Elizabeth Romska , LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina who brings a compassionate, client-centered approach to therapeutic care. She explains the LCSW credential as a professional license to provide clinical social work and mental health treatment. With a long history working in schools and community settings, she combines trauma-informed listening with practical strategies to help people navigate anxiety, depression, relationship struggles, parenting challenges, grief, and a range of other life stressors.

Her training includes an undergraduate degree in 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 (CISM) and serves as a crisis counselor for a public school district, supporting individuals after high-stress events. These experiences shape her calm, steady presence in sessions and her focus on building trust as the foundation for change.

Elizabeth grounds her practice in client-centered and trauma-focused care, honoring each person as the expert in their own life while offering tools to promote growth. She works collaboratively to identify strengths and develop practical skills, drawing on evidence-informed methods to address issues such as trauma and abuse, ADHD, family and attachment concerns, body image and self-esteem, addictions, and intimacy-related problems. Outside of professional work, she enjoys time with her husband and three daughters, staying active, playing games, and spending time in nature.

Therapeutic Approaches and Online Care

Elizabeth draws on Acceptance and Commitment Therapy (ACT) to help people clarify their values and take committed action toward a meaningful life, even when difficult thoughts or feelings arise. ACT can be useful for anxiety, depression, and life transitions by teaching practical ways to move forward in the presence of discomfort.

Her client-centered work emphasizes respect, active listening, and partnership - creating space for each person to be heard and to lead the pace of change. This approach supports exploration of identity, relationships, and attachment issues by validating the client as the expert in their own life.

Elizabeth also uses Cognitive Behavioral Therapy (CBT) techniques to identify and shift unhelpful thinking patterns and behaviors, offering concrete skills for managing symptoms of anxiety, mood challenges, and stress. Together these methods provide flexible options that can be tailored to individual needs.

Finding the right approach is part of the therapeutic process and Elizabeth works collaboratively with clients to determine what fits best based on their goals and preferences. She helps clients experiment with strategies and adjust the plan as progress unfolds.

Online therapy offers practical benefits - sessions by video or phone allow face-to-face connection from home, while live chat and text-based messaging provide flexibility for people with busy schedules or limited mobility. These options make it easier to maintain continuity of care and fit therapy into daily life with fewer barriers.