Elizabeth Romska, LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) in North Carolina with 15 years of clinical experience. She works with people facing stress, anxiety, depression, trauma and abuse, parenting struggles, relationship and intimacy issues, and questions about life purpose. She also addresses concerns such as ADHD, grief, addiction, and self-esteem.

Romska draws on client-centered practice alongside approaches like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing. She focuses on building trust and respect so people can notice what matters to them and take steps that reflect those values. Sessions often involve talking through current problems and practicing concrete skills for coping and communication.

Her background includes an undergraduate degree in social work from Meredith College and a Master of Social Work from East Carolina University. She has extensive experience as a school social worker and serves as a crisis counselor on a Critical Incident Stress Management team. That history informs her work with trauma, caregiver stress, and family-of-origin issues.

Romska helps people identify practical tools they already have and practice new ways of responding to stress. She addresses specific topics such as abandonment, attachment issues, body image, codependency, hoarding, and forgiveness in clear, step-by-step conversation. Sessions can include skill teaching, values clarification, and rebuilding routines after major life changes.

When someone is managing compassion fatigue, parenting strain, or the aftermath of domestic violence or disaster, she uses structured techniques alongside open listening. People leaving a first message can expect a conversational start that focuses on immediate concerns and usable next steps.

How therapeutic approaches and online sessions fit together