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Sarah Roe

LCSW

Sarah Roe , LCSW

Therapist in North Carolina

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Online therapy - get matched and start messaging.

About Sarah

Sarah Roe is a Licensed Clinical Social Worker (LCSW) with 34 years of experience in the behavioral health field. She has practiced across a range of settings from community mental health centers to private practice, working with many populations and a broad spectrum of concerns including depression, anxiety, relationship difficulties, codependency, addictions, abuse and trauma, anger management, and stress management.

Her clinical work draws on evidence-based methods such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), and she also integrates approaches that emphasize values, emotional bonds, and client strengths. While well versed in these models, she places the therapeutic relationship and empathic connection at the center of care, recognizing the courage it takes to seek support and share personal struggles.

Sarah approaches therapy as a collaborative process. She operates from guiding principles that each person is doing the best they know how, that different strategies work for different people, and that solutions are often discovered within the client. In that spirit she combines clinical knowledge with a genuine, empathic presence to help clients identify practical skills, new perspectives, and pathways toward recovery, health, and improved well-being.

Therapeutic Approaches and Online Support

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take committed action toward them while learning to live with difficult thoughts and feelings. It is often useful for anxiety, stress, and life transitions. Attachment-Based Therapy focuses on how early relationships shape current patterns - it helps clients explore connection, trust, abandonment or attachment issues, and build healthier relational responses. Cognitive Behavioral Therapy (CBT) addresses the links between thoughts, feelings, and behaviors by teaching practical skills to manage symptoms of depression, anxiety, and other challenges.

Finding the right approach is a collaborative process. Sarah Roe works with clients to identify which methods fit their goals, preferences, and life circumstances, adjusting techniques over time so therapy meets real-world needs. She emphasizes partnership and practical skill-building rather than a one-size-fits-all prescription.

Online therapy with licensed professionals offers flexibility - sessions can occur by video call, phone, live chat, or text-based messaging - making it easier to fit support into busy schedules or when in-person visits are not possible. These options can increase access to consistent care and allow therapists and clients to focus on progress and problem-solving across different modes of communication.

Frequently asked questions

How much experience does Sarah Roe have?

Sarah Roe has 34 years of experience in the behavioral health field.

Is Sarah Roe a licensed therapist?

Yes. She holds the credential LCSW, which stands for Licensed Clinical Social Worker. License details are NC LCSW C003486.

In which languages does Sarah Roe provide therapy?

Sarah Roe provides therapy in English.

Where is Sarah Roe located?

Sarah Roe is located in North Carolina.

How can I work with Sarah Roe as my therapist?

You can work with Sarah Roe through video calls, phone sessions, live chat, or text-based messaging.

Does Sarah Roe work with international clients?

Sarah Roe does not currently work with international clients.

How much does therapy with Sarah Roe cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

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

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