ER Portrait of Elizabeth Romska

Elizabeth Romska, LCSW

Compassionate LCSW helping reduce anxiety and stress

15 years in practice · based in North Carolina · sessions in English · online sessions

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About Elizabeth

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina. She brings 15 years of clinical experience and a long history working in school settings to her therapy practice. She aims to help people who are struggling with anxiety, stress, depression, trauma, or life transitions.

Her approach centers on the person in front of her. She uses client-centered methods to build trust and respect so healing can begin.

Book with Elizabeth Now Review online therapy options and next steps.

Background and approach

She also draws on cognitive behavioral strategies and acceptance-based ideas to help people notice patterns and try new ways of responding. Elizabeth has extensive experience supporting people facing grief, relationship strain, parenting challenges, and issues tied to family of origin. She also works with concerns such as addictions, body image, self-esteem, and compassion fatigue.

Her background includes crisis counseling work and school social work, which shaped how she responds in urgent or high-stress situations. In sessions she focuses on practical skills and real-life changes. She helps people identify values, set small goals, and practice tools between meetings.

Motivational interviewing and elements of dialectical behavior therapy inform how she encourages steady progress and coping skills. Elizabeth offers video, phone, live chat, and text-based messaging as ways to connect. She speaks English and provides services to people located in North Carolina.

To begin, people follow the platform's matching steps and schedule sessions according to availability.

Evidence-informed approaches for online care

Elizabeth often uses Acceptance and Commitment Therapy (ACT) to help people clarify what matters to them and take action toward those values even when anxiety or difficult feelings are present. ACT focuses on noticing thoughts and feelings without getting stuck in them and committing to small, workable steps.

She also draws on Cognitive Behavioral Therapy (CBT) to identify unhelpful thinking and behavior patterns and to teach concrete skills for reducing anxiety and improving mood. CBT emphasizes short-term exercises and practice between sessions to build new habits.

Finding the right approach is a collaborative process. The therapist will work together with each person to choose methods that match their goals, comfort level, and day-to-day reality. Adjustments are made as progress is tracked and needs change.

Online sessions offer flexibility in how people connect. Video calls let therapists and clients work face to face when visual cues are helpful. Phone sessions can fit into a busy day or use less bandwidth. Live chat and text-based messaging are useful for brief check-ins, jotting down thoughts, or keeping therapy going when schedules are tight. These options make it easier to maintain steady support while using approaches like ACT and CBT in everyday life.
Book with Elizabeth Now Review online therapy options and next steps.

Questions people ask

What kinds of issues does Elizabeth help with?
She works with anxiety, stress, depression, trauma and abuse, parenting concerns, relationship strain, grief, and related issues like self-esteem, body image, and addictions.
What is her therapeutic style like?
Her style is client-centered and collaborative, using practical skills from cognitive behavioral therapy and acceptance-based approaches to help people make changes.
How much clinical experience does she have?
She has 15 years of clinical experience and many years working as a school social worker, including crisis counseling roles.
Where is she licensed and practicing?
She is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina and practices with that credential.
What languages are available for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted; she works with people located in North Carolina.
What session formats are offered?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging.
How do I begin therapy with her?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule sessions based on the therapist's availability.

What this therapist works with

Most often

Experience
15 years
Licensed
North Carolina
Languages
English

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