- Guilt and shame
- Trauma and anxiety
- Parenting support
About Elizabeth
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 challenges, relationship concerns, and issues around guilt and shame.
Elizabeth uses a client-centered approach that values the person's own perspective and goals. She also draws on Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing to help people notice patterns, try different choices, and practice new skills. Sessions focus on practical steps and on building on strengths the person already has.
She has a long history in school social work and crisis counseling, which shapes a pragmatic style when stress or sudden events make daily life harder. She talks with people about how family history, attachment, and abandonment wounds can keep old feelings active, and she helps them name those patterns.
Clients come to her for help with parenting strain, caregiver stress, codependency, body image, eating concerns, addiction, anger, intimacy issues, and forgiveness questions. She also works with people affected by domestic violence, hoarding, and grief.
Her background includes a Bachelor of Social Work from Meredith College and a Master of Social Work from East Carolina University. The profile lists North Carolina LCSW as her credential. She offers therapy in English and does not take international clients. The subscription-based fee varies by location and can be canceled at any time.
To begin, a prospective client completes the short matching questionnaire and schedules a first session through the See online therapy options flow.
How her approaches shape online sessions
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings while focusing on what matters to them. It can be useful for persistent guilt or shame that keeps someone stuck in avoidance. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and offers concrete exercises to test unhelpful beliefs and try different behaviors. Dialectical Behavior Therapy (DBT) brings skills for tolerating strong emotion and improving communication when relationships or intense feelings are part of the problem.Deciding which approach to use is a collaborative process. The therapist will discuss goals, current challenges, and what methods feel most comfortable. She adapts how she uses these approaches based on a person's needs and preferences rather than insisting on one fixed method.
Session logistics should be confirmed before booking since specific formats are not listed here. When arranging sessions, consider how online work can fit into daily life - it can make it easier to schedule regular check-ins, avoid travel time, or choose shorter sessions on busy days. Ask about the session options offered so you know whether they match your routine and technical needs.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, depression, trauma and abuse, parenting difficulties, relationship problems, and issues such as guilt and shame.
How would she approach feelings of shame or guilt?
She uses client-centered methods alongside ACT and CBT ideas to help people name and respond differently to shame and guilt without judgment.
What experience does she bring to this work?
She has 15 years of clinical experience and many years as a school social worker and crisis counselor, which inform her practical way of working with acute stress and family concerns.
What credential and region are listed for her practice?
She is a Licensed Clinical Social Worker (LCSW) with an NC LCSW credential and practices in North Carolina.
In which language are sessions offered?
Sessions are offered in English.
Does she accept clients outside the United States?
International clients are not currently accepted.
How do fees and payment work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What is the first step to begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.