About Carole
Carole Spivack helps people facing stress, anxiety, anger, relationship and intimacy challenges. She supports those dealing with career concerns, low self-esteem, sleep problems, trauma and abuse, and mood-related struggles. Carole is a licensed clinical social worker in New York with 20 years of experience, and she uses a direct but warm style in sessions.
She focuses on practical change. Conversations aim to identify patterns that keep problems going and to try small, doable shifts.
Background and approach
Carole tailors each visit to what a person needs that week, whether that is short-term coaching or deeper work on past hurts. Her approach is interactive and collaborative. Clients can expect clear goals, tools to manage strong feelings, and attention to how habits affect relationships and work.
She places emphasis on building a stronger sense of self that improves motivation and confidence. Carole draws from cognitive behavioral methods to spot unhelpful thinking and to practice different responses. She also uses mindfulness techniques to help people reduce reactivity and notice the present moment.
These methods are chosen to fit the person’s goals and daily life. Sessions may include skill practice, focused conversation, problem-solving, and brief coaching between visits when useful. Carole encourages steady steps toward change and supports people as they try new ways of relating to themselves and others.
CBT and Mindfulness online for everyday problems
Carole uses cognitive behavioral ideas to help people notice thoughts that fuel anxiety or anger and to practice different responses. CBT sessions often include simple exercises people can try between meetings to change unhelpful thinking and behavior.She also uses mindfulness techniques to help reduce reactivity and increase present moment awareness. Mindfulness can be useful for stress, sleep trouble, and when strong emotions make it hard to think clearly.
Finding the right approach is part of the work together. The therapist will discuss goals and preferences, and then choose methods that match the person’s needs. This is a collaborative process and may shift over time as progress is made.
Online options include video calls, phone sessions, live chat, and text-based messaging. Video calls let people use visual cues and role play skills. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat or text messaging can suit short check-ins, brief coaching, or schedules that need flexibility. These formats make it easier to fit sessions into work days, caregiving routines, or other busy lives and still work on consistent progress.
Frequently asked questions
What concerns does she address?
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What are her credentials and where is she located?
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also works with
- 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
Therapeutic approaches
- Experience
- 20 years
- Licensed
- New York
- Languages
- English