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LCSW

Sarah Roe, LCSW

  • Experience34 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Sarah

Sarah Roe is an LCSW with 34 years of practice in behavioral health who has provided care across community mental health settings and independent practice in North Carolina.

Background and approach

She brings long experience helping people manage stress, anxiety, depression, addictions, trauma and grief, as well as relationship and intimacy concerns, parenting challenges, career issues, and ADHD. Her work also addresses complex topics such as bipolar disorder, compassion fatigue, and co-morbid conditions.

Sarah emphasizes an empathic, client-centered style that values collaboration over prescription. She believes clients already hold many answers and focuses on building skills, increasing awareness, and honoring each person’s lived courage in seeking help.

Clinically she draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and client-centered principles to tailor strategies to individual needs. Sessions aim to feel practical and humane, blending evidence-informed techniques with steady support.

Sarah’s practice welcomes people looking for a thoughtful guide who combines decades of experience with an affirming, strengths-oriented approach to change and recovery.

Evidence-Informed Approaches for Online Care

Acceptance and Commitment Therapy (ACT) emphasizes clarifying personal values and taking committed actions even when difficult thoughts or feelings arise; it can be helpful for stress, anxiety, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought and behavior patterns to reduce symptoms of depression, anxiety, and related concerns. Dialectical Behavior Therapy (DBT) offers skills in emotion regulation, distress tolerance, and interpersonal effectiveness that can support people facing intense emotions or relationship challenges.

Choosing the right approach is part of the therapeutic process and is done collaboratively. The therapist will work with clients to consider goals, preferences, and practical needs and then adapt methods from these models to fit each person’s situation rather than prescribing a single fixed method.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which can make consistent care more accessible and easier to fit into busy lives. These formats support ongoing skill practice, check-ins between sessions, and scheduling flexibility while allowing licensed professionals to deliver structured, evidence-informed interventions remotely.

Frequently asked questions

What concerns does this therapist commonly address?
She works with a broad range of concerns including stress, anxiety, depression, addictions, trauma and abuse, relationship and intimacy issues, grief, parenting challenges, bipolar disorder, compassion fatigue, and ADHD.
What is her therapeutic style and approach?
Her style is empathic and collaborative, using client-centered principles alongside evidence-informed methods like CBT, DBT, ACT, and attachment-based work to tailor interventions to each person.
How much experience does she bring to practice?
She has 34 years of experience in behavioral health across community mental health centers and independent practice settings.
What credentials and location are associated with this clinician?
She is licensed as an LCSW in North Carolina with licence number NC LCSW C003486 and practices from that state.
Which languages are available for sessions and can international clients join?
Sessions are conducted in English and she is not currently accepting international clients.
In what formats are sessions offered?
Available session formats include video calls, phone sessions, live chat, and text-based messaging to provide flexible options for different needs.
How are costs and payment structured?
Costs vary with location and therapist availability; sessions are accessed via a subscription that can be canceled at any time.
What steps are involved in beginning therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsTrauma and abuseDepressionCoping with life changes

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural 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 issuesYoung 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

Licensed

North Carolina

Languages

English

What Sarah can help with

Sarah Roe works with clients on stress and anxiety, addictions, trauma and abuse, depression, and coping with life changes.

Sarah works with depression, anxiety, relationship problems, and codependency.

How Sarah approaches therapy

Sarah's clinical approaches include Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Motivational Interviewing, and Narrative Therapy.

Experience and training

Sarah is a Licensed Clinical Social Worker practicing in North Carolina.