PuttingFamilyFirst

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CS Portrait of Carole Spivack
Online therapist

Carole Spivack

Compassionate LCSW for stress and relationships

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Credentials
LCSW
Experience
20 years
Licensed in
New York
Languages
English
Format
Online sessions

About Carole

Carole Spivack is a licensed clinical social worker with two decades of experience helping people manage stress, anxiety, anger, relationship and family concerns. She focuses on practical changes that improve self-esteem, motivation, confidence, and career challenges. She also supports people facing trauma, compassion fatigue, and life transitions.

Her style is warm, interactive, direct, and collaborative. Carole frames anger as a common barrier to intimacy and stronger relationships. She helps clients notice patterns, practice new responses, and build a more positive self-image.

Background and approach

Sessions are tailored to each person’s needs and situation rather than using one fixed plan. Cognitive Behavioral Therapy is part of her toolbox. That means looking at thoughts and behaviors that keep problems going and testing new ways of acting.

Mindfulness Therapy is another approach she uses to help people stay present and reduce reactivity. Her work also addresses sleep, self-esteem, career issues, and coping with major life changes. She brings specific attention to communication problems, control issues, impulsivity, and mood concerns, including obsessive and compulsive patterns.

Carole practices in New York as LCSW 045671. She encourages realistic steps and steady progress, helping clients build skills they can use outside sessions. The focus is on practical tools and steady support while people make changes.

CBT and Mindfulness Online for Everyday Challenges

Carole uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and test new behaviors. CBT focuses on small experiments and practical homework that can reduce anxiety, depression, and compulsive patterns.

She also uses Mindfulness Therapy to help clients notice physical sensations and thought patterns without reacting automatically. Mindfulness practices can reduce reactivity to stress and improve sleep and emotional regulation.

Choosing the right approach is part of the work together. Carole collaborates with each person to decide which methods fit their goals, preferences, and day-to-day life. That means adjusting techniques over time based on what helps most.

Online therapy allows people to meet by video, phone, live chat, or text-based messaging. These options make it easier to fit sessions into busy schedules, continue work during life transitions, and keep momentum between meetings. The emphasis is on flexibility and practical support so therapy can match a client’s routine and needs.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Mindfulness Therapy

Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.

Frequently asked questions

What concerns does Carole focus on?
She works with stress, anxiety, anger, relationship and family concerns, as well as trauma, intimacy-related issues, sleep problems, self-esteem, career challenges, and coping with life changes.
How would you describe her therapy style?
Her approach is warm, interactive, direct, and collaborative. She tailors sessions to each person and focuses on practical steps and skill-building.
What kind of experience does she bring?
She has 20 years of clinical experience working with a broad range of concerns including mood disorders, compassion fatigue, and communication or control issues.
What credentials and location are listed?
Carole is a Licensed Clinical Social Worker, NY LCSW 045671, practicing in New York.
Which languages are supported and can she see international clients?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging for online work.
How are fees handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
20 years
Licensed
New York
Languages
English

Next step

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