Sarah Roe, LCSW
Experienced LCSW guiding practical change
Continue with Sarah
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- Warm supportive style
- Practical skill building
- Collaborative approach
About Sarah
Sarah Roe is a licensed clinical social worker with 34 years of experience in behavioral health. She brings decades of practical work from community mental health centers to private practice. Sarah focuses on listening first and helping people find clearer ways to move forward.
She sees stress, anxiety, depression, addictions, trauma and a wide range of life changes including midlife transitions. She also addresses relationship concerns, parenting strain, grief, intimacy issues, anger, and attention difficulties among other challenges. Her approach is straightforward and grounded in real-life needs.
Sarah combines several therapy styles to fit each person. She uses cognitive behavioral techniques to help spot and change unhelpful thoughts. She draws on client-centered and attachment-based ideas to build a trusting, respectful working relationship.
Sessions aim to teach skills and practical steps people can use between meetings. Sarah works collaboratively, helping clients set small, manageable goals and try new strategies. She treats the therapy room as a place to test changes and problem-solve real situations.
Her style is warm and direct. She values the courage it takes to seek help and meets people without judgment. For someone facing a midlife shift or other major stressor, she offers steady support and clear tools to cope.
She sees stress, anxiety, depression, addictions, trauma and a wide range of life changes including midlife transitions. She also addresses relationship concerns, parenting strain, grief, intimacy issues, anger, and attention difficulties among other challenges. Her approach is straightforward and grounded in real-life needs.
Sarah combines several therapy styles to fit each person. She uses cognitive behavioral techniques to help spot and change unhelpful thoughts. She draws on client-centered and attachment-based ideas to build a trusting, respectful working relationship.
Sessions aim to teach skills and practical steps people can use between meetings. Sarah works collaboratively, helping clients set small, manageable goals and try new strategies. She treats the therapy room as a place to test changes and problem-solve real situations.
Her style is warm and direct. She values the courage it takes to seek help and meets people without judgment. For someone facing a midlife shift or other major stressor, she offers steady support and clear tools to cope.
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 methods translate to online work
Sarah often uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in day-to-day work. ACT focuses on clarifying values and taking small steps toward them while accepting difficult feelings. It can help with life transitions, stress, and decisions that come up in midlife. CBT looks at patterns of thinking and behavior and teaches concrete skills to change those patterns, which is useful for anxiety, depression, and habit change.Finding the right approach is part of the process. She will discuss goals and preferences and together decide which methods to try first. This collaborative planning helps match techniques to what a person needs and what fits their life.
If you are considering online therapy, confirm current session options before booking since formats are not listed here. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It can also let people use techniques and worksheets between meetings and practice new skills in their everyday settings.
Frequently asked questions
What concerns does Sarah address?
She works with stress, anxiety, depression, addictions, trauma, midlife changes, relationship and parenting difficulties, grief, anger, ADHD, and related issues.
What is her therapeutic style?
Her style is collaborative and direct. She combines skill teaching with empathic listening to help people try new ways of coping.
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 is an LCSW licensed in North Carolina and practices from that state.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How does pricing work?
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.