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Elizabeth Romska, LCSW

Based in North Carolina 15 years in practice Online sessions

Compassionate LCSW focused on practical change

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Practical facts

Credentials
LCSW
Licensed in
North Carolina
Years in practice
15
Languages
English
Session format
Online, through our partner platform

About Elizabeth

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina with 15 years of clinical experience. She offers a calm, down-to-earth approach and focuses on helping people manage stress, anger, anxiety, and depression. Elizabeth aims to create a respectful space where clients feel heard and supported as they work toward practical changes.

Her work centers on client-centered care and trauma-informed practices. She listens first, then helps people identify the tools they already have.

Background and approach

Sessions often include clear, manageable steps to reduce distress and rebuild daily routines. Elizabeth draws on several therapy styles, including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing. She uses these approaches to help with issues such as family problems, parenting strain, addiction, grief, intimacy concerns, and self-esteem challenges.

Over her career she has also worked in school settings and responded to crises, which informs her steady, practical style. That background supports work with trauma, abandonment and attachment issues, caregiver stress, and communication problems. People can expect straightforward conversation, skill-building, and a focus on values and goals.

Elizabeth encourages collaboration so clients can try different strategies and keep what helps. She speaks English and offers multiple online session formats to fit different needs.

What Elizabeth works with

Everything Elizabeth lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Elizabeth's practice.

Approaches Elizabeth lists

Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.

Therapeutic approaches you can use online

Elizabeth combines Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) in a way that fits practical online care. ACT focuses on clarifying what matters most to you and taking small committed steps toward those values, which can help with issues like anxiety, depression, and anger. CBT looks at unhelpful thoughts and behaviors and offers concrete techniques to change them, useful for stress, panic, and mood problems.

She approaches treatment collaboratively, so the choice of methods happens together. The therapist will listen to your goals, try approaches that match your needs, and check in about what is working. That way you and the therapist shape a plan that feels right and can be adjusted over time.

Online sessions use video calls, phone sessions, live chat, or text-based messaging to make therapy fit your life. Video lets you work face-to-face and practice skills in real time. Phone sessions need less bandwidth and can be easier when you want a simpler check-in. Live chat and text-based messaging are helpful for short updates, tracking progress, and getting timely coaching between longer sessions. These options make it easier to schedule care around work, caregiving, and daily routines while still focusing on real change.

Questions people ask about Elizabeth

What kinds of concerns does Elizabeth address?

She works with a wide range of concerns including stress, anxiety, depression, anger, trauma and abuse, parenting challenges, addictions, LGBT issues, grief, and relationship or intimacy-related problems.

What is her therapy style like?

Her style is client-centered and trauma-focused, emphasizing listening, respect, and practical steps. She helps people find tools they already have and build new coping skills.

How much clinical experience does she have?

She has 15 years of clinical experience, including work as a school social worker and roles responding to critical incidents.

Where is she licensed and based?

She is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina and practices from that state.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients schedule with her?

International clients are not currently accepted; she works with people located where her North Carolina license applies.

What session formats does she use?

She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and preferences.

How do I begin working with her?

To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

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