About Elisabeth
Elisabeth Spear is a licensed clinical social worker with 25 years of experience helping people manage stress, anxiety, depression, and ADHD. She focuses on building workable strategies for self-esteem, relationships, communication, and life changes. Her style is straightforward and nonjudgmental, aimed at people who want clear tools and steady support.
Elisabeth uses a mix of approaches to meet each person's needs. She draws on attachment-based ideas to look at how early relationships shape current patterns.
Background and approach
She also uses cognitive behavioral tools to spot unhelpful thinking and build new habits. Sessions are practical and conversational. Clients can expect to talk through immediate problems, try skills between sessions, and check what is or isn't helping.
Elisabeth pays attention to identity, intimacy, and alternative relationship structures when those subjects are important to a person. Her background includes long-term work with people facing trauma, addiction concerns, compassion fatigue, and mood difficulties such as bipolar disorder. She also supports people wrestling with body image, codependency, guilt, and life purpose questions.
Elisabeth is licensed in Florida as an LICSW and LCSW. She offers appointments by video call, phone, live chat, or text messaging so people can pick what fits their routines. To begin, prospective clients use the Start Therapy button, complete a short matching questionnaire, and schedule based on therapist availability.
How Elisabeth’s approaches translate to online care
Elisabeth uses attachment-based and cognitive behavioral approaches in ways that work well online. Attachment-based work looks at how early relationships affect current trust and connection. That can help people who struggle with closeness, abandonment fears, or repeating relationship patterns. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and testing new behaviors. It is useful for addressing anxiety, depression, ADHD-related routines, and day-to-day stressors.Finding the right approach is a collaborative process. Elisabeth will talk with each person about goals, preferences, and what feels most useful. Together they decide whether to emphasize relationship work, skills training, or a blend of both, and they adjust the plan as progress is made.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy fit into busy lives. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat and text messaging work well for frequent brief check-ins, coaching-style guidance, or when writing feels more comfortable. These options provide flexibility so people can access help in a way that fits their routine and energy level.
Questions people ask
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What this therapist works with
Most often
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Body image
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dissociation
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Gender dysphoria
- Guilt and shame
- Intimacy-related issues
- LGBT
- Life purpose
- Mood disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Self-love
- Sexuality
- Trauma and abuse
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Utah, Florida, Alabama
- Languages
- English
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