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Elisabeth Spear, LICSW, LCSW

Experienced therapist for relationships and identity
  • Attachment and trauma work
  • BDSM and kink aware
  • Flexible online sessions

About Elisabeth Spear

Elisabeth Spear is a licensed social worker with 25 years of clinical experience who helps people navigate complex emotional and relational challenges. She focuses on supporting those coping with depression, anxiety, stress, and self-esteem concerns while also guiding clients through life transitions, identity exploration, and questions about life purpose. Her practice is attentive to attachment-related difficulties and trauma recovery, and she works with individuals and couples exploring a range of relationship structures, including polyamory and other alternative arrangements.

Her style is compassionate and nonjudgmental, emphasizing individualized care that honors each person’s history and goals. She offers practical tools for communication, boundary setting, and coping, alongside deeper work around family of origin issues, intimacy, and identity. Elisabeth also supports people managing addictions, anger, ADHD, and compassion fatigue, and she offers coaching-oriented interventions when helpful.

Elisabeth’s approach blends evidence-based techniques with relational sensitivity so clients receive both skill-building and empathic understanding. She holds LICSW and LCSW credentials, which stand for Licensed Independent Clinical Social Worker and Licensed Clinical Social Worker, reflecting advanced training and state licensure in clinical social work.

Areas of Expertise

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 in clinical social work and psychotherapy.

Is Elisabeth Spear a licensed therapist?

Yes. Elisabeth Spear holds the credentials LICSW and LCSW. Her license details are 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?

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

Does Elisabeth Spear work with international clients?

Elisabeth Spear does not currently work with international clients.

How much does therapy with Elisabeth Spear cost?

The cost of therapy can vary depending on factors such as your location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current 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 that helps 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.

Attachment-Informed, Client-Centered, and CBT Approaches Online

Elisabeth Spear integrates Attachment-Based Therapy, Client-Centered Therapy, and Cognitive Behavioral Therapy to address emotional and relational concerns in a practical, empathic way. Attachment-Based Therapy looks at how early relationship patterns shape current connections and helps people repair trust and closeness. Client-Centered Therapy emphasizes listening and unconditional acceptance so clients can explore identity, values, and life direction at their own pace. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thoughts and behaviors to reduce symptoms of anxiety, depression, and stress and to build concrete coping skills.

Choosing the right approach is part of the therapeutic process; Elisabeth works collaboratively with each person to determine which methods fit their needs, goals, and preferences. She combines relational insight with skill-building so that therapy addresses both immediate problems and deeper patterns.

Online therapy offers flexibility and accessibility, allowing work by video call, phone session, live chat, or text-based messaging. These options make it easier to fit sessions into busy lives, maintain continuity during life changes, and access licensed professionals from a convenient location while still receiving thoughtful, evidence-informed care.

Ready to start therapy with Elisabeth Spear?

Take the first step toward a better you.