How Sarah works
Practical facts
- Credentials
- LCSW
- Licensed in
- North Carolina
- Years in practice
- 34
- Languages
- English
- Session format
- Online, through our partner platform
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 a calm, direct presence to sessions. She focuses on practical steps people can use to manage stress, anger, anxiety, addictions, and life transitions.
Her work comes from many settings, including community mental health and independent practice. That variety means she has helped people with depression, trauma, relationship struggles, grief, parenting concerns, ADHD, bipolar disorder, and caregiver stress.
Background and approach
She also addresses issues like codependency, boundary problems, and chronic illness coping. In sessions she blends several approaches to match what each person needs. She uses cognitive behavioral tools to change unhelpful thinking and dialectical behavior strategies to build emotion regulation skills.
She also draws on acceptance-based ideas and attachment-focused thinking to help people notice values and strengthen relationships. Sarah emphasizes collaboration and practical skill building. She treats people as the experts on their lives and helps them find workable solutions.
Her style is empathic and straightforward, with a focus on clear steps and real-world practice. People who want a steady, experienced therapist for anger, stress, or major life changes often appreciate her approach. She aims to create an atmosphere where someone can talk honestly, learn new skills, and try different ways of handling problems.
What Sarah works with
Everything Sarah lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Sarah's practice.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Intimacy-related issues
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Compassion fatigue
- ADHD
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Women's issues
- Young adult issues
Approaches Sarah lists
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Therapeutic approaches for online care
Sarah often uses cognitive behavioral therapy and acceptance and commitment therapy in online work. Cognitive behavioral therapy focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms such as anxiety and depression. Acceptance and commitment therapy helps people clarify what matters to them and practice small steps toward those values, which can be useful for stress, addiction, and anger.Finding the right approach is part of the process. She will work together with each person to choose methods that fit their goals and preferences. That might mean mixing skills training with acceptance work or adding attachment-focused ideas when relationship patterns are an issue.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video calls let people work face to face from a chosen location, phone sessions can fit into a work break or be easier when bandwidth is limited, live chat and messaging are useful for brief check-ins or ongoing support between sessions. These options help people fit therapy into busy lives while still using proven therapeutic tools.
Questions people ask about Sarah
What kinds of problems does she help with?
She helps with stress, anxiety, depression, anger, addictions, trauma, relationship and parenting concerns, grief, ADHD, bipolar disorder, and related issues listed in her specialties.
What is her therapy style like?
Her approach is collaborative and practical. She emphasizes skill building, empathy, and straight talk to help people try new ways of coping.
How much experience does she have?
She has 34 years of experience working in community mental health and independent practice settings.
What are her credentials and where is she based?
She is a licensed clinical social worker - LCSW - licensed in North Carolina and practices there.
Which languages are supported for sessions?
Sessions are offered in English.
Can she work with international clients?
She does not accept international clients at this time.
What formats are available for online sessions?
Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging.
How does the cost and getting started process work?
Costs vary by location and therapist availability and use a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete the short matching questionnaire, and schedule according to therapist availability.