Elizabeth Romska, LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina with 15 years of clinical experience. She centers her approach on treating people with respect and seeing them as experts in their own lives. Elizabeth focuses on practical change and emotional healing for concerns such as anxiety, depression, trauma, and addictions.

Her style draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, and client-centered work. In sessions she helps people identify values, notice unhelpful patterns, and try small, doable steps toward change. She uses straightforward tools and collaborative discussion rather than jargon.

Elizabeth has a long history in school social work and community settings, which shaped her work with people facing parenting challenges, grief, and compassion fatigue. She also brings experience supporting those who struggle with attachment issues, codependency, body image, and family-of-origin concerns. Her background includes crisis response work through Critical Incident Stress Management.

Clients can expect a calm, compassionate presence that emphasizes listening first. Elizabeth aims to create a respectful space where people can talk through hard experiences, build practical coping skills, and reconnect with what matters to them. She focuses on small, steady steps rather than quick fixes.

Outside of clinical work she spends time with her husband and three daughters and enjoys exercise, games, and nature. Her practice reflects a balance of real-world experience and empathetic support for life’s difficult moments.

How Elizabeth blends evidence-based approaches in online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take small actions that match those values. It’s useful for anxiety, depression, and feeling stuck. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with practical behavior changes, which can reduce worry and improve mood. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship where the therapist listens and supports the client’s own goals.

Finding the right fit is a collaborative process. Elizabeth will talk with each person about their goals, preferences, and what has or hasn’t helped before. Together they decide which approaches to try and adjust the plan as progress and needs change.

Confirm the session formats available before booking, since specific delivery methods are not listed here. In general, online therapy can make it easier to fit sessions into a busy life - for example a shorter check-in between commitments, or a session that avoids travel time. Online work also lets people practice skills in the settings where they live and then discuss what happened with the therapist. Licensed professionals often adapt exercises and homework to an online setting so work continues between sessions.