Sarah Maddox, LCSW

Sarah Maddox is an LCSW - Licensed Clinical Social Worker practicing in North Carolina with 35 years of experience. She works with adults on stress, anxiety, relationships, self-esteem, depression, addictions, and other life changes. She also addresses family concerns including family of origin issues and communication problems.

Her style is straightforward and person-focused. She uses client-centered conversations to understand what matters most to each person. She pairs that with evidence-informed tools such as cognitive behavioral techniques and skills from dialectical behavior approaches to help manage difficult thoughts and emotions.

Sarah includes attachment-based ideas when patterns from early relationships are part of the concern. She also uses motivational interviewing to help people clarify goals and strengthen commitment to change. For those who wish it, she can incorporate spiritual or Christian perspectives into sessions, but only when that matches the client's values.

In sessions she tends to work through practical steps and the thinking behind them. That can include identifying patterns that began in childhood, practicing new ways to communicate, and building coping skills for stress or cravings. She pays attention to concrete changes a person can try between meetings.

Her background across many years has included a wide range of life challenges, from caregiving and aging issues to fertility and grief related to illness. People consult her for help with abandonment concerns, blended family situations, and intimacy-related questions among other topics.

Approaches used and how online sessions work