Sarah Roe
Experienced LCSW offering steady support
- Credentials
- LCSW
- Experience
- 34 years
- Licensed in
- North Carolina
- Languages
- English
- Format
- Online sessions
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 long experience from community mental health centers and independent practice settings. Sarah focuses on practical help for problems like anxiety, depression, stress, addictions, grief, and parenting concerns.
She speaks English and uses straightforward, empathetic listening to make people feel heard from the first session. She takes a collaborative stance in therapy.
Background and approach
Sarah expects to work together with each person to find what helps most. She believes people already have many strengths and that therapy is a place to build useful skills and clearer choices. Sessions tend to be grounded, direct, and focused on small, doable steps.
Sarah draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. She adapts techniques to match a person’s needs and life circumstances rather than using a single set routine. The goal is to help people manage emotions, handle stress, and cope with life changes in ways that feel sustainable.
Her long career includes work with a wide range of problems including trauma and abuse, relationship and intimacy issues, self-esteem and control struggles, and conditions like bipolar disorder and ADHD. She also has experience with aging and caregiver stress, chronic pain and illness, and grief. In practical terms, Sarah offers sessions by video calls, phone, live chat, or text-based messaging.
Therapy follows a subscription model that can be canceled at any time and pricing varies by location and therapist availability.
Therapeutic approaches for online work
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, stress, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on changing unhelpful thoughts and behaviors through clear exercises and practice; it is often used for depression, anxiety, and coping skills. Dialectical Behavior Therapy (DBT) offers concrete tools for managing strong emotions and improving relationships, including skills for distress tolerance and emotion regulation.Choosing the right approach is part of the work together. The therapist will talk with the client about goals, preferences, and what has or hasn’t helped before. Then she will try methods that feel like a good fit and adjust over time based on what actually helps.
Online therapy provides practical flexibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit sessions into busy schedules and maintain continuity when life gets hectic. The variety of formats also allows for brief check-ins or longer sessions depending on what the person needs.
Acceptance and Commitment Therapy (ACT)
Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.
Attachment-Based Therapy
Looks at how early bonds shaped what you expect from closeness, and how that plays out now with a partner, a parent, or your own children.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Frequently asked questions
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How long has she practiced?
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Specialties and expertise
Top specialties
Also works with
- 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
Next step
Talk to Sarah
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point