positive self-image and stronger self-confidence over time. Carole works with people facing stress, anxiety, and depression.
She also supports those dealing with trauma and abuse, sleep difficulties, compassion fatigue, and adjustment to life changes.
How Carole works
Practical skills for managing mood, impulsivity, and obsessive behaviors are part of her work. Her practice also addresses communication and control issues, commitment concerns, and workplace challenges. She is experienced with family problems and issues linked to Disruptive Mood Dysregulation Disorder (DMDD).
Therapy can include attention to forgiveness and finding a clearer sense of life purpose. Sessions are tailored to each person’s needs and goals. Carole uses cognitive-behavioral techniques alongside mindfulness tools to help people notice patterns and try different ways of responding.
She guides simple, doable steps so progress feels manageable.
Carole lists 2 ways of working on the entry:
What Carole works with
The areas below are the ones Carole selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Anger management
- Career difficulties
- Coaching
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family problems
- Forgiveness
- Impulsivity
- Intimacy-related issues
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Self esteem
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Workplace issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Using CBT and Mindfulness in Online Therapy
Carole uses cognitive behavioral therapy (CBT) and mindfulness therapy to help people change unhelpful thoughts and build steadier emotional habits. CBT focuses on identifying thought and behavior patterns that fuel anxiety, depression, anger, obsessions, and workplace stress, then testing small, practical changes to see what helps. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and improve sleep and emotion regulation.Choosing the right approach is a collaborative process. The therapist will listen to your goals and preferences, try different techniques, and adjust the plan as you learn what works. People often combine CBT tools with mindfulness practices for clearer thinking and easier day-to-day coping.
Online sessions make it easier to fit therapy into busy lives. Video calls are useful for longer work on skills and emotional processing. Phone sessions can be a good option when bandwidth is limited or for shorter check-ins. Live chat and text messaging let people send updates, try brief skills between sessions, and maintain momentum on the go.
Start online instead of waiting
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Common questions
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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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