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LICSW, LCSW

Elisabeth Spear, LICSW, LCSW

  • Experience25 years
  • LocationFlorida
  • Focus areasADHD, Stress and Anxiety, and Self esteem
  • Therapy approachesAttachment-Based Therapy and Client-Centered Therapy
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About Elisabeth

Elisabeth Spear brings 25 years of clinical social work experience to people seeking help with stress, anxiety, depression, self-esteem, ADHD, and a wide range of relational and identity concerns.

Background and approach

She is known for a compassionate, individualized style that centers each person's goals and values while exploring patterns that influence mood, relationships, and life purpose. Elisabeth blends practical strategies with attention to attachment and emotional experience to support meaningful change.

Licensed in both Alabama and Florida as an LICSW and LCSW, she draws on methods from cognitive behavioral therapy, dialectical behavior therapy, emotionally-focused therapy, and attachment-based work. That mix allows her to offer tools for symptom management alongside deeper relational and identity-focused exploration.

Elisabeth aims to create a nonjudgmental space where clients can examine communication patterns, intimacy and alternative relationship dynamics, trauma and attachment history, addictive behaviors, and issues related to gender and sexual identity.

Approach-Focused Online Therapy and Practical Flexibility



Elisabeth uses cognitive behavioral therapy to help clients identify unhelpful thoughts and habits and learn skills for managing symptoms like anxiety, depression, and challenges related to ADHD. She also incorporates attachment-based techniques to explore how early relationship patterns influence current connections and intimacy, which can be helpful for people dealing with attachment wounds, communication problems, and relationship distress.

Choosing the right approach is treated as a collaborative process. Elisabeth works with each person to clarify goals, evaluate what feels most useful, and adapt methods over time so therapy aligns with changing needs and preferences rather than following a rigid plan.

Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for busy schedules and different comfort levels. These options make it easier to keep continuity of care, try brief check-ins or more in-depth sessions, and fit therapy into work, family, and other commitments while receiving support from a licensed professional.

Frequently asked questions

What kinds of concerns does Elisabeth address?
She addresses stress, anxiety, depression, self-esteem, ADHD, and many relational and identity-related issues including trauma, attachment, and intimacy concerns.
What is her therapeutic style like?
Her style combines compassion with practical interventions, integrating attachment-focused exploration and skills-based approaches to help clients make concrete changes.
How much clinical experience does she have?
Elisabeth brings 25 years of professional experience in clinical social work supporting a range of emotional and relational concerns.
What are her credentials and where is she located?
She holds LICSW and LCSW licenses with credentials AL LICSW 6824C and FL LCSW SW 7384, and her practice is based in Florida.
Does she provide services in other languages or to international clients?
Sessions are offered in English and she is not accepting international clients at this time.
Which session formats are available?
Clients may meet by video calls, phone sessions, live chat, or text-based messaging depending on their needs and scheduling.
How does payment and cost work?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule 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

What Elisabeth can help with

Elisabeth Spear works with clients on stress and anxiety, self esteem, depression, and coping with life changes.

Elisabeth works with individuals navigating complex emotional landscapes.

Elisabeth works with clients exploring self-esteem, communication challenges, and life purpose.

How Elisabeth approaches therapy

Elisabeth's clinical approaches include Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Existential Therapy, and Solution-Focused Therapy.

Experience and training

Elisabeth is a Licensed Independent Clinical Social Worker practicing in Florida, with 25 years of clinical experience.