Profile / United States
Elisabeth Spear, LICSW, LCSW
Florida
LICSW LCSW - Anxiety and Relationship Concerns
See online therapy options- CBT methods
- Attachment focus
- Communication skills
About Elisabeth
Elisabeth Spear is a licensed clinical social worker with 25 years of experience. She holds LICSW and LCSW credentials and practices in Florida. She helps people who are dealing with stress, anxiety, low self-esteem, depression, and life changes.
Elisabeth focuses on clear, practical steps people can try between sessions. She uses Cognitive Behavioral Therapy to notice unhelpful thoughts and change routines that keep problems going. She also draws on attachment-based and client-centered approaches to look at relationship patterns and what matters to each person.
Her work often covers relationship and intimacy matters, identity concerns such as gender dysphoria, and issues tied to family of origin. She also addresses addictions, ADHD, bipolar mood challenges, and complex responses to trauma and abuse. These topics are discussed in straightforward terms so clients know what to expect.
Sessions include conversation about communication, boundaries, and how to handle anger, codependency, or feelings of emptiness. Elisabeth also supports people exploring kink, BDSM, and alternative sex culture in a nonjudgmental way. Practical tools and small behavioral experiments are common parts of the work.
People who choose her can expect a direct, steady approach that focuses on what to try next. She encourages clear goals, regular check-ins, and adjustments based on how a client responds. To begin, prospective clients follow the site's matching steps and schedule an initial meeting.
How Elisabeth uses evidence-based approaches online
Elisabeth often relies on Cognitive Behavioral Therapy to identify unhelpful thoughts and test simple behavior changes. CBT focuses on concrete steps people can try to reduce anxiety, manage mood, and change habits that get in the way of goals.She also uses Attachment-Based Therapy to look at patterns in close relationships and how early experiences shape current trust and closeness. That approach helps when relationship problems, abandonment concerns, or attachment issues are part of the difficulty.
Finding the right approach is a collaborative process. The therapist and client review goals, try methods like CBT exercises or attachment-focused conversations, and adjust based on what works. Decisions about pacing, homework, and focus are made together so sessions match the client's needs and preferences.
Session formats are not specified in the biography, so confirm current online options before booking. Online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. Therapists can also adapt exercises for use between meetings, making it practical to practice new skills in everyday life.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Utah, Florida, Alabama
Languages
English
Frequently asked questions
What concerns does Elisabeth commonly address?
She works with stress, anxiety, depression, self-esteem, relationship and intimacy-related issues, trauma and abuse, addictions, ADHD, and related topics listed on her profile.
How would she describe her therapeutic style?
Her style is practical and structured, using Cognitive Behavioral Therapy alongside attachment-based and client-centered methods to test small behavior changes and improve coping.
How much experience does she have?
She has 25 years of clinical experience working with adults on a wide range of emotional and relational concerns.
What credentials and location apply to her practice?
She holds LICSW and LCSW credentials and practices in Florida as noted on her profile.
Which languages are supported in sessions?
Sessions are offered in English.
Does she accept international clients?
She does not accept international clients at this time.
How are sessions scheduled and what about cost?
Costs vary with location and sessions use a subscription that can be canceled at any time according to the platform policy.
How do I begin working with her?
Select the See online therapy options button, complete the 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, use the crisis numbers.