Elizabeth Romska , LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 15 years of clinical experience and more than two decades working as a school social worker. She completed her undergraduate degree in social work at Meredith College in Raleigh and earned a Master of Social Work from East Carolina University in Greenville. 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.

Her work is rooted in a client-centered, trauma-focused approach that emphasizes trust, respect, and collaboration. As a therapist she views each person as the expert in their own life and focuses on helping clients identify strengths and practical tools for change. She supports people experiencing anxiety, depression, feelings of hopelessness or guilt, and those affected by trauma, abuse, or neglect. Her practice has included work across the lifespan and with issues related to ADHD, LGBTQ+ concerns, and the challenges of parenting.

Elizabeth aims to create an atmosphere of acceptance and compassion, helping clients explore their experiences, build on existing resources, and move toward the values and relationships that matter to them. Outside of her professional roles she enjoys time with her husband and three daughters, exercise, playing games, and being in nature.

Therapeutic Approaches and Online Care

Elizabeth draws from client-centered therapy, cognitive behavioral therapy (CBT), and acceptance and commitment therapy (ACT) in her clinical work. Client-centered therapy focuses on building a respectful, nonjudgmental relationship that supports exploration and personal growth - it can be helpful for people working through relationship challenges, parenting concerns, or grief. CBT offers practical strategies to identify and change patterns of thought and behavior that contribute to anxiety or depression and supports skill-building for everyday coping. ACT emphasizes clarifying personal values and developing flexible ways to accept difficult internal experiences while taking steps toward a meaningful life, which can be useful for stress, persistent worries, or trauma-related struggles.

Finding the right approach is a collaborative process. Elizabeth works with clients to evaluate what fits best with their needs, goals, and preferences, and she adapts techniques over time so therapy remains relevant and useful.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into busy schedules, maintain continuity during life transitions, and access support from different locations while working with licensed professionals and therapists who tailor care to each person's situation.