Elisabeth Spear, LICSW, LCSW

Utah · 25 years in practice

Elisabeth Spear is a licensed clinical social worker who helps people facing anxiety, depression, stress, and questions about self-worth.

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 the license with the issuing state board, and the NPI with the national registry.

About Elisabeth

Elisabeth Spear is a licensed clinical social worker who helps people facing anxiety, depression, stress, and questions about self-worth. She uses a straightforward, compassionate style to talk through communication problems, relationship concerns, and life transitions. Elisabeth works from Florida and brings 25 years of practice to each session.

Her approach prioritizes the person's experience and personal meaning. She often draws on existential ideas to help people wrestle with purpose, choice, and what matters most.

Background and approach

Attachment-based work and client-centered conversations are used to look at patterns that affect relationships and self-image. Sessions focus on clear, practical steps as well as deeper reflection. Cognitive Behavioral Therapy techniques may be used to spot unhelpful thinking and develop new coping skills.

Dialectical Behavior Therapy skills can be introduced when managing intense emotions or improving emotion regulation. Elisabeth has worked with people navigating trauma, family of origin issues, and complicated intimacy concerns, including kink and alternative relationship cultures. She also supports those dealing with ADHD, bipolar mood issues, and addiction-related struggles.

Her work includes coaching-style guidance when clients want concrete plans for change. Her style is nonjudgmental and collaborative. She invites clients to name goals and then builds practical steps to reach them.

Sessions can include short-term skill-building or longer work on identity, purpose, and deeper relational patterns.

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 blends therapy approaches online

Elisabeth often uses Existential Therapy to help people face questions about meaning, choice, and life direction. That approach supports people who feel stuck, empty, or unsure about purpose by encouraging honest reflection and personal responsibility. She also uses Attachment-Based Therapy to look at how early relationship patterns shape current connections. This work helps people understand trust, abandonment, and intimacy issues so they can try different ways of relating. Finding the right approach is part of the process. Elisabeth works together with each person to identify goals and then recommends techniques that fit those aims. That might mean mixing reflection about values with skills for emotion regulation or cognitive strategies to change thinking habits. Online therapy offers practical flexibility for her methods. Video calls allow face-to-face conversation for deeper relational work. Phone sessions can be a simpler option when bandwidth is limited or when a shorter check-in is needed. Live chat and text-based messaging are useful for ongoing coaching, brief skill reminders, and support between longer sessions. These options make it easier to keep a steady therapeutic rhythm while balancing work, caregiving, or other life demands.

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Questions people ask

What concerns does Elisabeth commonly address?

She helps people with stress, anxiety, depression, self-esteem, and coping with life changes. Other areas include trauma and abuse, intimacy-related issues, addictions, and relationship or family problems.

What is her general therapy style?

Her style is collaborative and nonjudgmental. She blends existential reflection with practical techniques to help people notice patterns and make changes.

How much experience does she have?

Elisabeth has 25 years of clinical experience working with a range of emotional and relational concerns.

What credentials and region are listed?

She holds LICSW and LCSW credentials and practices in Florida.

Which languages are used in sessions and can international clients join?

Sessions are offered in English. International clients are not currently accepted.

What session formats are available?

Therapy can be done via video calls, phone sessions, live chat, or text-based messaging depending on the chosen plan.

How is cost handled for sessions?

Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.

What steps start the process of working together?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

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