About Carole
Carole Spivack is a licensed clinical social worker in New York with more than 20 years of experience helping people manage stress and anxiety. She focuses on anger management and how it shows up in relationships and intimacy. Carole also supports people facing career pressures, low self-esteem, sleep problems, and life changes.
Her style is warm and direct. Sessions are interactive and collaborative. She works with each person to set clear goals and practical steps that fit their daily life.
Background and approach
Carole uses straightforward tools drawn from cognitive behavioral therapy and mindfulness to help people notice patterns, test unhelpful thoughts, and build new habits. She helps clients practice skills during sessions so they become easier to use outside therapy. Many clients come for help with relationship tensions, communication problems, or workplace stress.
Others seek support for trauma, depression, obsessive or compulsive behaviors, or feelings of overwhelm. Carole adjusts the pace and focus to match what each person needs in the moment. She treats coaching as part of her work when people want help setting career goals or clarifying life purpose.
The overall aim is to strengthen motivation, improve coping, and increase confidence in daily choices.
Evidence-based approaches adapted for online care
Carole uses cognitive behavioral therapy to help people identify unhelpful thoughts and change patterns that keep anxiety and anger active. CBT sessions often focus on practical exercises, behavior experiments, and skills you can use between appointments to reduce symptoms and improve daily functioning.She also draws on mindfulness therapy to teach attention and awareness skills. Mindfulness work helps people notice physical sensations, thoughts, and emotions without reacting immediately, which can reduce impulsive responding and lower reactivity in tense moments.
Finding the right approach is a collaborative process. The therapist will work with each person to choose techniques that match their goals, needs, and preferences, and adjust the plan as progress is made.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. These formats make scheduling easier around work and family demands, let people pick shorter check-ins when needed, and allow sessions without needing to travel. Licensed professionals can use a mix of formats to practice skills, review progress, and keep momentum between longer appointments.
Questions people ask
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What this therapist works with
Most often
- 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
Therapeutic approaches
- Experience
- 20 years
- Licensed
- New York
- Languages
- English
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