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LCSW

Elizabeth Romska, LCSW

  • Experience15 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Family
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Client-Centered Therapy
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About Elizabeth

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina who brings 15 years of clinical experience to her practice. She emphasizes a client-centered, trauma-informed way of working that values each person as the expert on their own life.

Background and approach

Her approach centers on building trust and respect so that clients can access their strengths and make meaningful changes. Elizabeth has worked extensively with people facing depression, anxiety, trauma and abuse, ADHD, parenting challenges, and LGBTQ concerns, among other issues.

She combines evidence-based methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing to tailor care to each individual’s needs. Her practice also addresses family dynamics, grief, addiction, self-esteem, and a wide range of relational and emotional concerns.

Clients can expect a compassionate, nonjudgmental environment in which the therapist helps identify existing resources, develop coping skills, and move toward valued goals. Elizabeth’s background includes long experience in school social work and crisis response, and she aims to support practical change while honoring personal resilience and growth.

Evidence-Based Approaches in Online Therapy



Acceptance and Commitment Therapy (ACT) helps people clarify their values and take committed action even when difficult thoughts or feelings are present; it can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thought patterns and behaviors to reduce symptoms and improve daily functioning, which often helps with anxiety, depression, and stress. Dialectical Behavior Therapy (DBT) teaches skills for emotion regulation, distress tolerance, and improving interpersonal effectiveness, making it helpful for strong emotions and relationship difficulties.

Choosing the right approach is part of the therapeutic process and will be done collaboratively. The therapist will work with each person to determine which methods fit their goals, preferences, and the particular challenges they bring, adjusting strategies over time as needed.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These formats allow people to engage in therapy from home or other convenient locations, making it easier to maintain continuity of care around work, family, and daily commitments while using the therapeutic tools and supports identified together.

Frequently asked questions

What concerns does this therapist commonly address?
She works with a wide range of issues including stress, anxiety, depression, trauma and abuse, parenting challenges, ADHD, grief, relationship and intimacy issues, addictions, and LGBT-related concerns.
What is the therapist's general style and approach?
The practice is client-centered and trauma-informed, emphasizing trust, respect, and collaboration while using evidence-based approaches like ACT, CBT, DBT, and Motivational Interviewing.
How much clinical experience does she have?
She has 15 years of clinical experience and additional long-term work in school social work and crisis response.
What are her credentials and where is she licensed?
She is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with license NC LCSW C007055.
Which languages are available for sessions?
Sessions are offered in English only and international clients are not currently accepted.
In what formats are sessions offered?
She provides online care through video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working with this therapist?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyFamily conflictsTrauma and abuseParenting issuesSelf esteem

Also works with

AddictionsLGBTRelationship issuesGriefIntimacy-related issuesEating disordersAnger managementDepressionCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDomestic violenceEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameHoardingInfidelityIsolation / lonelinessLife purposeMoney and financial issuesMood disordersPhobiasPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Motivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

15+ years

Licensed

North Carolina

Languages

English

What Elizabeth can help with

Elizabeth Romska works with clients on stress and anxiety, family conflicts, trauma and abuse, parenting issues, and self esteem.

Elizabeth has been a school social worker for more than 20 years, working with children and families from all different backgrounds.

Elizabeth has worked with people from all different backgrounds and ages throughout her career.

Elizabeth has experience working with individuals affected by depression, anxiety, trauma, abuse and neglect, ADHD, LGBTQ+ issues, and the challenges of parenting.

How Elizabeth approaches therapy

Elizabeth's clinical approaches include Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, Narrative Therapy, Solution-Focused Therapy, and Trauma-Focused Therapy.

Experience and training

Elizabeth is a Licensed Clinical Social Worker practicing in North Carolina, with 15 years of clinical experience.

Therapy style

Elizabeth aims to create a safe space for her clients to explore their feelings and experiences, and ultimately move towards the things they value.