Elizabeth Romska

Experienced LCSW blending CBT with compassionate care

LCSW North Carolina

Experience: 15 years in practice
Focus areas: Stress, Anxiety, Family, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Elizabeth

Elizabeth Romska centers her work in cognitive behavioral therapy alongside client-centered and trauma-informed principles to help people address stress, anxiety, depression, and grief.

Background and approach

She draws on 15 years of clinical experience as an LCSW licensed in North Carolina to collaborate with clients in identifying practical strategies and shifting unhelpful patterns. Her approach emphasizes respect for each person’s story while offering structured tools to manage symptoms and rebuild functioning.

Romska has a long history supporting individuals facing trauma and abuse, addictions, relationship and intimacy concerns, parenting challenges, and compassion fatigue. She also works with issues such as ADHD, body image, attachment and abandonment wounds, family of origin problems, and a wide range of emotional struggles including anger, emptiness, and shame.

Her practice aims to help clients access their own strengths, clarify values, and take concrete steps toward meaningful change. Clients can expect a collaborative stance grounded in acceptance, practical skills, and narrative exploration.

Elizabeth combines techniques from Acceptance and Commitment Therapy, Dialectical Behavior Therapy, and motivational interviewing when appropriate, while maintaining a client-centered framework that prioritizes empathy, validation, and personalized treatment planning.

How therapeutic approaches translate to online care

Elizabeth uses Cognitive Behavioral Therapy (CBT) to help clients identify unhelpful thoughts and behaviors and replace them with more effective coping strategies; this approach is often useful for anxiety, depression, and stress-related problems. She also incorporates Acceptance and Commitment Therapy (ACT), which focuses on clarifying values and building psychological flexibility so clients can pursue meaningful actions despite difficult emotions. When appropriate, her client-centered stance emphasizes listening, validation, and collaborative goal setting to tailor interventions to each person’s unique context.

Deciding which approach to use is a collaborative process. The therapist works with clients to assess their needs, preferences, and goals and may combine elements of CBT, ACT, DBT skills, or motivational interviewing to form a personalized plan. Clients are invited to discuss what feels most helpful and to adjust the approach as therapy progresses.

Online therapy is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for scheduling and accessibility for varying lifestyles. These formats make it possible to practice skills between sessions, check in more frequently when needed, and continue care from wherever the client is located within the therapist's service area.

Frequently asked questions

What kinds of concerns does Elizabeth address?

Her practice covers a broad range of difficulties including stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, parenting challenges, and grief. Additional focus areas include ADHD, eating issues, addictions, compassion fatigue, and family-related problems.

What therapeutic styles and methods are used?

She draws from Cognitive Behavioral Therapy (CBT) along with Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Dialectical Behavior Therapy (DBT), Motivational Interviewing, and Narrative Therapy. These approaches are applied to match client needs and goals.

How much clinical experience does she have?

Elizabeth has 15 years of experience as a licensed clinical social worker and has worked extensively with people affected by depression, anxiety, trauma, ADHD, and parenting concerns.

Where is she licensed and practicing?

She is a Licensed Clinical Social Worker in North Carolina with credential NC LCSW C007055 and provides services while based in that state.

Does she offer services in languages other than English?

Sessions are provided in English. She is not currently accepting international clients.

What session formats are available?

Therapy can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and practical needs.

How are fees and subscriptions handled?

Cost varies with location and therapist availability, and sessions are delivered through a subscription model that can be canceled at any time.

What is the process to begin working together?

To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyFamily conflictsTrauma and abuseParenting issuesSelf esteem

Also works with

AddictionsLGBTRelationship issuesGriefIntimacy-related issuesEating disordersAnger managementDepression Coping with life changes Compassion fatigue ADHD

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDomestic violenceEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameHoardingInfidelityIsolation / lonelinessLife purposeMoney and financial issuesMood disorders Phobias Post-traumatic stressPregnancy and childbirthPrejudice and discriminationSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Motivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

15+ years

Licensed

North Carolina

Languages

English