Carole LaFreniere , LCSW, CSW

Carole LaFreniere, LCSW, CSW, helps people who are dealing with anxiety, depression, trauma, grief, and stress. She also supports those facing relationship and intimacy concerns, parenting strain, addictions, ADHD, and career or life-change challenges. Carole practices with attention to women's issues as part of her broader work. She offers straightforward, empathetic care and uses practical strategies you can try between sessions.

Carole brings eight years of experience in mental health and social work. She draws on cognitive behavioral tools to identify unhelpful thinking and to build new habits. Mindfulness practices are used to increase present-moment awareness and reduce overwhelm. She also integrates acceptance and commitment ideas to help people notice values and take small, meaningful steps toward them.

Sessions are collaborative and goal-focused. Carole emphasizes a warm, nonjudgmental connection and works with clients to set clear, achievable steps. She often uses simple exercises in-session and suggests short practices to reinforce progress at home.

Her background includes work in clinical settings and community mental health. She tailors plans to each person’s unique circumstances and strengths. Carole schedules evening and weekend appointments to accommodate working adults.

People who choose her can expect a practical, down-to-earth approach. The focus is on what is realistic for daily life, and on skills that build resilience over time.

How Carole's Approaches Work Online

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values. Online ACT sessions focus on noticing difficult thoughts and feelings, then choosing actions that align with personal goals. Cognitive Behavioral Therapy (CBT) looks at connections between thoughts, feelings, and behaviors and teaches concrete skills to shift unhelpful patterns. In online CBT, clients practice exercises during sessions and get brief homework to try between meetings.

Finding the right approach is part of the process. The therapist will work together with each person to decide which methods fit their goals and preferences. That collaborative decision may shift over time as needs change, and the plan is adjusted to stay practical and relevant.

Online formats offer useful flexibility. Video calls allow face-to-face interaction and hands-on skill practice. Phone sessions can be a good option when bandwidth is limited or when someone prefers not to be on camera. Live chat or text-based messaging is helpful for short check-ins, tracking progress, or keeping momentum between scheduled sessions. These options make it easier to fit therapy into busy schedules and to continue work even when routines change.