About Elisabeth
Elisabeth Spear greets people who are worn down by stress, anxiety, depression, or hard life changes. She helps those wrestling with self-esteem, relationship struggles, identity questions, addiction, and issues around intimacy. Elisabeth is clear and direct in sessions, aiming to make therapy feel usable for everyday life.
Elisabeth is a licensed social worker with both LICSW and LCSW credentials. She has 25 years of experience working with individuals on long-term patterns like attachment and family of origin concerns.
Background and approach
She also addresses specific worries such as bipolar symptoms, anger, dissociation, and compassion fatigue. Her style is collaborative and down-to-earth. She uses client-centered listening to understand where someone is stuck and then draws on cognitive-behavioral tools to change unhelpful thoughts and habits.
Emotion-focused work is used to process painful memories and strengthen emotional connection to oneself. Elisabeth has experience supporting people exploring kink, BDSM, and alternative relationship structures, as well as those navigating gender dysphoria and LGBT concerns. She also helps with practical challenges like communication problems, commitment worries, and codependency patterns.
Sessions can include coaching elements for life purpose and practical coping skills for ADHD, stress, and relapse prevention. She offers a steady, nonjudgmental presence and works with each person to set realistic goals and small steps forward.
How Elisabeth’s approaches translate to online therapy
Attachment-based work focuses on patterns in close relationships and helps people understand why they respond to others in certain ways. In online sessions this can involve mapping real-life relationship patterns and practicing new ways of connecting during conversations.Client-centered therapy emphasizes being heard and respected. The therapist offers reflective listening and gentle questions to help people clarify values, goals, and what matters most to them, which can be done through video or voice sessions.
Cognitive Behavioral Therapy (CBT) targets unhelpful thoughts and behaviors with practical exercises. In remote sessions clients might receive short worksheets, thought records, or between-session experiments to test new habits and reduce anxiety or depressive patterns.
Finding the right approach is part of the work. Elisabeth will collaborate with each person to choose methods that fit their goals and comfort level. That decision is revisited as therapy progresses so the plan stays useful and responsive.
Online sessions offer flexibility and different ways to connect. Video calls allow face-to-face conversation and use of visual tools. Phone sessions can be easier when bandwidth is limited or a quieter check-in is needed. Live chat and text messaging suit brief check-ins, skill practice, or people who prefer writing to speaking. These options make it easier to fit therapy into a busy life while keeping the focus on meaningful, practical change.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Body image
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dissociation
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Gender dysphoria
- Guilt and shame
- Intimacy-related issues
- LGBT
- Life purpose
- Mood disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Self-love
- Sexuality
- Trauma and abuse
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Utah, Florida, Alabama
- Languages
- English