Elizabeth Romska

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina who focuses on helping people manage stress, anger, anxiety, and life changes. She emphasizes a respectful, client-centered approach that honors each person's story and strengths. Elizabeth frames therapy as a collaborative process and aims to make the first step feel less intimidating.

With 15 years of clinical experience and long work in school social work, she has supported people through depression, trauma, abuse, ADHD, and parenting challenges. Her background includes work with diverse families and community settings, and she brings practical problem-solving to emotional concerns. She uses several established therapy approaches to meet different needs.

In sessions she helps people notice what matters to them, develop specific skills for coping, and practice new ways of handling difficult thoughts and feelings. Her style is direct but warm, focused on building trust, respect, and hope. Elizabeth encourages clients to draw on strengths they already have while learning additional tools to manage overwhelm and anger.

Elizabeth earned her Bachelor of Social Work from Meredith College and her Master of Social Work from East Carolina University. She also holds a role as a crisis counselor on a Critical Incident Stress Management team. This mix of school-based crisis work and clinical practice informs her steady, practical approach to support.

Outside of practice she spends time with her husband and three daughters, enjoys exercise, games, and being outdoors, and brings that down-to-earth perspective into her work with people.

Therapeutic approaches used in online care

Elizabeth often uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). ACT helps people clarify what they value and take steps toward those values while learning to sit with hard thoughts. CBT focuses on identifying unhelpful thoughts and patterns, and on practicing concrete skills to change behavior and reduce distress.

Choosing the right approach is a team effort. The therapist will work together with the client to decide which methods fit their goals and preferences, and will adjust strategies as therapy progresses. This collaborative process helps shape session goals and the skills practiced between meetings.

Confirm which online session options are currently offered before booking, as formats are not specified here. Online work can make it easier to fit therapy into a busy life, reduce travel time, and allow for brief check-ins when a short session is helpful. Many people find remote sessions let them bring real-life problems directly into therapy and practice new skills where they occur.