Sarah Roe, LCSW - Therapist in North Carolina

Family of origin work
Anxiety and stress
CBT and ACT

About Sarah

Sarah Roe is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 34 years of experience. She has worked in settings from community mental health centers to private practice and helps people with stress, anxiety, depression, addictions, relationship and family concerns, and life changes.

She often addresses issues that trace back to family of origin patterns, attachment, and abandonment. Sarah also supports people dealing with parenting strain, grief, intimacy-related concerns, bipolar disorder, ADHD, and compassion fatigue. She uses everyday language in sessions and focuses on practical ways to cope and make changes.

Her style is collaborative. She treats therapy as a team process where client goals guide each step. Sarah believes people usually act from what they know, and the work is about learning different skills and options rather than pointing out what is "wrong."

In sessions she draws on several clinical approaches people recognize, such as cognitive behavioral techniques and mindfulness practices. She also uses attachment-based ideas to look at how early relationships shape current patterns. Dialectical skills and acceptance strategies are available when they fit the client's goals.

Clients can expect a straightforward conversation about goals and next steps. Sarah helps people try new ways of handling stress, communication, and strong emotions. She encourages practical skills that can be used between sessions to support day-to-day changes.

Therapeutic approaches and online sessions

Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without getting stuck in them. It uses practical exercises to clarify personal values and take meaningful action toward those values. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions interact and teaches specific skills for changing unhelpful patterns. CBT is often used for anxiety, depression, and stress by practicing new ways of thinking and behaving.

Finding the right approach is part of the work. The therapist discusses options with the client and together they choose which methods to try based on the client's goals and preferences. Sessions can change over time as needs and goals shift, and the therapist helps evaluate what is working.

Session formats are not specified in the biography, so confirm current session options before booking. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow shorter check-ins when needed. It can also let people join from a location that works for them and use video or phone options depending on comfort and bandwidth.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuse Depression Coping with life changes

Also works with

LGBTRelationship issuesFamily conflictsGrief Intimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCompassion fatigue ADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBody image Caregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependency Commitment issues Communication problems Control issuesDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelity Isolation / loneliness Jealousy Life purpose Midlife crisisVeteran and Armed Forces IssuesMood disorders Multicultural 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 issues Young 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

Listed in

North Carolina

Languages

English

Frequently asked questions

What concerns does she address?

She works with stress, anxiety, depression, addictions, relationship and family concerns, parenting, grief, bipolar, ADHD, and related issues listed in her profile.

What is her therapeutic style?

She uses a collaborative, straightforward approach that focuses on practical skills and client goals rather than labels.

How much experience does she have?

She has 34 years of experience in behavioral health across community mental health and private practice settings.

What credential does she hold and where does she practice?

She is an LCSW licensed in North Carolina and practices there.

Which languages are supported?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

How are sessions scheduled and what do they cost?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.