Carole Spivack, LCSW

Carole Spivack is a New York-licensed LCSW (Licensed Clinical Social Worker) with more than 20 years of clinical experience. She focuses on anger management as a central concern that often underlies relationship and intimacy difficulties, and she helps people address those patterns to restore connection and trust.

Carole works with clients to build a resilient, positive self-image from the inside out, a process that supports motivation, self-esteem, confidence, and progress with career challenges. She also brings experience supporting individuals through life transitions, offering practical tools to cope with change and regain a sense of direction.

Her style is warm, interactive, direct, and collaborative, and she customizes sessions to meet each person’s specific needs and goals. Carole emphasizes practical strategies and guided exploration, helping clients take the courageous first steps toward a more fulfilling and happier life while providing steady encouragement and empowerment along the way.

Integrating CBT and Mindfulness into Online Care

Carole uses Cognitive Behavioral Therapy (CBT) and Mindfulness Therapy as core approaches in her work. CBT is a goal-focused method that helps people identify unhelpful thoughts and behaviors and learn practical strategies to change them - it is commonly applied to anxiety, stress, depression, anger, and related challenges. Mindfulness Therapy cultivates present-moment awareness and nonjudgmental attention to thoughts and feelings, which can support emotional regulation, reduce rumination, and improve focus.

Choosing the right approach is part of the therapeutic process. Carole collaborates with each client to determine which methods best fit their needs, goals, and preferences, adapting exercises and pacing to the individual. This collaborative process helps ensure the work feels relevant and manageable.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. These formats offer flexibility for scheduling around work and family responsibilities, allow ongoing support between appointments, and make it easier to maintain continuity of care during life transitions. Licensed professionals can tailor CBT exercises and mindfulness practices to these remote formats, providing structured tools and real-time guidance while accommodating each client’s routine.