After graduating and establishing a practice in New York, Romm moved to Hollywood in 1938 and influenced psychoanalytic infusion in American film.
She was an expert on fetishism and exhibitionism and considered the most influential Hollywood Freudian of the mid-twentieth century.
[1] Romm had numerous notable clients including film mogul and producer David O. Selznick.
By 1933 Romm was conducting research at Bellevue Hospital, and frequently spoke publicly on topics including child psychology.
But she was unquestionably its first real power player; in a career that spanned almost 40 years, her influence sometimes rivaled that of the actors, directors and producers she was treating.
She partied with her patients, and in the process became a role model for the star-struck analysts who hoped to follow in her footsteps.
Romm served as president of the Los Angeles and Southern California Psychoanalytic Societies.
Romm taught at Columbia University College of Physicians and Surgeons and for its Center for Psychoanalytic Training and Research.