Carole Spivack, LCSW

Carole Spivack is a New York licensed clinical social worker with 20 years of experience helping people facing stress, anxiety, anger, relationship and intimacy concerns, and life transitions. She focuses on building a healthier self-image that supports confidence, motivation, and career goals. Carole also works with people affected by trauma, sleep problems, mood struggles, obsessive thoughts or compulsive behaviors, and compassion fatigue.

Her style is warm and direct. Sessions are interactive and collaborative, with practical steps you can try between meetings. She listens for what matters most to each person and tailors sessions to those needs.

Carole uses cognitive behavioral techniques and mindfulness practices to address patterns that keep people feeling stuck. That often means identifying unhelpful thoughts, testing new behaviors, and practicing skills that reduce stress and improve relationships. Work may include small experiments, thought records, relaxation practices, and communication coaching.

She brings particular attention to anger as a core hurdle in intimacy and relationship problems. Carole helps people learn manageable ways to express themselves, set boundaries, and rebuild connection. She also supports those adjusting to major life changes and career shifts.

Carole holds the LCSW credential, which indicates a clinical social work license in New York. Sessions are offered in English and are structured to meet individual goals with straightforward, practical steps.

CBT and Mindfulness for Online Care

Carole uses cognitive behavioral techniques to help identify unhelpful thoughts and try new behaviors. CBT often involves short exercises, thought records, and small experiments that reduce anxiety, manage mood, and address obsessive or compulsive patterns.

She also incorporates mindfulness approaches to help people notice their reactions and calm the body. Mindfulness practice can improve sleep, lower stress, and make it easier to respond rather than react in tense moments.

Finding the right combination of methods is part of the work. Carole collaborates with each person to choose strategies based on their goals, needs, and what feels doable. She adjusts the plan as progress is made and as life changes arise.

Online sessions are offered by video, phone, live chat, or text-based messaging to make care more flexible. Video is useful for full sessions and eye contact, phone works if bandwidth is limited, live chat and text are helpful for brief check-ins or when typing feels easier. These formats make it simpler to fit therapy into a busy schedule and to keep practicing skills between meetings.