CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

RH Portrait of Rosa Howard-Poston

Rosa Howard-Poston

Compassionate clinician with practical tools

LMHC, LCMHC North Carolina

Experience
25 years in practice
Focus areas
Stress, Anxiety, Addictions, Self esteem
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English, Spanish

About Rosa

Rosa Howard-Poston is a licensed mental health counselor with 25 years of experience helping people manage stress, anxiety, depression, addictions, grief, relationship difficulties, and a wide range of life transitions.

Background and approach

She brings a practical, interactive manner to sessions and emphasizes collaboration, helping clients develop tools for coping with challenges such as parenting struggles, career changes, intimacy concerns, ADHD, bipolar mood issues, and compassion fatigue. Her practice also addresses family and attachment matters, communication and codependency problems, and recovery from domestic violence or substance use concerns.

Rosa blends evidence-informed techniques with a warm, client-centered stance that prioritizes each person’s goals. She uses Cognitive Behavioral Therapy (CBT) alongside mindfulness, emotionally-focused strategies, and motivational interviewing to help clients notice patterns, regulate emotions, and make concrete changes.

Licensed in New York and North Carolina as LMHC and LCMHC, she offers services in English and Spanish and adapts session length and focus to the needs presented. Those seeking a supportive professional who pairs practical skills training with empathetic listening may find her approach straightforward and empowering.

Approaches that guide online sessions

Rosa frequently integrates Cognitive Behavioral Therapy and Client-Centered Therapy into her work. CBT focuses on identifying unhelpful thoughts and behaviors and replacing them with more effective patterns to reduce symptoms like anxiety, depression, and problematic coping. Client-centered work emphasizes empathy, active listening, and collaboration so that clients feel heard and helped to clarify their own goals.

She also draws on Emotionally-Focused Therapy when relationship or attachment issues are central, helping clients explore and organize emotional responses to improve connection and understanding. These methods are described and adapted together with each person so the therapeutic pathway fits their needs rather than following a single formula; the therapist and client decide collaboratively which approaches to emphasize based on goals and preferences.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy schedules and to continue care during transitions. Licensed professionals can use these formats to practice many of the same techniques that are used in person, supporting emotional insight, skills practice, and goal-focused work in ways that suit each client’s life.

Frequently asked questions

What concerns does Rosa commonly address?
She works with stress, anxiety, depression, addictions, grief, relationship and intimacy issues, parenting challenges, bipolar disorder, ADHD, and many related life changes and coping needs.
How would you describe her therapeutic style?
Her approach is down-to-earth and interactive, blending a client-centered stance with practical skills work to help clients set goals and apply new strategies in daily life.
What is her background and experience?
Rosa has 25 years of experience in therapy and human services, working with diverse communities and a broad spectrum of mental health and life concerns.
Which credentials and location apply to this therapist?
She is licensed as an LMHC and LCMHC with NY LMHC 007965 and NC LCMHC 16015 and practices while based in North Carolina.
Does she provide services in other languages or to international clients?
Sessions are offered in English and Spanish. She is not currently accepting international clients.
What session formats are available?
Clients can work with her via video calls, phone sessions, live chat, or text-based messaging depending on preference and availability.
How are sessions paid for and what do they cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin work with her?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityBlended family issuesCodependencyCommitment issuesCommunication problemsControl issuesDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameHoardingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMoney and financial issuesMood disordersMulticultural concernsNarcissismPanic disorder and panic attacksPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPrejudice and discriminationSelf-loveSex addictionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Licensed

New York, North Carolina

Languages

English, Spanish