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ES Portrait of Elisabeth Spear

Elisabeth Spear

Supportive therapy for growth and resilience

LICSW, LCSW Florida

Experience
25 years in practice
Focus areas
Stress, Anxiety, Self esteem, Depression
Approaches
Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages
English
Continue with Elisabeth

About Elisabeth

Elisabeth Spear brings 25 years of clinical experience to her work, helping people who are coping with anxiety, depression, stress, addiction concerns, questions about identity, and challenges with relationships and intimacy.

Background and approach

She centers care on personal growth, self-esteem, and life purpose while addressing issues such as attachment wounds, trauma and abuse, codependency, and control or communication problems. Her style blends evidence-informed techniques with a warm, nonjudgmental stance.

Elisabeth integrates Cognitive Behavioral Therapy with attachment-based and client-centered perspectives, drawing on approaches such as DBT and Emotionally-Focused Therapy when helpful. She offers practical tools for managing difficult emotions alongside exploration of deeper patterns that shape how someone relates to themselves and others.

Licensed to practice in Florida and Alabama as an LICSW and LCSW, she frames therapy as a collaborative process that tailors interventions to each person’s goals and preferences.

Elisabeth’s experience includes work with people navigating gender and sexual identity questions, kink and alternative sexual culture, grief around family of origin issues, and struggles with motivation, emptiness, and life transitions.

Approaches that guide online care



Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and testing them with practical behavior changes; it is often used to reduce symptoms of anxiety and depression and to teach coping skills. Attachment-Based Therapy explores how early and current relationship patterns influence emotional life and can help with attachment issues, intimacy-related concerns, and family of origin wounds. Client-Centered Therapy emphasizes a respectful, empathic therapeutic relationship where the person's own goals and pace guide the work and emotional growth.

Finding the right approach is part of the therapy journey. Elisabeth collaborates with clients to determine which combination of methods best fits their needs, goals, and preferences, adjusting style and tools as the work evolves.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and communication styles. These formats make it easier to attend regularly, integrate skill practice into daily life, and maintain continuity of care when routines change.

Frequently asked questions

What kinds of concerns does Elisabeth address?
She works with a wide range of difficulties including anxiety, depression, stress, addictions, ADHD, relationship and intimacy issues, trauma and abuse, and identity concerns such as gender dysphoria and LGBT matters.
What is her therapeutic style like?
Her approach combines compassionate, client-centered listening with practical techniques drawn from Cognitive Behavioral Therapy and other modalities to help clients build skills and insight.
How long has she practiced?
The therapist has 25 years of clinical experience working with people on emotional, interpersonal, and identity-related challenges.
What credentials and location are listed?
She holds LICSW and LCSW credentials with AL LICSW 6824C and FL LCSW SW 7384, and practices in Florida.
Does she offer services in other languages or internationally?
Sessions are offered in English, and she is not currently accepting international clients.
Which session formats are available?
Clients can choose video calls, phone sessions, live chat, or text-based messaging to fit their scheduling and communication preferences.
How are costs and payments handled?
Fees vary by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
Start by selecting the Start Therapy button, completing a brief matching questionnaire, and scheduling according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietySelf esteemDepressionCoping with life changes

Also works with

AddictionsLGBTRelationship issuesFamily conflictsTrauma and abuseIntimacy-related issuesAnger managementBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesBDSM, kink, and alternative sex cultureBody imageCodependencyCommitment issuesCommunication problemsControl issuesDissociationEmptinessFamily of origin issuesFamily problemsGender dysphoriaGuilt and shameLife purposeMood disordersPolyamory / non-monogamous relationshipsPost-traumatic stressSelf-loveSexualityYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapySolution-Focused Therapy

Experience

25+ years

Licensed

Utah, Florida, Alabama

Languages

English