About Sarah
Sarah Roe is a licensed clinical social worker (LCSW) with 34 years in behavioral health. She has worked in community mental health centers and independent practice. She helps people facing stress, anxiety, addictions, depression, trauma, and ADHD among other concerns.
Sarah focuses on building a straightforward, compassionate connection from the first sessions. Her background includes long experience with relationship and intimacy concerns, grief, parenting strain, career stress, and compassion fatigue.
Background and approach
She also addresses complex topics such as domestic violence, dissociation, chronic illness, and co-morbidity. That range gives her familiarity with many common life strains. Sarah blends practical therapy styles to fit each person.
She uses cognitive behavioral ideas to spot patterns that keep problems going. She uses dialectical skills when emotions feel overwhelming and acceptance-oriented techniques to build a clearer sense of values and purpose. She approaches sessions in a collaborative way.
Sarah believes people already have strengths and that therapy helps them find workable steps. She aims to listen first, then introduce tools that feel useful and manageable in day-to-day life. Her manner is empathic and direct.
She says the hard work of change starts with being understood and having simple strategies to try between sessions. Sarah works with adults in North Carolina and conducts sessions in English.
Approaches that guide online work
Sarah often uses cognitive behavioral therapy to help people notice unhelpful thoughts and try new behaviors. CBT breaks problems into clear parts so you can test different ways of coping and see what changes. Acceptance and Commitment Therapy (ACT) is another approach she uses to help people clarify their values and take small steps toward them despite difficult feelings. ACT focuses on what matters most and on practical actions that match those priorities.Finding the right approach is part of the work. Sarah treats the choice as collaborative and will help clients decide which methods fit their goals and preferences. Together they try tools, notice what helps, and adjust the plan based on results and comfort level.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face interaction and screen-sharing for worksheets. Phone sessions are useful when bandwidth is limited or for quick check-ins. Live chat and text messaging can support brief check-ins, homework questions, or ongoing encouragement between longer sessions. These options make scheduling more flexible and can help therapy fit into a busy life.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 34 years
- Licensed
- North Carolina
- Languages
- English
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