- 34 years experience
- Skills focused
- Collaborative approach
About Sarah
Sarah Roe is a licensed clinical social worker with 34 years in behavioral health. She has worked across community mental health centers and private practice settings. Sarah focuses on helping people handle stress, anxiety, addiction, depression, grief, and career concerns in straightforward, practical ways.
She believes therapy starts with connection and respect. Sarah listens without judgment and helps people name the problems they face. She emphasizes that clients already hold many answers and that the therapist's role is to help bring those answers out.
Her work draws on several common approaches such as cognitive behavioral techniques, acceptance and commitment ideas, and client-centered listening. These methods are used to build skills for emotion regulation, coping, and clearer decision making. Sessions aim to be collaborative and down-to-earth rather than overly technical.
Sarah often supports people navigating relationship strain, parenting challenges, intimacy issues, or the lasting effects of trauma and abuse. She also works with concerns like ADHD, bipolar mood issues, chronic health-related stress, and caregiver strain. Her style is practical and empathetic, focused on small changes that make daily life easier.
Clients can expect a therapist who values honesty and patience. Sarah frames therapy as a team effort where goals are set together and progress is measured in real life changes. She invites people to bring their real concerns and practical goals to sessions.
She believes therapy starts with connection and respect. Sarah listens without judgment and helps people name the problems they face. She emphasizes that clients already hold many answers and that the therapist's role is to help bring those answers out.
Her work draws on several common approaches such as cognitive behavioral techniques, acceptance and commitment ideas, and client-centered listening. These methods are used to build skills for emotion regulation, coping, and clearer decision making. Sessions aim to be collaborative and down-to-earth rather than overly technical.
Sarah often supports people navigating relationship strain, parenting challenges, intimacy issues, or the lasting effects of trauma and abuse. She also works with concerns like ADHD, bipolar mood issues, chronic health-related stress, and caregiver strain. Her style is practical and empathetic, focused on small changes that make daily life easier.
Clients can expect a therapist who values honesty and patience. Sarah frames therapy as a team effort where goals are set together and progress is measured in real life changes. She invites people to bring their real concerns and practical goals to sessions.
Areas of expertise
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
Approaches that translate well to online work
Acceptance and Commitment Therapy, or ACT, focuses on clarifying values and taking small actions that match those values. It helps when worry, avoidance, or life changes interfere with what matters most. Cognitive Behavioral Therapy, CBT, looks at how thoughts and behaviors interact and offers concrete strategies to change unhelpful patterns. It is useful for anxiety, depression, and stress. Attachment-Based Therapy explores how early relationships shape current ways of connecting and reacting. It can help people improve emotional safety and communication in close relationships.Finding the right approach is part of the early work. The therapist will collaborate with each person to pick methods that match their goals, preferences, and daily realities. That means trying things out, checking what helps, and adjusting the plan together over time.
Confirm current session options before booking so you know what formats are available. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and reduce travel time. They also let people use tools like worksheets, behavioral experiments, and mindfulness practices between meetings to support progress in everyday life.
Frequently asked questions
What concerns does Sarah commonly help with?
She helps people with stress, anxiety, addictions, trauma and abuse, depression, grief, and career-related concerns among many other issues.
What is her therapeutic style like?
Her approach is empathic and collaborative. She listens, helps name problems, and works with clients to build practical coping skills.
How long has she been practicing?
She has 34 years of experience working in community mental health and private practice settings.
What credentials does she hold and where is she based?
She is a Licensed Clinical Social Worker, LCSW, licensed in North Carolina, and practices from that state.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the steps to begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.