Elisabeth Spear, LICSW, LCSW

Licensed in Utah · 25 years in practice

Elisabeth Spear welcomes people who are feeling stuck, overwhelmed, or unsure how to move forward.

License and registration

LCSW, Utah: 12939190-3501 · expires September 2026
LCSW, Florida: SW 7384 · expires March 2027
LICSW, Alabama: 6824C · expires April 2028
NPI: 1619131802 · national provider identifier
Years in practice: 25
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Elisabeth

Elisabeth Spear welcomes people who are feeling stuck, overwhelmed, or unsure how to move forward. She focuses on everyday problems like stress, anxiety, low self-esteem, depression, and challenges around relationships and intimacy. Elisabeth's style is straightforward and compassionate, aimed at helping people find practical ways to feel better and more in control.

Elisabeth is a licensed independent clinical social worker, listed as LICSW and LCSW, with 25 years of experience.

Background and approach

She listens for the story behind the symptoms and helps people name the patterns that keep them stuck. Sessions are collaborative and paced to match each person's needs and goals. Her work often addresses attachment concerns, family of origin issues, and difficulties with communication and commitment.

Elisabeth also supports people dealing with trauma, addiction, bipolar concerns, ADHD-related struggles, and sexual identity questions. She is familiar with conversations around kink and alternative sexual culture and approaches those topics without judgment. In session Elisabeth uses a mix of approaches to fit the problem at hand.

She draws on client-centered conversation to build trust, evidence-informed strategies to manage mood and behavior, and emotionally focused methods to repair important relationships. The aim is to move from understanding toward concrete, manageable steps. People who choose Elisabeth can expect clear goals, honest feedback, and practical skills to practice between sessions.

She works with each person to track progress and adjust the plan as needed, keeping the focus on real-life results and steady change.

Focus areas and approaches

Everything Elisabeth lists on their public professional profile, in their own terms.

Stress, Anxiety
Self esteem
Depression
Coping with life changes
Addictions
LGBT
Relationship issues
Family conflicts
Trauma and abuse
Intimacy-related issues
Anger management
Bipolar disorder
Coaching
Compassion fatigue
ADHD
Abandonment
Attachment issues
BDSM, kink, and alternative sex culture
Body image
Codependency
Commitment issues
Communication problems
Control issues
Dissociation
Emptiness
Family of origin issues
Family problems
Gender dysphoria
Guilt and shame
Life purpose
Mood disorders
Polyamory / non-monogamous relationships
Post-traumatic stress
Self-love
Sexuality
Young adult issues

Approaches Elisabeth names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How Elisabeth’s Approaches Work Online

Attachment-based work focuses on how early relationships shape current connections. It helps people recognize patterns in close relationships and build healthier ways of relating. Client-centered therapy centers the person's experience, offering a listening, nonjudgmental space to clarify values and goals and to feel heard.

Elisabeth also uses cognitive behavioral strategies to help change unhelpful thoughts and behaviors. That approach breaks problems into manageable steps and teaches skills for mood and anxiety management. Together, these methods aim to combine emotional understanding with practical tools for everyday life.

Finding the right approach is a collaborative process. Elisabeth will talk with each person about goals, preferences, and what feels most useful. She adjusts methods over time so the work stays relevant and actionable.

Online sessions offer practical flexibility. Video calls allow face-to-face conversation and visual cues, phone sessions work well when bandwidth is limited, and live chat or text-based messaging suit quick check-ins or shorter touchpoints. These options make it easier to fit therapy into a busy schedule while still using attachment, client-centered, and CBT strategies.

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Questions people ask

What kinds of concerns does Elisabeth address?

She helps people with stress, anxiety, depression, self-esteem, and coping with life changes, plus relationship and intimacy concerns and many trauma-related issues.

What is her overall therapy style?

Her approach is collaborative and client-centered, focusing on clear goals and practical steps. She blends emotional work with skills-based techniques.

How much experience does she have?

She brings 25 years of clinical experience working with a wide range of emotional and interpersonal challenges.

What are her credentials and where is she located?

She holds LICSW and LCSW credentials and practices from Florida.

Can I work with her in other languages or from another country?

Sessions are offered in English and she is not accepting international clients at this time.

Which session formats are available?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging depending on what the client prefers.

How are fees handled?

Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I begin a therapy relationship?

Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.

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