Sarah Roe, LCSW - Therapist in North Carolina

CBT and DBT methods
Acceptance and commitment
Attachment informed

About Sarah

Sarah Roe is a licensed clinical social worker (LCSW) in North Carolina with 34 years of experience in behavioral health. She has worked in community mental health settings and in private practice. She helps people with stress, anxiety, addictions, trauma and abuse, depression, relationship and family concerns, grief, parenting, and related issues listed in her specialties.

Her work focuses on practical skills and clear conversation. She uses approaches such as cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, attachment-based work, and client-centered methods. Sessions tend to focus on what is useful now and on learning steps people can use between meetings.

Sarah emphasizes collaboration. She views the person in front of her as the expert on their own life and she offers guidance, tools, and feedback to help them try different ways of coping. She also pays attention to patterns that come from attachment, past hurt, or long-standing behavior cycles.

Her style fits people who want straightforward help learning new skills, managing difficult emotions, and sorting through relationship or life changes. Conversations often include practicing strategies, setting small goals, and checking what works in day-to-day life.

Sarah combines long experience with practical methods. She asks direct questions, listens for patterns, and supports people as they test new ways of handling stress, anxiety, and other concerns. The focus is on usable steps rather than on lengthy theory.

How her approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without being led by them and clarifies what matters to them. It often supports clients who are stuck in worry or avoidance to try small, values-based actions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches concrete skills to shift unhelpful patterns. It can be useful for anxiety, low mood, and managing cravings. Attachment-Based Therapy pays attention to relationship patterns that shape how people relate, feel safe, or pull away, and it helps identify new ways to connect and respond.

Finding the right mix of approaches is part of the work. The therapist will talk with the client about goals, preferences, and what has or hasn’t helped before, and will adjust methods together as progress is made. Sessions are collaborative and practical, with an eye to what the client can try between meetings.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when a quick conversation is helpful, or remove travel time so someone can meet during a break. Licensed professionals can use video or phone in different ways to match a person’s needs, and Sarah will discuss which approach best fits scheduling, comfort with video, and the goals you bring to therapy.

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 fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issues Communication problems Control issuesDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shame Impulsivity Infidelity Isolation / loneliness Jealousy Life purposeMidlife crisisVeteran and Armed Forces IssuesMood disorders Multicultural concernsNarcissismObsessions, compulsions, and OCD Panic 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

Listed in

North Carolina

Languages

English

Frequently asked questions

What kinds of concerns does she address?

She works with stress, anxiety, addictions, trauma and abuse, depression, grief, relationship and family issues, parenting, ADHD, and many related areas listed in her specialties.

What is her therapeutic style?

She uses practical, skills-based approaches and collaborative conversation, helping clients try small changes and measure what works in daily life.

How long has she practiced?

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

What credential does she hold and where is she based?

She is an LCSW licensed in North Carolina and practices from that state.

Which languages are offered?

Sessions are offered in English.

Can people outside the US work with her?

She does not accept international clients at this time.

How are sessions paid for?

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

How do I begin a first session?

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