About Elizabeth
Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina with 15 years of clinical experience. She offers a compassionate, down-to-earth style and focuses on helping people who are overwhelmed by stress, anxiety, depression, trauma, ADHD, and parenting challenges. Her approach centers on listening first and building trust so people feel safe to talk about what matters most.
Elizabeth uses practical tools from several evidence-informed approaches to help people manage feelings and rebuild routines.
Background and approach
She aims to help clients notice patterns, try small changes, and learn skills they can use between sessions. Sessions are collaborative and paced to each person’s needs, with room for problem solving and emotional support. Her background includes extensive experience responding to crisis and supporting those affected by trauma, loss, and family conflict.
That experience informs an emphasis on stabilizing distress and building coping skills for daily life. Elizabeth also focuses on issues like self-esteem, addiction, grief, body image, and guilt and shame. She brings a calm, nonjudgmental presence to sessions and respects each person’s own goals and values.
Parents looking for help with caregiving stress, communication struggles, or behavioral concerns will find a practical, skills-focused approach. Elizabeth encourages people to use their strengths while developing new strategies for change. Clients meet her in ways that fit their schedules, and she works with people to set clear goals and track progress over time.
Her style balances empathy with straightforward coaching to help people move toward the life they want.
Therapeutic approaches and online care that fit your life
Elizabeth commonly integrates Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in online sessions. Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking small steps toward a meaningful life despite difficult feelings. Cognitive Behavioral Therapy (CBT) helps identify unhelpful thoughts and teaches practical behavior changes to reduce anxiety and low mood.She views approach selection as a joint decision. The therapist will talk with each person about goals, preferences, and what has or hasn't helped before. Together they choose techniques that match the client’s needs and then check in to adjust the plan as work progresses.
Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video allows face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth or camera use is limited. Live chat and messaging let people check in between sessions or use shorter, focused exchanges during a busy day. These options make it easier to fit therapy into work, school, or caregiving schedules while keeping treatment consistent and goal-oriented.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also listed
- 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
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