Elisabeth Spear, LICSW, LCSW

Compassionate therapy for growth, relationships, and resilience

Attachment and trauma support
Self esteem and purpose
Alternative relationship understanding

About Elisabeth Spear

Elisabeth Spear, LICSW, LCSW, is a licensed clinical social worker with 25 years of experience supporting people through complicated emotions, shifting life circumstances, and the everyday pressures that can feel overwhelming. She helps clients build steadier self-esteem, strengthen communication, and reconnect with a clearer sense of purpose and personal direction, especially when stress, anxiety, or depression are getting in the way.

Her work is grounded in compassion and shaped around each client’s individual needs, goals, and pace. Elisabeth often supports young adults and individuals navigating a wide range of relationship experiences, including polyamorous and alternative relationship structures. She offers a thoughtful, nonjudgmental space to explore identity, relationship patterns, and intimacy-related concerns, while also addressing deeper themes such as attachment challenges, trauma recovery, and interpersonal conflict.

Elisabeth’s aim is to provide insight and professional guidance that helps clients move toward meaningful change, whether they are working through emotional pain, coping with life transitions, or focusing on personal growth and resilience.

Areas of Expertise

Primary Focus

Stress, Anxiety Self esteem Depression Coping with life changes

Also Specializes In

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 Approach

Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Emotionally-Focused Therapy (EFT) Existential Therapy Solution-Focused Therapy

Frequently Asked Questions

How much experience does Elisabeth Spear have?

Elisabeth Spear has 25 years of experience.

Is Elisabeth Spear a licensed therapist?

Yes. Elisabeth Spear is licensed and holds the credentials LICSW and LCSW. License details include AL LICSW 6824C and FL LCSW SW 7384.

In which languages does Elisabeth Spear provide therapy?

Elisabeth Spear provides therapy in English.

Where is Elisabeth Spear located?

Elisabeth Spear is located in Florida.

How can I work with Elisabeth Spear as my therapist?

Clients can work with Elisabeth Spear through video calls, phone sessions, live chat, or text-based messaging.

Does Elisabeth Spear work with international clients?

No. Elisabeth Spear does not currently work with international clients.

How much does therapy with Elisabeth Spear cost?

The cost of therapy can vary based on factors such as location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current pricing and details, click the “Start Therapy” button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the “Start Therapy” button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches That Translate Well to Online Care

Elisabeth Spear integrates evidence-informed approaches that can be effective in an online setting. Cognitive Behavioral Therapy (CBT) focuses on noticing unhelpful thought patterns and practicing new ways of responding, which can be especially useful for stress, anxiety, depression, and self-esteem concerns. Dialectical Behavior Therapy (DBT) adds practical skills for managing intense emotions, tolerating distress, and improving relationships, supporting clients who want more stability in daily life and communication.

She also draws on attachment-based work, which explores how early and ongoing relationship experiences shape connection, boundaries, and self-worth. This approach can be helpful for clients working through attachment issues, relationship dynamics, and trauma recovery, including those exploring diverse relationship structures and identity-related questions.

Finding the right approach is part of the process. Elisabeth collaborates with clients to clarify goals, understand what has and has not worked before, and choose strategies that fit their preferences and current needs, adjusting as therapy unfolds.

Online therapy offers flexibility and accessibility, allowing clients to meet by video call, phone session, live chat, or text-based messaging. These options can make it easier to stay consistent, reflect between sessions, and get support in a format that fits real life.

Ready to start therapy with Elisabeth Spear?

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