Sarah Roe, LCSW

Sarah Roe is a Licensed Clinical Social Worker with 34 years of experience in behavioral health. She has worked in community mental health centers and private practice in North Carolina. Sarah focuses on helping people facing stress, anxiety, depression, addiction, trauma and abuse, and other life challenges. She believes therapy starts with a human connection. Sarah says clients bring courage when they begin therapy, and she aims to meet that with empathy and straightforward support. Her manner is warm and accepting while also keeping sessions focused on practical next steps. Sarah uses a mix of approaches to fit each person's needs. She draws on cognitive behavioral ideas to change unhelpful thoughts and behaviors, dialectical behavior techniques to build emotion skills, and acceptance-oriented strategies to help people live by their values. She also uses attachment-based and client-centered ways of working to strengthen relationships and self-understanding. Sessions move at the client's pace and emphasize collaboration. Sarah treats the person in front of her as the expert on their life and helps them discover solutions that fit. She frames problems as skill or information gaps rather than character flaws. Over decades of practice Sarah has supported people through grief, relationship strain, parenting stress, caregiving burnout, chronic illness, ADHD, and more. She aims to help clients find clearer choices, better coping, and steadier days ahead.

How Sarah’s approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values. It can ease anxiety, depression, and problems tied to avoidance. Cognitive Behavioral Therapy (CBT) focuses on the link between thoughts, feelings, and actions and teaches concrete skills to shift unhelpful patterns. It is useful for anxiety, mood problems, and coping with stress. Attachment-Based Therapy looks at how early relationship patterns affect current connections and helps people build healthier ways of relating. Finding the right approach is part of therapy. Sarah works with each person to choose methods that match their goals and preferences. That collaborative process means trying tools and adjusting as needed until something feels helpful. If you are considering online work, confirm the session formats before booking since the biography does not list them. Online sessions can make it easier to fit therapy into busy days, shorten travel time, and allow for quieter, focused check-ins during a break. Some formats also use less bandwidth or allow phone-based conversations when that is more convenient. Licensed professionals can use these approaches effectively through remote sessions, and Sarah will help you decide what will work best for your situation.