Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you use our links to purchase.

Elisabeth Spear

Therapist profile

Elisabeth Spear, LICSW, LCSW

Florida

LICSW Florida therapist - anxiety and relationships

Continue with Elisabeth

Where Elisabeth stands

Credentials
LICSW, LCSW
License
LCSW, Utah / 12939190-3501; LCSW, Florida / SW 7384; LICSW, Alabama / 6824C
NPI
1619131802
Experience
25 years
Languages
English
Location
Florida

About

  • Attachment-based work
  • CBT and DBT tools
  • Relationship and identity

About Elisabeth

Elisabeth Spear is a licensed clinical social worker with 25 years of experience. She holds an AL LICSW and a FL LCSW and practices in Florida. She focuses on concerns such as anxiety, depression, stress, self-esteem, and codependency among other relationship and identity issues.

She uses straightforward conversation to help people name what feels out of balance. Sessions often look at how attachment patterns and past relationships shape current choices. She also addresses communication problems, commitment struggles, and the emotional effects of living with someone else's moods or substance use.

Her work draws on several established approaches. That means she may use cognitive-behavioral tools to shift thinking and behavior, emotion-focused methods to notice and respond to feelings, and attachment-based ideas to understand relational patterns. She combines these in practical ways during sessions rather than sticking to a single method.

Elisabeth has experience helping people who identify as LGBT and those exploring gender dysphoria and alternative relationship dynamics, including kink and polyamory. She also supports people coping with trauma, abandonment, dissociation, and issues tied to family of origin.

Clients describe concrete goals like better boundaries, clearer communication, less reactivity, and greater clarity about life purpose. To begin, she asks questions and builds a plan that fits the person’s immediate concerns and longer-term aims.

How sessions work

How her approaches translate to online work

Attachment-based work looks at patterns in relationships and where people learned to rely on or please others. Online sessions can be used to notice those patterns in real time and practice different responses to closeness and distance. Client-centered therapy prioritizes the person’s perspective and helps them pace what they want to change; in remote sessions this means conversations focused on the client's immediate concerns and what feels most useful in their life right now. Cognitive-behavioral therapy (CBT) offers practical steps to change thoughts and behavior, like testing assumptions, building small experiments, and practicing new skills between sessions.

Finding the right approach is often part of the first few meetings. The therapist will work together with the client to decide which methods fit best based on goals, history, and preferences. That collaborative planning can include trying different techniques and adjusting over time.

Session formats are not specified here, so confirm current online options before booking. In general, remote sessions can make it easier to fit therapy into a busy week - for example a shorter phone check-in can work during a lunch break, or a video session can allow for face-to-face conversation without travel. Online work also lets people join sessions from different locations when needed, while the therapist focuses on practical strategies for boundaries, emotion regulation, and clearer communication.

Areas of focus

Areas of expertise

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

Listed in

Utah, Florida, Alabama

Languages

English

Questions

Frequently asked questions

What kinds of concerns does she address?

She works with anxiety, depression, stress, self-esteem, codependency, addictions, trauma, and relationship or identity concerns.

What is her therapeutic style like?

She uses a mix of approaches including attachment-based, client-centered, CBT, DBT, and emotionally-focused methods to respond to what a client needs.

How much experience does she have?

She brings 25 years of clinical experience to her practice, working with a wide range of emotional and relational issues.

What credentials and location apply to her practice?

She holds AL LICSW and FL LCSW credentials and sees clients in Florida under those licenses.

Which languages are supported?

Sessions are offered in English only.

Does she take international clients?

She does not accept international clients at this time.

How are sessions priced?

Cost varies with location and sessions use a subscription model that can be canceled at any time.

How do I start working with her?

Choose the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.

Back to all therapists

Elisabeth Spear

Continue with Elisabeth