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Elizabeth Romska

Elizabeth Romska, LCSW

North Carolina

LCSW - Family of origin and anxiety concerns

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  • Family of origin issues
  • Anxiety and depression
  • Parenting and caregiving

About Elizabeth

Elizabeth Romska is a Licensed Clinical Social Worker (LCSW) in North Carolina with 15 years of clinical experience. She works with adults facing stress, anxiety, depression, parenting strains, relationship concerns, and issues tied to family history. She also addresses substance concerns, LGBTQ matters, grief, and attention-related difficulties as part of her practice.

Elizabeth combines client-centered principles with trauma-aware care. She focuses on building trust so people can talk through painful patterns and find practical tools. Sessions often include clear behavioral strategies and skills for managing strong emotions and difficult thoughts.

Her background includes both clinical social work and long experience in school settings. That blend shapes a practical style that notices how family roles and childhood experiences continue to affect day-to-day life. She draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Motivational Interviewing to offer different ways of working.

Elizabeth pays attention to attachment and family of origin issues, including abandonment, caretaking strain, and codependency. She also works with body image, eating concerns, hoarding, and forgiveness and shame-related struggles.

In sessions she helps people identify values, test new behaviors, and practice emotion regulation skills. Her experience includes crisis response work and school-based social work, which informs her practical focus on coping strategies and communication skills.

She provides services in English and practices in North Carolina. To begin, people complete a short questionnaire and schedule a first session through the site’s matching process.

How therapeutic approaches guide online sessions

Elizabeth uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) among other methods. ACT focuses on identifying personal values and taking small actions that align with those values, which can help when family expectations or old roles feel limiting. CBT looks at thoughts and behaviors, teaching practical techniques to reduce anxiety and change unhelpful patterns.

Finding the most helpful approach is collaborative. The therapist will talk with the client about goals and preferences and will try different methods as needed. Together they will check what feels useful and adjust the work based on progress and comfort.

Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy week, reduce travel time, or allow shorter check-ins when schedules are tight. They also allow doing work from a familiar routine while practicing skills between meetings. Licensed professionals can adapt ACT and CBT exercises for remote sessions so people can practice concrete skills between appointments.

Areas of expertise

Primary focus

Stress, AnxietyFamily conflictsTrauma and abuseParenting issuesSelf esteem

Also works with

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDomestic violenceEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameHoardingInfidelityIsolation / lonelinessLife purposeMoney and financial issuesMood disordersPhobiasPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Motivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

15+ years

Listed in

North Carolina

Languages

English

Frequently asked questions

What concerns does she work with?

She works with stress, anxiety, depression, relationship and parenting concerns, addictions, grief, and family of origin issues among other topics.

What is her therapeutic approach like?

Her style is client-centered and trauma-aware, using practical skills and conversation to address patterns that come from childhood and family roles.

How much clinical experience does she have?

She has 15 years of clinical experience and additional years working as a school social worker.

What credentials and location apply?

She is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina and practices there.

Which languages are offered?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

How does billing or cost work?

Costs vary by location and services. Sessions use a subscription that can be canceled at any time.

How do I get started?

Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

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Elizabeth RomskaLCSW

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