- Client-centered care
- Trauma-informed work
- Values-based change
About Elizabeth
Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina who focuses on practical, person-centered therapy. She draws on 15 years of clinical experience and a long background in school social work to help people navigate stress, anxiety, grief, and family concerns. Elizabeth writes plainly and listens closely so people feel understood from the first session.
Her approach centers on client-centered care and trauma-informed practice. She treats each person as the expert in their life and helps them identify strengths and skills they already have. Sessions aim to reduce overwhelm, calm intense feelings, and build manageable steps toward change.
Elizabeth combines several evidence-informed methods depending on what a person needs. She uses Acceptance and Commitment Therapy to clarify values and increase psychological flexibility. Cognitive Behavioral Therapy is used to spot unhelpful thinking and try new behaviors. She also draws on Dialectical Behavior Therapy skills for emotion regulation and motivational interviewing when people are ready to change.
Her work includes supporting people through parenting strain, relationship and intimacy difficulties, substance concerns, trauma and abuse, eating and body-image struggles, and grief. She also works with issues such as ADHD-related challenges, caregiver stress, codependency, and forgiveness work.
Elizabeth aims to create a respectful, nonjudgmental space where people can explore painful experiences and practice small, realistic changes. She pairs compassion with clear strategies so clients can move toward the life they value.
How therapy approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people get clearer about what they value and take small steps in that direction while accepting difficult thoughts and feelings. It can be useful for stress, anxiety, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on noticing patterns of thinking and testing different behaviors to reduce symptoms like anxiety or depression. Dialectical Behavior Therapy (DBT) offers concrete skills for managing intense emotions and improving communication in high-stress moments.Finding the right approach is part of the work together. Elizabeth treats the choice of method as collaborative, weighing your goals, strengths, and preferences and adjusting over time if something isn't helping. The plan evolves with practical feedback from you.
The practical benefits of online therapy often include easier fit with daily schedules and quicker ways to keep regular appointments. Because session formats are not specified here, confirm current options before booking so you know which formats are offered. Many people find online sessions help them keep momentum between appointments and bring lessons from therapy directly into everyday life.
Areas of focus
Frequently asked questions
What kinds of concerns does this therapist address?
Elizabeth helps people with stress, anxiety, depression, grief, trauma and abuse, parenting challenges, relationship and intimacy issues, addictions, body-image and eating concerns, and ADHD-related struggles.
How would you describe her therapeutic style?
Her style is client-centered and trauma-informed, focusing on listening, respect, and practical tools to manage emotions and make changes that matter to you.
What is her professional background?
She has 15 years of clinical experience and many years as a school social worker, working with people from diverse backgrounds on a wide range of concerns.
What credentials and region are listed for this therapist?
She is a Licensed Clinical Social Worker, LCSW, licensed in North Carolina and practices from that state.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the US work with this therapist?
International clients are not currently accepted; she works with people within the region covered by her practice and licensure.
How does pricing and payment work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the first steps to start therapy?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.