Elizabeth Romska, LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina with 15 years of clinical experience. She approaches therapy with a focus on thoughts and everyday habits, helping people notice how daily patterns shape feelings and choices. Elizabeth aims to create a respectful, down-to-earth setting where people feel heard and can begin making small, practical changes.

Her work is grounded in client-centered care and attention to trauma. She builds trust first, then helps clients identify strengths they already have. Sessions often involve talking through stressful moments, practicing strategies for anxiety and depression, and working on clearer communication around family and relationship concerns.

Elizabeth has long experience supporting people coping with parenting challenges, grief, addiction concerns, and compassion fatigue. She also addresses issues such as attachment and abandonment, body image, hoarding, and the emotional effects of natural or human-caused disasters. Her background includes school social work and crisis counseling roles that inform how she responds to urgent stress.

She uses approaches that include Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy, Motivational Interviewing, and Narrative Therapy. These methods are used to help people change unhelpful thoughts, build emotional skills, and reconnect with personal values.

Elizabeth works with a wide range of concerns including ADHD, LGBT issues, intimacy-related problems, eating concerns, and family of origin struggles. Her bedside manner is steady and compassionate, and she focuses on practical steps clients can try between sessions.

If you want to begin, follow the Start Therapy steps on the site to complete the matching questionnaire and schedule according to availability.

How her approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and reconnect with what matters to them. It focuses on values and small actions that move life in a meaningful direction. Cognitive Behavioral Therapy (CBT) looks at links between thoughts, feelings, and behavior and teaches concrete skills for shifting patterns that cause distress. Dialectical Behavior Therapy (DBT) offers emotion regulation and distress tolerance skills to manage intense feelings and improve relationships.

Finding the right approach is a collaborative process. The therapist will listen to your goals, try different strategies, and adjust as you go. Together you decide which methods feel most useful for your situation and daily life.

Confirm the current session options before booking, as formats are not listed here. Online therapy can make it easier to fit sessions into a busy schedule, allow for shorter check-ins when needed, and reduce travel time. It also supports continuing work on habits and thought patterns between appointments, so tools practiced in session can be applied during everyday routines.