- Acceptance and Commitment Therapy
- Cognitive Behavioral Therapy
- Trauma informed care
About Elizabeth
Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) in North Carolina with 15 years of clinical experience. She works with people facing stress, anxiety, trauma and abuse, family strains, parenting challenges, depression, and addiction. She also lists concerns such as self-esteem, grief, anger, ADHD, and intimacy-related issues.
Her approach is grounded in client-centered care and trauma-informed thinking. She focuses on building respect and trust so a person can name what matters to them and try new ways of coping. Sessions include practical conversation about patterns, emotions, and behavior, and the therapist helps people notice the tools they already use.
Elizabeth uses several evidence-informed approaches including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing. These methods guide how she helps people manage anxiety, depression, and relationship or family concerns. She also draws on narrative therapy ideas to help people reframe their stories.
Her background includes long experience as a school social worker and work with varied populations across life stages. She has experience supporting people affected by abuse or neglect, caregivers under stress, codependency, attachment and abandonment issues, hoarding, and challenges related to body image and eating.
She holds a Master of Social Work from East Carolina University and an undergraduate degree in social work from Meredith College. For practical steps, clients complete a short matching questionnaire before scheduling a first session through the site’s online process.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) encourages people to notice their thoughts and values, then take small actions toward what matters. It is often used for anxiety, avoidance, and stuck patterns. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches practical skills to interrupt unhelpful cycles. It is commonly used for anxiety, depression, and worry. Dialectical Behavior Therapy (DBT) offers techniques for emotional regulation, distress tolerance, and improving communication, which can help when intense feelings or relationship conflicts arise.Finding the right approach is part of the therapeutic process. The therapist will work together with the client to identify which methods fit their goals and preferences, and she can adapt sessions over time based on what helps most. That collaborative planning is central to how she organizes care.
Session formats are not listed in the biography, so confirm current online session options before booking. Online work can make it easier to fit therapy into a busy life, reduce travel time, and allow for shorter check-ins when needed. Many people find remote sessions help them practice skills in everyday settings and bring real situations into conversation during appointments.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, trauma and abuse, family and parenting issues, depression, addiction, and related concerns such as self-esteem and grief.
What is her therapeutic style like?
Her work is client-centered and trauma-informed, focusing on building trust and using practical strategies to manage emotions and behavior.
How much clinical experience does she have?
She has 15 years of clinical experience and additional experience as a school social worker across a range of settings.
What are her credentials and where is she based?
She is a Licensed Clinical Social Worker, NC LCSW, based in North Carolina.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How do sessions cost and billing work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the first steps to begin?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.