Therapist Elisabeth Spear Photo

Elisabeth Spear, LCSW

Stress, Anxiety Trauma and abuse Anger management Self esteem Depression
Video Phone Messaging

About me

I am a licensed clinician with over 20 years of experience working with multiple treatment modalities to assist both people in crisis and people seeking to improve self esteem, evaluate all types of relationships and life goals or make major life changes. I am very practical in terms of helping you to make changes and transitions in your life. My viewpoint is one of working with a person and also what surrounds that person - family, community, workplace and social life. I am also caring, warm, and open professionally to spiritual and alternative methods such as mindfulness and meditation.

I am open to both video and phone sessions but not to chat or text sessions as I believe it is easy to misinterpret emotions and levels of concerns you may express via text and chat. Finding a therapist that you trust and connect with is a challenging task, it is important to me to offer the best of myself when we are working together.

Over the past twenty years I have worked with people experiencing chronic and terminal illness, mental heath crisis, homelessness, PTSD, consequences of aging, and disability. I have also worked with people wanting to improve self esteem, work through family and relationship issues, and also the many internal conflicts experienced throughout the stages of life as beliefs, needs and goals change over time. I am comfortable working with LGBTQ clients and also with clients in alternative lifestyles such as polyamory, swinging and BDSM. My goal is for each client to have a space to discuss choices and needs openly in a caring and professional relationship.
For all the clients who have posted reviews - I am so grateful you are a part of my life, and thank you so much for your kindness!

Professional experience

23yrs in practice

Additional areas of focus: Addictions, LGBT, Relationship issues, Family conflicts, Intimacy-related issues, Bipolar disorder, Coping with life changes, Coaching, Compassion fatigue, ADHD, Abandonment, Aging and Geriatric Issues, BDSM, Kink, Alternative Sex Culture, Blended Family Issues, Body Image, Caregiver Issues and Stress, Codependency, Commitment Issues, Communication Problems, Control Issues, Disruptive Mood Dysregulation Disorder (DMDD), Dissociation, Emptiness, Family of Origin Issues, Family Problems, First Responder Issues, Forgiveness, Gender Dysphoria, Guilt and Shame, Isolation/Loneliness, Life Purpose, Midlife Crisis, Mood Disorders, Panic Disorder and Panic Attacks, Polyamory / Nonmonogamous Relationships, Seasonal Affective Disorder (SAD), Self-Love, Sexual Assault and Abuse, Sexuality, Social Anxiety and Phobia, Women's Issues, Young Adult Issues

Clinical approaches: Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Existential Therapy, Solution-Focused Therapy

License information


UT LCSW 12939190-3501


These quotes represent just a few of the many positive reviews that we have received for Elisabeth Spear. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.

Elisabeth is able to listen to what I’m saying and dissect the points that I’m trying to make with ease. She helps me better understand myself and my feelings. She has a gentle and calming demeanor which helps make therapy a place I feel safe and welcomed.

Written on Apr 24, 2023 after therapy with Elisabeth for 2 weeks on issues concerning stress, anxiety, relationship issues, family conflicts, grief, coping with life changes, and adhd

Super awesome and kind and helps me think clearly when my mind is busy.

Written on Apr 17, 2023 after therapy with Elisabeth for 1 year on issues concerning stress, anxiety, relationship issues, self esteem, and coping with life changes

Awesome therapist. She’s helped me so much with everything I’ve been going through.

Written on Apr 09, 2023 after therapy with Elisabeth for 1 month on issues concerning depression, stress, anxiety, grief, sleeping disorders, self esteem, anger management, career difficulties, and adhd

Elizabeth has been an amazing help to my mental health! She helps me see that I am making progress and that I am growing as a person. She also makes me feel heard and feel seen as a person. She’s always taken my concerns seriously and always helps me see things in a realistic manner. She’s great and she’s really helped me alot these last couple months :)

Written on Mar 28, 2023 after therapy with Elisabeth for 11 months on issues concerning depression, stress, anxiety, lgbt, relationship issues, family conflicts, trauma and abuse, grief, self esteem, anger management, and coping with life changes

Elisabeth helped me out of a really dark in my life (as most therapists do of course), but she genuinely made me feel comfortable and excited to talk at each of my appointments. She felt like a good friend I could vent to and then I trusted her enough to give me the best direction to take. She gave me the best tools that I could learn from in order to live life more happily and I am so thankful to her. If you have her recommended to you, please feel free to give her a try! She’s an angel!

Written on Feb 24, 2023 after therapy with Elisabeth for 9 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, intimacy-related issues, self esteem, anger management, coping with life changes, adhd, and career difficulties

In the month I’ve gotten to speak with Elisabeth I am thinking so much clearer.

She truly knows how to frame things in a different lens and provide relief and validation but with such sound advice.

I look forward to every week with Elisabeth and if others are seeking a therapist I strongly recommend her.

Written on Feb 07, 2023 after therapy with Elisabeth for 1 month on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, grief, intimacy-related issues, eating disorders, self esteem, and adhd