Roberto (BO) Hess, LCSW

Roberto (BO) Hess is a licensed clinical social worker (LCSW) based in North Carolina who helps people cope with stress, anxiety, addictions, trauma and abuse, grief, and depression. He also supports people facing parenting strain, sleep problems, anger, eating concerns, bipolar mood shifts, and major life changes. He writes in a direct, compassionate way for people who feel overwhelmed and unsure where to start.

BO keeps sessions straightforward and practical. He uses tools from cognitive behavioral therapy to help people notice unhelpful thoughts and try new behaviors. He draws on dialectical behavior therapy skills for emotional regulation and mindfulness practices to calm the mind. He also uses EMDR techniques and motivational interviewing when those fit a person's goals.

In conversation he aims to be honest and grounded. He sees the therapist role as a guide or mentor who helps people find steps forward when they feel stuck. He prefers working collaboratively, setting goals together, and using simple skills to ease daily stress and impulsivity.

His work also touches on complex areas like addiction, dissociation, body image, codependency, and first responder concerns. BO emphasizes building trust, adding humor when it helps, and creating a space where people can speak honestly about shame, guilt, or isolation.

With three years of experience as an LCSW, BO focuses on helping people make concrete changes. He accepts clients who speak English and is open to international clients. Prospective clients should confirm current session formats before scheduling.

How these approaches translate to online work

CBT helps people spot unhelpful thoughts and test new behaviors in everyday life. Online sessions can focus on clear homework, thought records, and planning small experiments to reduce anxiety or improve sleep.

DBT provides skills for managing intense emotions, reducing impulsive acts, and improving interpersonal moments. Virtual sessions can teach breathing and grounding exercises, role-play communication, and practice distress-tolerance techniques between meetings.

EMDR is used to address traumatic memories by combining focused attention with guided processing. In an online format, EMDR elements are adapted to pace, with the therapist guiding bilateral stimulation and titrating intensity to match what the person can handle.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that fit their goals, needs, and preferences. That choice can shift over time as progress and challenges emerge.

Session formats are not specified in the biography, so confirm current options before booking. Many people find online therapy easier to fit into daily life because it removes travel time and can allow shorter check-ins or flexible scheduling. It also makes it simpler to keep consistent appointments while juggling work, family, or recovery commitments.