Sheet 1
- Attachment-based work
- CBT and DBT skills
- Identity and intimacy
About Elisabeth
LICSW and LCSW social worker licensed in Alabama and Florida with 25 years of clinical experience, Elisabeth Spear focuses on stress, anxiety, self-esteem, depression, addictions, relationship and intimacy concerns, and identity-related issues. She practices using attachment-based work, client-centered methods, cognitive behavioral strategies, dialectical behavior techniques, and emotionally-focused approaches. Sessions are conducted in English and she works from Florida.
Elisabeth helps people who are handling big life changes, grief, or recurring depression and anxiety. She also supports clients dealing with shame, body image, codependency, and problems tied to family of origin. People bring concerns such as burnout, compassion fatigue, ADHD-related struggles, and struggles with sexual identity or alternative relationship dynamics.
Her method starts with clear listening and practical goals. She uses client-centered conversation to understand what matters most. Then she introduces skills from CBT and DBT to manage symptoms and to change unhelpful patterns.
She pays attention to attachment and relational patterns when relationships, intimacy, or abandonment themes appear. Emotionally-focused ideas are used to help people name feelings and shift how they connect with others. Work can include addressing dissociation, control issues, commitment concerns, and intimacy challenges.
Sessions also include coaching-style guidance when clients want concrete next steps toward life purpose or behavior change. Fees vary by location and services use a subscription that can be canceled at any time. To begin, a prospective client completes a short matching questionnaire and schedules a first session via the See online therapy options button.
Sheet 2
How attachment, skills work, and online sessions fit together
Attachment-based work looks at how early relationships shape current patterns. It helps people name repeated ways of relating and understand why they feel unsafe or shut down in close connections. This approach is useful for abandonment, attachment wounds, and recurrent relationship cycles.CBT focuses on spotting and changing unhelpful thoughts and behaviors. It teaches concrete strategies for managing anxiety, depression, and mood swings through small experiments and skill practice. DBT offers skills for emotion regulation, distress tolerance, and clearer communication when feelings run high.
Choosing an approach is collaborative. Elisabeth will listen to your concerns and then suggest methods that match your goals and preferences. You and the therapist will try strategies together and adjust them based on what helps most.
The biography does not specify session formats, so confirm current session options before booking. In general, online sessions can make it easier to fit therapy into a workday or a busy schedule, allow a shorter check-in when time is limited, and reduce travel time. Ask about the specific formats offered when you complete the matching questionnaire.
Sheet 3
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Utah, Florida, Alabama
Languages
English
Sheet 4
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, self-esteem, addictions, relationship and intimacy issues, and related concerns such as shame, body image, and codependency.
What is her therapeutic style?
Her style combines client-centered listening with practical skills from CBT and DBT, plus attachment and emotionally-focused approaches when relationships or attachment themes are central.
How much experience does she have?
She has 25 years of clinical experience working with adults on a wide range of emotional and relational issues.
What are her credentials and location?
She holds LICSW and LCSW credentials and is licensed in Alabama (LICSW) and Florida (LCSW). Her practice is based in Florida.
Which languages are sessions offered in?
Sessions are offered in English.
Can people from other countries work with her?
She does not accept international clients at this time.
How are fees handled?
Cost varies by location and services use a subscription that can be canceled at any time.
How do I start a first session?
Use the See online therapy options button, complete the short matching questionnaire, and schedule your first session through the platform.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.