Elizabeth Romska

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina with 15 years of clinical experience. She centers her work on respect and partnership, and she aims to help people facing stress, anxiety, grief, depression, and major life transitions. She emphasizes listening first and helping clients use their own strengths to move toward what matters to them.

Her approach blends client-centered care with evidence-informed methods like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing. Elizabeth draws on long experience in school social work and community settings, which informs how she supports people through family concerns, parenting challenges, and trauma-related issues. She also has experience with addiction, ADHD, intimacy and relationship struggles, and eating or body image concerns.

Elizabeth describes therapy as a collaborative process. She focuses on building trust, naming values, and practicing small, doable changes that fit daily life. She works with feelings such as guilt, shame, emptiness, and anger while also addressing problems like hoarding, codependency, and caregiver stress.

Her background includes an undergraduate degree in social work from Meredith College and a Master of Social Work from East Carolina University. She holds a role as a Crisis Counselor on a Critical Incident Stress Management team and brings that crisis response experience into calmer, longer-term work.

Outside of practice, she spends time with her husband and three daughters and enjoys exercise, games, and nature. The therapist invites people to explore whether her style feels like a good fit before beginning work together.

How these approaches shape online work

Elizabeth uses Acceptance and Commitment Therapy (ACT) to help people clarify their values and take small actions that matter to them despite difficult thoughts or feelings. ACT often helps with anxiety, depression, and major life changes by focusing on meaningful living rather than symptom elimination.

She also draws on Cognitive Behavioral Therapy (CBT) to identify unhelpful thinking patterns and practice concrete behavior changes. CBT is useful for stress, anxiety, mood concerns, and managing day-to-day coping skills. Client-centered principles guide the way she listens and responds, ensuring the pace suits each person.

Choosing an approach is a team effort. Elizabeth will work with clients to pick techniques that fit their needs, goals, and preferences. She aims to adapt methods so they are practical and usable between sessions, and she checks in regularly to adjust the plan.

Session formats are not specified in the biography, so please confirm current online options before booking. Many people find online sessions helpful because they can fit therapy into busy days, use shorter check-ins when needed, or avoid travel time. Therapists can also tailor sessions to focus on skill practice, values-based planning, or crisis coping strategies so therapy fits daily life.