- 34 years experience
- LCSW North Carolina
- Skill focused
About Sarah
Sarah Roe is a licensed clinical social worker with 34 years of experience in behavioral health. She practices in North Carolina and brings a steady, practical approach to sessions. Her work often covers stress, anxiety, depression, addictions, trauma, and challenges related to life changes.
Sarah believes therapy starts with connection. She talks with people in a straightforward, empathic way and values the courage it takes to begin therapy. She aims to create a space where people feel heard and accepted as they work through hard things.
In sessions she uses tools from cognitive behavioral therapy and dialectical behavior therapy to teach skills for managing thoughts, emotions, and behavior. She also draws on acceptance and commitment therapy and attachment-based ideas to help people find more stable patterns and clearer values. Client-centered principles guide how she listens and responds.
Sarah often helps people dealing with relationship strain, grief, parenting stress, caregiver burden, chronic illness or pain, and workplace or career concerns. She also supports people coping with identity and intimacy questions, ADHD, bipolar concerns, and compassion fatigue.
Her style is collaborative rather than prescriptive. She works with each person to find practical steps that fit their life and goals. People who want a down-to-earth therapist who teaches skills and also listens for meaning are likely to feel comfortable working with her.
Sarah believes therapy starts with connection. She talks with people in a straightforward, empathic way and values the courage it takes to begin therapy. She aims to create a space where people feel heard and accepted as they work through hard things.
In sessions she uses tools from cognitive behavioral therapy and dialectical behavior therapy to teach skills for managing thoughts, emotions, and behavior. She also draws on acceptance and commitment therapy and attachment-based ideas to help people find more stable patterns and clearer values. Client-centered principles guide how she listens and responds.
Sarah often helps people dealing with relationship strain, grief, parenting stress, caregiver burden, chronic illness or pain, and workplace or career concerns. She also supports people coping with identity and intimacy questions, ADHD, bipolar concerns, and compassion fatigue.
Her style is collaborative rather than prescriptive. She works with each person to find practical steps that fit their life and goals. People who want a down-to-earth therapist who teaches skills and also listens for meaning are likely to feel comfortable working with her.
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
How her approaches shape online therapy
Acceptance and Commitment Therapy (ACT) focuses on helping people notice what matters to them and take small actions in that direction. It can be useful for stress, chronic health challenges, and for rebuilding purpose after big life changes. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions link together and teaches practical skills to change unhelpful patterns. It is often used for anxiety, depression, and coping with daily stressors. Attachment-Based Therapy pays attention to how early relationships affect trust, boundaries, and intimacy now, and it helps people build more secure ways of relating.Finding the right approach typically happens together. The therapist will listen to the person's concerns and goals, then recommend methods that fit their needs and comfort. Clients can try different techniques and see what helps most; the process is collaborative and adjusted over time.
Session formats are not specified in the biography, so confirm current session options before booking. In general, online therapy can make it easier to fit sessions into a busy life, keep consistent appointments during medical or caregiving demands, and reduce travel time. Some approaches lend themselves to short skill-focused check-ins while others support longer reflective work, and those choices are discussed during the first meetings with a licensed professional.
Frequently asked questions
What kinds of concerns does she work with?
She helps people facing stress, anxiety, depression, addictions, trauma, and major life changes. Additional areas include relationship issues, parenting strain, caregiver stress, chronic pain and illness, ADHD, and grief.
What is her therapeutic style like?
Her approach is practical and collaborative. She teaches skills from evidence-based methods while listening for each person's values and goals.
How much experience does she have?
She has 34 years of experience in behavioral health across community mental health and private practice settings.
What are her credentials and where is she located?
She holds an LCSW and practices in North Carolina.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions scheduled and what does it 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?
Choose the Start Therapy button, complete a short matching questionnaire, and schedule based on the therapist's availability.