About
Elisabeth Spear is a licensed clinician (LICSW, LCSW) practicing in Florida with 25 years of clinical experience. She supports people facing a wide range of challenges, including stress, anxiety, depression, self-esteem concerns, addictions, trauma and abuse, and mood disorders. Her practice also attends to relationship and family dynamics, intimacy-related issues, bipolar disorder, ADHD, compassion fatigue, and the specific needs of individuals negotiating non-traditional relationship structures.
Her work integrates several therapeutic orientations to match each person's needs: Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and Existential Therapy. Elisabeth pays particular attention to attachment and abandonment issues, body image, codependency, communication and control problems, dissociation, gender dysphoria, guilt and shame, and post-traumatic stress. She also engages with clients exploring BDSM, kink, polyamory, life purpose, and family of origin concerns. Elisabeth aims to create a thoughtful, nonjudgmental space where goals are clarified and practical steps are developed toward greater stability and self-understanding.
Remote care and therapeutic style
Elisabeth combines attachment-informed work with skills-based therapies to support emotional regulation and relational insight. Attachment-Based Therapy helps map patterns of connection and separation that influence current relationships, while Cognitive Behavioral Therapy focuses on identifying and adjusting unhelpful thinking and behavioral habits. Dialectical Behavior Therapy techniques are available to strengthen distress tolerance and emotion regulation when intensity or mood instability becomes a barrier to daily functioning.
She approaches online work collaboratively, tailoring interventions to each person’s circumstances and goals. This makes her a potential fit for those navigating identity questions, complex relationship arrangements including polyamory and alternative dynamics, or recovery from interpersonal trauma. Sessions are offered through video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences and practical needs.How long has Elisabeth been practicing?
Elisabeth has 25 years of clinical experience.
What are her professional credentials and licenses?
She holds LICSW and LCSW credentials and is licensed as AL LICSW 6824C and FL LCSW SW 7384.
Which languages does she speak?
This profile lists English as the language Elisabeth uses in sessions.
Where is she located?
Elisabeth practices in Florida.
What modes of communication are available for sessions?
Sessions can be conducted via video calls, phone sessions, live chat, or text-based messaging.
Does she accept international clients?
No. The profile indicates she does not accept international clients.
How is pricing handled?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To get started, use the Start Therapy button and complete a short matching questionnaire.