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Therapist profile

Sarah Roe

LCSW North Carolina 34 years of experience

Experienced LCSW guiding practical life change work

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Sarah Roe
  • Collaboration first
  • Practical skills
  • Empathic listening

About Sarah

Sarah Roe is a licensed clinical social worker with 34 years of experience in behavioral health. She practices from North Carolina and offers straightforward, patient-focused care for people facing big life challenges. Sarah emphasizes empathy and practical help over jargon. She has worked in community mental health centers and private practice. That variety means she is familiar with many common problems, including depression, anxiety, addiction, trauma and grief. She also supports people dealing with relationship strain, career shifts, caregiver stress, and coping with life changes. Her approach is collaborative. She sees clients as the experts on their own lives and helps them find solutions that fit. Sessions often focus on building skills, increasing awareness, and using concrete strategies that can be tried between meetings. Sarah draws on several clinical methods such as cognitive behavioral strategies, dialectical behavior techniques, acceptance and commitment ideas, attachment-informed work, and a client-centered stance. These are used to address things like emotional regulation, unhelpful thinking patterns, relationship problems, and recovery from substance use. Her style is warm and down-to-earth. She aims to create a space where people feel heard and understood. If someone needs a steady guide while they navigate a major change, she focuses on practical steps to help them move forward.

How her approaches fit into online therapy

Acceptance and Commitment Therapy helps people notice what matters to them and take small steps toward those values. It focuses on accepting difficult thoughts and feelings while committing to actions that align with personal goals. Cognitive Behavioral Therapy looks at the links between thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns. It is often used for anxiety, depression, and stress. Attachment-Based Therapy pays attention to how early relationships shape current ways of connecting and helps people build more secure interactions and understand relationship patterns.

Finding the right approach is part of the work. The therapist collaborates with each person to decide which methods fit best based on goals, preferences, and practical needs. This may mean mixing techniques and adjusting as progress is made.

Session formats are not listed in the biography, so confirm available options before booking. Online therapy can make it easier to fit sessions into a busy life, allow shorter check-ins when time is tight, and reduce travel time. It also lets people use tools learned in session in their everyday settings. Licensed professionals can adapt these approaches for remote sessions while working together to find what helps most.

Areas of expertise

Primary focus

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCompassion fatigueADHD

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 shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic 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

Credentials

North Carolina

Languages

English

Frequently asked questions

What concerns does she help with?

She helps people with stress, anxiety, depression, addictions, trauma and abuse, grief, relationship and intimacy issues, parenting challenges, career strain, ADHD, bipolar concerns, and coping with life changes.

What is her therapeutic style?

Her style is collaborative and down-to-earth. She focuses on building skills, practical strategies, and understanding what works for each person.

How long has she been practicing?

She has 34 years of experience in behavioral health across community mental health and private practice settings.

What credential does she hold and where is she based?

She is an LCSW licensed in North Carolina and practices from that state.

Which languages are sessions offered in?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted.

How are sessions arranged and what is the cost?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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