Ashley Spitzer

Warm, practical therapy for life transitions

LISW Ohio

Experience: 20 years in practice
Focus areas: Stress, Anxiety, LGBT, Family
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Ashley

Ashley Spitzer is a licensed independent social worker (LISW) with 20 years of experience who helps people navigate stress, anxiety, grief, relationship struggles, and many life transitions.

Background and approach

She emphasizes a client-centered stance that makes room for honest expression and practical problem solving, inviting clients to use therapy time to vent, process, and clarify goals. Her approach balances warmth and structure so individuals can identify immediate needs while building skills for longer-term change.

Ashley draws from evidence-informed methods including cognitive behavioral strategies, acceptance and commitment techniques, emotionally focused work, and trauma-informed interventions such as EMDR when appropriate. She adapts interventions to each person, seeks feedback throughout care, and focuses on consistency, empathy, and boundary-setting as foundational skills.

Ashley works with clients on a broad range of concerns including mood and anxiety disorders, caregiving stress, substance-related issues, family and blended family dynamics, intimacy and sexual concerns, eating and body-image issues, ADHD, chronic illness challenges, and coping with major life events. She offers therapy in English from her Ohio base and accepts international clients for online sessions.

Therapeutic approaches and how they work online

Ashley commonly integrates Cognitive Behavioral Therapy and Acceptance and Commitment Therapy into her work. CBT focuses on identifying and changing unhelpful thinking patterns and behaviors to reduce symptoms like anxiety or depression, using practical exercises and skill-building. ACT emphasizes clarifying values, practicing mindfulness, and accepting difficult internal experiences while committing to meaningful action, which can help with coping, motivation, and life transitions.

Finding the right approach is collaborative; the therapist will work with clients to determine which methods best match their needs, goals, and preferences, and will adapt strategies over time based on feedback and progress. This collaborative stance helps tailor interventions whether the focus is symptom relief, processing trauma, or improving relationships.

Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care across locations and life demands while allowing therapists to use interactive exercises, homework, and regular check-ins to support learning and change.

Frequently asked questions

What types of concerns does Ashley help with?

Ashley works with a wide range of issues including stress, anxiety, depression, grief, relationship and family problems, addictions, trauma and abuse, intimacy-related concerns, eating and sleeping difficulties, ADHD, caregiving stress, chronic illness, and coping with life changes.

What is her therapeutic style like?

She uses a client-centered, collaborative style that encourages open expression and feedback while incorporating evidence-informed methods such as CBT, ACT, EFT, and EMDR to address symptoms and goals.

How much experience does she have?

She brings 20 years of experience as a licensed social worker and psychotherapist, working with adolescents and adults across a variety of clinical concerns.

Where is she licensed and practicing from?

Ashley is licensed in Ohio as an LISW with the designation OH LISW I.1500357-SUPV and provides services from that location.

Can she work with clients who live outside the United States?

Yes, she accepts international clients and conducts sessions in English to accommodate individuals outside her state.

What session formats are offered?

Therapy is available via video calls, phone sessions, live chat, or text-based messaging to provide flexibility in how clients connect.

How are fees and subscriptions handled?

Costs vary with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

What steps should someone take to begin working with her?

To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyLGBTFamily conflictsGrief Depression

Also works with

AddictionsRelationship issuesTrauma and abuseIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue ADHD

Additional focus areas

Blended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDivorce and separationEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shame ImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCD Panic disorder and panic attacksPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualityTraumatic brain injuryWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

20+ years

Licensed

Ohio

Languages

English