Isabel Spoehr, LCSW

Background

For the last decade, I have worked with women across a wide range of settings, including hospitals, safe haven shelters, schools and individual treatment. Currently, I serve as the Women’s Group Clinician for Silver Hill Hospital’s Intensive Outpatient Program (IOP), one of the country’s leading psychiatric treatment resources.

I came to this work after years in senior corporate positions, a path that informs how I understand the relationship between performance, identity, and wellbeing.

Style of work

Each client’s work begins with finding the balance: exploring your history to understand the “why,” holding curiosity about where you feel stuck, and incorporating the skills and goals needed to change your relationship to it.

The practice is grounded in Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT). Together, we will draw on the skills and structure of DBT alongside the rethinking and reframing tools of ACT, adapting the approach to what you need.

My style of work is gentle and exploratory, while also direct. Sessions are collaborative from the start, working within a structure that also leaves room for curiosity and exploration.

Who I treat

I work with women who feel uncertain about navigating life’s unknowns, who experience a loss of identity, or who want to change habits that keep them stuck in unhealthy thoughts, emotions, or behaviors. These patterns often surface as avoidance, difficulty with emotional regulation, strain in relationships, people pleasing, or perfectionism.

This includes women in the middle of significant life shifts, such as motherhood, career changes, or evolving relationship dynamics, who feel spread too thin and need more comprehensive support. With over a decade of experience in acute clinical settings, a trauma-informed approach grounds this work. Our space is one of safety, attuned to how trauma shapes a person’s emotional, psychological, and physical wellbeing.

Areas of expertise include: