Elizabeth Romska , LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina with 15 years of clinical experience. She combines a client-centered, trauma-focused approach with practical strategies to help people navigate anxiety, depression, relationship challenges, grief, parenting stress, and addiction concerns.

Her training includes a Bachelor of Social Work from Meredith College and a Master of Social Work from East Carolina University. She also holds a certification in Critical Incident Stress Management and serves as a crisis counselor for a public school district. In addition to clinical practice, she has extensive experience working in school settings and with children and families from diverse backgrounds.

Elizabeth emphasizes respect for each person as the expert in their own life, offering empathic support while helping clients identify and use the strengths they already possess. Her work draws on evidence-based methods including acceptance and commitment principles, cognitive behavioral techniques, and client-centered care to address trauma, attachment and abandonment issues, ADHD, eating and body image concerns, and a wide range of emotional and relational struggles.

Outside of her professional roles, she values time with her husband and three daughters, outdoor activity, exercise, and family games, which inform her grounded and relatable style of practice.

Practical therapy approaches for online care

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take meaningful action even when uncomfortable emotions are present. It is useful for anxiety, depression, and life transitions where getting unstuck matters more than eliminating feeling states.

Client-Centered Therapy focuses on building a respectful, nonjudgmental relationship in which the client’s perspective guides the work. This approach supports self-exploration, strengthens self-esteem, and is often helpful for relationship, identity, and attachment concerns.

Cognitive Behavioral Therapy (CBT) identifies unhelpful thinking and behavior patterns and develops practical skills to change them. CBT is commonly used for anxiety, depression, stress, and many everyday coping challenges.

Finding the right approach is part of the therapeutic process. Elizabeth works collaboratively with clients to determine which methods fit their needs, goals, and preferences, and adapts strategies over time as progress unfolds.

Online sessions by video, phone, live chat, or text-based messaging offer flexibility for busy schedules and for those who prefer remote access. These options make it easier to maintain continuity of care, access timely support, and incorporate therapy into everyday life while working with licensed professionals and therapists who tailor approaches to each person.