Elizabeth Romska, LCSW

North Carolina · 15 years in practice

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina.

License and registration

LCSW, North Carolina: C007055 · expires November 2026
NPI: 1174158653 · national provider identifier
Years in practice: 15
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Elizabeth

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina. She brings 15 years of clinical experience to sessions and focuses on helping people manage stress, anxiety, depression, trauma, and parenting challenges. Her approach is grounded in client-centered care and practical skills.

She listens first, then works with people to identify what matters most and build steps toward those values. Sessions often include straightforward exercises and tools drawn from evidence-based methods to reduce distress and increase coping skills.

Background and approach

Elizabeth has long experience supporting people facing relationship difficulties, grief, addiction concerns, low self-esteem, body image issues, and compassion fatigue. She also addresses complex themes like attachment wounds, abandonment, codependency, family of origin problems, and domestic violence impacts. Her background in school social work adds familiarity with caregiver stress and parenting strains.

She uses a mix of methods including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, and a client-centered stance. That combination helps people notice unhelpful patterns, learn new skills, and take meaningful steps toward what they value. Elizabeth aims to create a respectful, nonjudgmental space where people can talk honestly about hard things.

She helps clients find tools they already have and develop new strategies for coping and rebuilding a life that fits their goals and values.

Focus areas and approaches

Everything Elizabeth lists on their public professional profile, in their own terms.

Stress, Anxiety
Family conflicts
Trauma and abuse
Parenting issues
Self esteem
Addictions
LGBT
Relationship issues
Grief
Intimacy-related issues
Eating disorders
Anger management
Depression
Coping with life changes
Compassion fatigue
ADHD
Abandonment
Attachment issues
Body image
Caregiver issues and stress
Codependency
Commitment issues
Communication problems
Coping with natural or human-caused disaster
Domestic violence
Emptiness
Family of origin issues
Family problems
Forgiveness
Guilt and shame
Hoarding
Infidelity
Isolation / loneliness
Life purpose
Money and financial issues
Mood disorders
Phobias
Post-traumatic stress
Pregnancy and childbirth
Prejudice and discrimination
Sexual assault and abuse
Sexuality
Social anxiety and phobia
Women's issues

Approaches Elizabeth names

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

Online support

Approaches that translate well to online therapy

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck in them, and then take steps toward what matters most. It is useful for anxiety, depression, and managing life changes. Cognitive Behavioral Therapy focuses on identifying unhelpful thought patterns and changing behaviors through practical exercises, which can quickly be taught and practiced during sessions. Dialectical Behavior Therapy offers skills for emotion regulation, distress tolerance, and interpersonal effectiveness, and those skills work well when practiced and reviewed in remote sessions.

Choosing the right approach is a shared process. Elizabeth will talk with each person about their goals, preferences, and what has or hasn’t worked before. Together they decide which methods to try and adjust the plan as progress is made. This collaborative stance helps tailor therapy to real life needs rather than a one-size-fits-all model.

Online therapy formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and screen-sharing for worksheets. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging let people send notes, ask questions between sessions, and keep momentum when schedules are tight. These options make it easier to fit therapy into busy lives while using the same practical approaches that guide in-person care.

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Questions people ask

What kinds of concerns can I bring to therapy?

Elizabeth works with a wide range of concerns including stress, anxiety, depression, trauma and abuse, parenting challenges, relationship issues, grief, addictions, self-esteem, eating and body image issues, and compassion fatigue.

What is her therapeutic style?

Her style is client-centered and practical. Sessions focus on listening first, then introducing skills and strategies from approaches like ACT, CBT, and DBT to help manage symptoms and reach personal goals.

How much experience does she have?

She has 15 years of clinical experience, along with long experience as a school social worker, which informs her work with caregiver stress and parenting concerns.

Where is she licensed and based?

She is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina.

Which languages are supported and can she work with international clients?

Sessions are offered in English. She is not accepting international clients.

What session formats are available?

Therapy is offered through video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

How does pricing work?

Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to therapist availability.

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