- Years in practice
- 34
- Credentials
- LCSW
- Licensed in
- North Carolina
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Addictions
- Focus
- Trauma and abuse
About Sarah
Sarah Roe is a Licensed Clinical Social Worker with 34 years in behavioral health. She practices from North Carolina and brings long experience from community mental health and independent practice settings. Sarah focuses on helping people handle stress, relationship strain, parenting challenges, and mood concerns.
Her style is straightforward and warm. She listens first, then offers practical skills and steps people can try between sessions. She emphasizes empathy and respect and treats each person as the expert on their own life.
Background and approach
Sarah uses a mix of approaches depending on the need. She draws on cognitive behavioral methods to spot unhelpful thinking, mindfulness to increase calm, and acceptance-based strategies to build tolerance for difficult feelings. She also relies on attachment ideas to look at patterns in close relationships.
She believes therapy is a team effort. Sessions often include structured skill practice, goal-setting, and plain talk about what’s getting in the way. Progress is measured in small changes people can notice in day-to-day life.
Sarah helps people manage a wide range of concerns from anxiety and depression to addictions, grief, burnout, ADHD, and parenting stress. Her background includes work with trauma, relationship and intimacy issues, caregiver strain, chronic illness, and life transitions. People who prefer practical tools delivered with empathy may find her approach useful.
She offers phone, video, live chat, and text-based messaging formats to fit different schedules and needs.
What Sarah works with
Everything Sarah lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Sarah helps people with.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Intimacy-related issues
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Compassion fatigue
- ADHD
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Women's issues
- Young adult issues
Approaches Sarah lists
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How her approaches translate to online therapy
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without being driven by them, and it emphasizes identifying values to guide action; this can help with anxiety, depression, and parenting stress. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thought patterns and testing new behaviors to change mood and functioning, which is useful for stress, anxiety, and mood disorders. Attachment-Based Therapy looks at how early relationship patterns show up in adult connections and parenting, aiming to shift those patterns through awareness and new ways of relating.Finding the best approach is a shared task. The therapist will talk with each person about goals, needs, and preferences and then try methods that fit. Sessions can mix approaches over time until a comfortable and practical plan emerges.
Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexibility. Video calls are good for face-to-face conversation and skill practice, while phone sessions work well when bandwidth is limited or clients prefer not to be on camera. Live chat and text-based messaging provide brief check-ins, reminders, or ongoing support between longer sessions. These options help people fit therapy into busy schedules and maintain connection when in-person visits are difficult.
Questions people ask about Sarah
What concerns does she help address?
She works with stress, anxiety, depression, addictions, trauma and related issues such as grief, parenting strain, relationship and intimacy concerns, and ADHD.
What is her general approach in sessions?
Sessions emphasize empathy and collaboration, with practical skills, goal-setting, and moments of reflection. Conversations mix problem-solving and emotional support.
How long has she practiced in behavioral health?
She has 34 years of experience across community mental health centers and independent practice settings.
What credential does she hold and where does she practice?
She is an LCSW licensed in North Carolina and practices from that state.
Which languages are supported during sessions?
Sessions are offered in English.
Are international clients served?
International clients are not currently accepted.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and schedules.
How are costs and scheduling handled?
Costs vary by location and therapist availability and use a subscription that can be canceled at any time; to begin, select the Start Therapy button and complete a short matching questionnaire to schedule.
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