Elizabeth Romska, LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina who centers her work on trauma-informed and client-centered care. She approaches therapy with respect for each person's story and focuses on building trust so change can happen. Elizabeth has 15 years of clinical experience and many more years working in school settings alongside children and families.

Her style is straightforward and compassionate. She helps people notice what matters to them and use small, practical tools to move toward those values. Sessions often address symptoms like anxiety, depression, grief, and stress, and also life challenges such as parenting strain, relationship struggles, and compassion fatigue.

Elizabeth draws from several evidence-based approaches to guide sessions. She uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people shift unhelpful thoughts and take value-driven action. She also incorporates Client-Centered principles to keep therapy focused on the person's own goals and strengths.

Across her career she has supported people affected by trauma, abuse, ADHD, and identity-related concerns including LGBT matters. She also works with a wide range of issues that include addictions, eating concerns, anger, and family-of-origin difficulties. Her background includes school social work and crisis counseling roles that inform her practical, calm approach.

Outside of clinical work she spends time with her husband and three daughters, exercises, plays games, and enjoys being outdoors. She aims to make sessions a place where people feel heard, find hope, and can practice changes that fit their everyday life.

How Elizabeth uses evidence-based approaches online

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values. It focuses less on eliminating difficult feelings and more on building a meaningful life alongside them. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions connect and teaches practical skills to change unhelpful patterns and reduce symptoms like anxiety and depression. Client-Centered Therapy centers the person in the room, using empathy and respect to help them find their own solutions and strengths.

Choosing the right approach is a collaborative process. Elizabeth will talk with each person about their goals and preferences, and together they will try methods that fit the situation. She adapts techniques over time based on what helps most and what feels workable for daily life.

Session formats are not specified in the biography, so please confirm current options before booking. Online therapy can make regular check-ins easier to fit into a busy week, allow shorter progress reviews on high-demand days, and reduce travel time so people can use that time for self-care or family responsibilities. Many find that working with a licensed professional remotely helps them practice skills in the context of day-to-day routines while keeping the focus on steady, manageable progress.