Carole Spivack
Compassionate, practical therapy for life challenges
LCSW New York
- Experience
- 20 years in practice
- Focus areas
- Stress, Anxiety, Relationship, Family
- Approaches
- Cognitive Behavioral Therapy (CBT), Mindfulness Therapy
- Languages
- English
About Carole
Carole Spivack is a New York licensed clinical social worker (LCSW) with more than 20 years of experience helping people navigate stress, anxiety, relationship challenges, anger, trauma, and a range of mood and life-transition concerns.
Background and approach
She focuses on practical strategies to enhance self-esteem, motivation, and career functioning while addressing intimacy-related issues, sleep difficulties, and compassion fatigue. Her work also covers obsessive-compulsive symptoms, social anxiety, workplace problems, and family dynamics including DMDD and communication or control issues.
Her style blends directness with warmth and collaboration; she partners with clients to craft tailored plans that reflect each person’s needs and goals. Carole uses evidence-informed tools such as Cognitive Behavioral Therapy and mindfulness techniques to help clients identify unhelpful patterns, build new skills, and shift day-to-day thinking and behavior.
She frames change as a process that requires courage and supports clients through practical coaching and therapy as they pursue greater fulfillment and resilience. Carole practices in New York and brings two decades of clinical experience to sessions that aim to be interactive, goal-oriented, and responsive to individual circumstances.
Integrating CBT and Mindfulness in Online Care
Cognitive Behavioral Therapy (CBT) helps clients identify and change unhelpful thoughts and behaviors by teaching practical skills like cognitive restructuring and behavioral experiments; it is often used for anxiety, depression, obsessive-compulsive patterns, and workplace stress. Mindfulness Therapy cultivates present-moment awareness and acceptance through simple practices that can reduce reactivity, support emotion regulation, and complement skill-based work for issues such as anger and compassion fatigue.
Choosing the right therapeutic approach is a collaborative process. The therapist works with each person to explore needs, goals, and personal preferences, then blends CBT techniques and mindfulness practices as appropriate to form a tailored plan. This joint decision-making helps ensure that the work aligns with what the client hopes to achieve.
Online options include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for scheduling and continuity of care across busy lives. These formats make it easier to access consistent support from licensed professionals while fitting sessions into work, family, and travel routines, and they allow therapeutic tools and homework to be reviewed and reinforced between meetings.
Frequently asked questions
What kinds of concerns does Carole address?
How would you describe her therapeutic approach?
What is her clinical and professional background?
Where is she licensed to practice?
Does she work with clients in other languages or internationally?
What session formats are offered?
How are fees and payment handled?
What are the first steps to begin therapy?
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Licensed
New York
Languages
English