Elizabeth Romska, LCSW

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) in North Carolina with 15 years of experience. She works with adults facing stress, anxiety, depression, trauma and abuse, parenting challenges, and relationship or intimacy-related concerns. She also addresses codependency, addiction, grief, ADHD, and a range of family and attachment issues.

Elizabeth uses a client-centered, trauma-focused approach. She listens first and helps people name what matters to them. Sessions are practical and focused on finding tools that fit each person’s life instead of one-size-fits-all solutions.

Her background includes an MSW from East Carolina University and a Bachelor of Social Work from Meredith College in Raleigh, NC. She also holds a certification in Critical Incident Stress Management and participates as a crisis counselor for a school district’s CISM team. Those experiences shaped her work with people dealing with crisis, caregiver stress, and family-of-origin problems.

In sessions she draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, and Client-Centered Therapy. That mix supports practical skill-building for anxiety, coping with change, managing strong emotions, and improving communication.

She aims to help people recognize the patterns that lead them to put others first and to build clearer boundaries and self-awareness. Elizabeth helps clients talk through feelings of abandonment, shame, emptiness, or guilt and to practice new ways of responding to family conflict and caregiving strain.

Outside of clinical work she has long experience as a school social worker and brings that perspective to issues around parenting, family stress, and community crises. Her practice emphasizes steady, down-to-earth support and concrete steps toward more manageable day-to-day life.

How therapeutic approaches shape online sessions