LMHC, 17 years of experience
New to Grow
Dr. Pamela Spears is a licensed mental-health and behavior-analytic provider and the owner of Pathways 2 Change, Inc. and Therapeutically Speaking, serving Miami-Dade and Broward counties. She specializes in evidence-based care—CBT and skills-focused behavioral interventions—tailored for adults. Dr. Spears partners closely with individuals, families, and group homes to set clear goals, track progress, and build practical coping skills that improve daily functioning. Her style is warm, direct, and collaborative: you’ll leave each session with concrete strategies you can use right away. Therapeutically Speaking— together we can achieve the extraordinary with assistance through one’s crossroads.
In your first session with Dr. Spears, you can expect a warm and welcoming conversation focused on getting to know you and your needs. She’ll ask about your history, current challenges, and what you’d like to achieve through therapy. This is also a chance for you to share your goals, ask questions, and get comfortable with the process. Together, you’ll begin setting a roadmap for therapy, outlining what support and strategies may help you most. Dr. Spears makes sure the first session feels like a safe space—no pressure, just an open dialogue to start building trust and a clear direction for your journey.
Dr. Spears blends warmth with structure, using CBT for practical results.
Dr. Spears is the right fit for people who feel ready for change but aren’t sure where to start. She works best with clients who may be struggling with anxiety, stress, or low mood, as well as those living with developmental or intellectual challenges who want more independence and support. Her ideal clients are open to learning new coping skills, practicing healthier ways of thinking, and setting clear goals to feel more confident in daily life. If you’re looking for a therapist who is warm, supportive, and focused on giving you practical tools you can use right away, Dr. Spears is here to guide you through life’s crossroads.
In my practice, I use Cognitive Behavioral Therapy (CBT) to help clients understand the connection between their thoughts, feelings, and behaviors. Together, we identify unhelpful thinking patterns, challenge distorted beliefs, and replace them with healthier perspectives. I incorporate structured interventions such as thought records, coping skills training, and behavioral activation, while encouraging clients to practice strategies outside of sessions. This collaborative, goal-oriented approach allows clients to develop practical tools that reduce distress, improve daily functioning, and promote long-term emotional well-being.