Sarah Roe

Compassionate guidance with practical tools

LCSW North Carolina

Experience: 34 years in practice
Focus areas: Stress, Anxiety, Addictions, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Sarah

Sarah Roe is a licensed clinical social worker (LCSW) with 34 years of experience in behavioral health, based in North Carolina.

Background and approach

She has practiced in settings that include community mental health centers and independent practice, developing a broad background treating concerns such as stress, anxiety, depression, addictions, trauma and abuse, and relationship difficulties. Her training includes cognitive behavioral therapy (CBT) among other evidence-informed approaches, which she blends with empathic engagement to support clients facing complex life challenges.

Sarah emphasizes a collaborative, client-centered stance, believing that people are doing the best they can and often need new skills or perspectives to navigate problems. She aims to create an atmosphere of acceptance and understanding so clients can explore issues like grief, intimacy-related concerns, parenting strains, career stress, bipolar disorder, ADHD, and compassion fatigue without feeling judged.

Her practice focuses on helping individuals build practical strategies and personal insight to move forward from painful patterns and regain a sense of balance.

Evidence-Informed Approaches for Online Care

Sarah commonly uses cognitive behavioral therapy to help clients identify and shift unhelpful thoughts and behaviors, providing practical strategies for managing symptoms like anxiety, depression, and stress. Acceptance and Commitment Therapy is another approach she draws on to support clients in clarifying values and learning acceptance and mindfulness skills that reduce avoidance and increase meaningful action. Attachment-Based Therapy appears in her practice as well, focusing on patterns of relating and connection to help people understand and change relationship difficulties.

Finding the right combination of methods is a collaborative process. The therapist works with each client to determine which approaches align with their goals, needs, and preferences, adjusting techniques over time as progress and priorities evolve. This shared decision-making helps tailor sessions to the individual rather than applying a single fixed method.

Online therapy with this practitioner is offered through flexible formats including video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit therapy into busy schedules and allow ongoing work on skills, coping strategies, and problem solving from wherever a client is located in North Carolina.

Frequently asked questions

What kinds of concerns does this practice address?

The practice works with a wide range of issues including stress, anxiety, addictions, trauma and abuse, depression, relationship and family concerns, grief, parenting and intimacy-related issues, among others.

How would you describe the therapeutic style and approach?

Therapy is collaborative and client-centered, combining empathic support with evidence-informed methods such as cognitive behavioral therapy, acceptance and commitment therapy, attachment-based techniques, and dialectical behavior strategies.

What is the therapist's background and experience?

The clinician has 34 years of experience in behavioral health and has worked in settings ranging from community mental health centers to independent practice.

Where is the therapist licensed and located?

The therapist is a licensed clinical social worker with an active North Carolina LCSW license noted as NC LCSW C003486 and practices from North Carolina.

Which languages are available for sessions and can international clients join?

Sessions are offered in English only, and international clients are not currently accepted.

What session formats does the therapist offer?

Clients may meet via video calls, phone sessions, live chat, or text-based messaging depending on what works best for them.

How is cost handled for sessions?

Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

What are the first steps to begin therapy?

To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuse Depression Coping with life changes

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCompassion fatigue ADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shame ImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksParanoiaPersonality disordersPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

34+ years

Licensed

North Carolina

Languages

English