Elizabeth Romska, LCSW - Therapist in North Carolina

About Elizabeth

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina. She uses a client-centered approach that treats each person as the expert on their life. She focuses on practical support for parents and families, helping them manage stress, parenting challenges, anxiety, and the effects of trauma.

She has 15 years of experience in clinical practice and school social work combined, and she emphasizes respect and trust in the therapeutic relationship.

Background and approach

Elizabeth trained in social work at Meredith College and completed a Master of Social Work at East Carolina University. Her background includes work as a school social worker and service as a crisis counselor on a Critical Incident Stress Management team. She brings experience with depression, ADHD, grief, addiction concerns, and a range of family problems.

In sessions she draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, and client-centered methods. She focuses on simple, useful strategies you can try between meetings. Conversations are practical and focused on what matters most to the family or parent.

Elizabeth aims to help people identify coping skills they already have and build new ones for managing anger, self-esteem issues, or relationship and communication struggles. She also addresses attachment, abandonment, caregiver stress, and issues related to domestic violence and trauma in family systems. Her style is compassionate and nonjudgmental.

Outside of clinical work she spends time with her husband and three daughters and enjoys exercise and being outdoors. She offers sessions in English and does not work with international clients. Sessions are delivered through video calls, phone, live chat, or text messaging, and use a cancellable subscription model.

Approaches that guide online family and parenting support

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions toward those values. It can be useful for parents and family members who feel stuck by anxiety, guilt, or life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing practical behavior changes. CBT is often helpful for managing anxiety, depression, and anger through clear steps and practice.

Finding the right approach is part of therapy. Elizabeth works collaboratively to see which methods fit a family's goals and preferences. She may combine ACT, CBT, or client-centered listening to match the situation, adjusting as needs change over time.

Online therapy offers flexibility for busy households. Sessions are available by video call or phone when a longer conversation is needed, and by live chat or text messaging for quick check-ins or ongoing support. These options make it easier to fit therapy around school and work schedules while keeping care consistent and accessible.

Acceptance and Commitment Therapy (ACT)

Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Frequently asked questions

What concerns can she help with?

She works with stress, anxiety, parenting and many family issues. Other areas include trauma and abuse, grief, addictions, self-esteem, ADHD, and relationship struggles.

What is her therapeutic style like?

Her work is client-centered and trauma-informed, focusing on trust and respect. She mixes approaches such as ACT, CBT, DBT, and motivational interviewing to meet practical needs.

What kind of experience does she bring?

She has 15 years of experience across clinical and school social work roles. She has worked with people dealing with depression, trauma, parenting challenges, and ADHD.

What are her credentials and where is she based?

She is a Licensed Clinical Social Worker, LCSW, licensed in North Carolina with license number NC LCSW C007055. Her practice is based in North Carolina.

Which languages are supported?

Sessions are offered in English.

What session formats are available?

Sessions are available by video call, phone, live chat, or text-based messaging to fit different schedules and needs.

How does payment work and what does it cost?

Cost varies with location and therapist availability and sessions use a subscription model. The subscription can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button and completing a short matching questionnaire. Then schedule a first session according to the therapist's availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience: 15 years
Licensed: North Carolina
Languages: English

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