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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 in a range of settings, from community mental health centers to private practice, and has supported people facing depression, anxiety, relationship challenges, codependency, addictions, trauma and abuse, anger and stress management, among other concerns.

She has received training in evidence-informed models such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, and Wellness Management and Recovery. While technical skill and knowledge guide her work, she places equal value on the human connection that makes therapy effective. She recognizes the courage it takes to begin therapy and aims to meet each person with empathy, respect, and genuine interest.

Sarah operates from a set of guiding principles that shape her collaborative style - each person is doing the best they can with what they know, problems often reflect missing skills or awareness rather than personal failure, and solutions are discovered from within the individual. She does not position herself as a distant expert but as a knowledgeable guide who partners with clients to find practical paths toward healing, health, and recovery.

Approach-Focused Online Therapy



Acceptance and Commitment Therapy (ACT) helps people clarify their values and build willingness to experience difficult thoughts and feelings while taking committed action toward a meaningful life. It is often useful for stress, anxiety, and situations where avoidance limits wellbeing.

Attachment-Based Therapy explores patterns of relating that developed in early relationships and how those patterns affect current connections. It can be particularly helpful for relationship difficulties, intimacy issues, and attachment-related distress.

Client-Centered Therapy emphasizes empathy, unconditional acceptance, and a collaborative therapeutic relationship. This approach supports people who need a nonjudgmental space to explore identity, self-esteem, and life transitions.

Finding the most effective approach is part of the therapy process. Sarah Roe works collaboratively with clients and with input from licensed professionals as needed to determine which methods best match a person’s needs, goals, and preferences, and she adjusts the approach over time.

Online sessions through video calls, phone sessions, live chat, or text-based messaging offer flexibility for scheduling and make it easier to access ongoing support from home or other convenient locations. These options help people maintain continuity of care and fit therapy into busy or changing lives.

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. Her 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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