About Elizabeth
Elizabeth Romska is a Licensed Clinical Social Worker in North Carolina with 15 years of clinical experience. She focuses on making therapy straightforward and practical. Elizabeth aims to help people manage stress, anxiety, depression, trauma, and relationship issues in everyday language and steps.
Her approach is grounded in client-centered care and trauma-aware practices. Sessions focus on building trust, listening deeply, and identifying small, usable changes that fit a person's life.
Background and approach
She draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help clients notice patterns and choose actions that match their values. Elizabeth blends skills from Dialectical Behavior Therapy and Motivational Interviewing when people need emotion regulation or help finding motivation for change. She uses these tools to teach concrete strategies for coping, communicating, and setting limits.
The goal is steady, manageable progress rather than quick fixes. She has spent many years supporting people dealing with parenting stress, grief, addiction concerns, body image, and family-of-origin issues. Elizabeth also works with concerns such as ADHD-related struggles, compassion fatigue, and challenges tied to trauma or domestic violence.
Her experience includes school social work and crisis counseling roles. Outside work she values family time, exercise, games, and nature. Elizabeth keeps language simple in sessions and helps people find realistic steps toward the life they want.
She is licensed as an LCSW in North Carolina (NC LCSW C007055).
Approaches that guide online sessions
Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and focus on actions that match their values. It is useful for anxiety, depression, and coping with life changes. Client-Centered Therapy emphasizes listening and respect, giving people space to tell their story and find their own answers. This approach supports self-esteem, grief work, and relationship concerns. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions and offers practical skills to change patterns. CBT is often used for anxiety, mood problems, and difficulties with day-to-day functioning.Choosing the right approach is part of the work together. The therapist will talk with each person about goals, needs, and preferences and suggest which methods to try. Sessions can mix approaches so the plan fits what the person wants to accomplish.
Online therapy with Elizabeth uses video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video is helpful for deeper conversations and visual cues. Phone calls can be simpler when bandwidth or cameras are an issue. Live chat and messaging offer quick check-ins, brief coaching, and support between longer sessions. These options aim to make it easier to use skills in real life and to fit therapy into a busy schedule.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also works with
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- Body image
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Domestic violence
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Hoarding
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Money and financial issues
- Mood disorders
- Parenting issues
- Phobias
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Women's issues
Therapeutic approaches
- Experience
- 15 years
- Licensed
- North Carolina
- Languages
- English