Elizabeth Romska, LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) based in North Carolina with 15 years of clinical experience. She uses a practical, client-centered approach to help people facing anxiety, depression, stress, trauma, and parenting challenges. Elizabeth aims to create a respectful space where people feel heard and can begin to make change.

Her work draws on Cognitive Behavioral Therapy (CBT) along with acceptance-oriented and client-focused methods. She helps people notice unhelpful thinking patterns, try new behaviors, and align actions with what matters to them. Sessions focus on small, doable steps that fit into everyday life.

Elizabeth has long experience in school social work and crisis counseling, which informs how she supports people through acute stress and family-related concerns. That background gives her practical tools for coping, communication, and problem solving after difficult events.

She also addresses issues such as self-esteem, relationship problems, grief, addiction, body image, attachment and codependency. Work together often includes learning emotional regulation skills, rebuilding trust, and making clearer choices about boundaries and commitments.

In sessions she blends direct skill teaching with open listening. People can expect straightforward conversation, reflective questions, and homework tasks when that helps. Her aim is to help clients find the resources they already have and use them to move toward the life they want.

How online sessions use CBT and acceptance-based work

Elizabeth often combines Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) in online work. CBT focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety, depression, and problem patterns. ACT emphasizes noticing difficult feelings, clarifying personal values, and taking actions that match those values even when emotions are uncomfortable.

She approaches the choice of method collaboratively. The therapist will talk with each person about goals, try different strategies, and adjust the plan as needed. Finding the right approach is part of the process and feels more like teamwork than a fixed prescription.

Online sessions are offered by video call, phone, live chat, or text-based messaging to fit varied routines. Video lets people use visual cues and practice new skills together. Phone sessions can be simpler when bandwidth is limited or a shorter check-in is needed. Live chat and messaging are useful for brief updates, homework discussion, or ongoing encouragement between sessions. These options make it easier to fit therapy into work, school, or family schedules and to keep progress moving forward.