Elizabeth Romska, LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina who combines a client-centered, trauma-focused approach with practical tools to support change. She recognizes that taking the first step toward help can feel difficult, and she approaches each person with respect for their unique story and personality. With more than 10 years of providing therapeutic services and over 20 years working as a school social worker, she brings wide-ranging experience with children, adolescents, and adults from diverse backgrounds.

Elizabeth earned a bachelor of social work from Meredith College in Raleigh, NC, and a master of social work from East Carolina University in Greenville, NC. She also holds a certification in Critical Incident Stress Management (CISM) and serves as a crisis counselor on a CISM team for a public school district. Those roles have shaped her ability to respond calmly to urgent situations and support people through high-stress events.

Her therapeutic foundation is client-centered and trauma-focused, which means she emphasizes trust, respect, and collaboration while honoring each person as the expert in their own life. Elizabeth helps clients identify strengths and existing tools they can use to make meaningful changes, offering empathy, hope, and validation along the way. She has experience supporting people dealing with depression, anxiety, trauma, abuse and neglect, ADHD, LGBTQ matters, parenting challenges, and related concerns.

Outside of her professional work, Elizabeth enjoys time with her husband and three daughters, staying active through exercise, playing games, and spending time in nature.

Therapeutic Approaches and Online Care

Elizabeth Romska integrates client-centered therapy, Acceptance and Commitment Therapy (ACT), and cognitive behavioral therapy (CBT) into her online work. Client-centered therapy focuses on building trust and honoring the client as the expert in their own life, offering empathy and support to help people explore values and goals. ACT helps clients accept difficult thoughts and feelings while taking actions that align with their values, which can be useful for stress, anxiety, and life transitions. CBT identifies unhelpful thinking and behavior patterns and introduces practical techniques to shift those patterns, often helping with anxiety, depression, and coping challenges.

Finding the right approach is part of the therapeutic process, and Elizabeth collaborates with each client to determine which methods best fit their needs, goals, and preferences. She adapts strategies over time so care remains focused and meaningful.

Online therapy with Elizabeth is offered through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for different schedules and comfort levels. These formats make it easier to access licensed professionals from home or while on the go, allowing clients to maintain consistent support even when life is busy or travel is limited.