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, practical presence to sessions. Her approach is straightforward and focused on helping people find workable steps forward.
She has worked in community mental health centers and independent practice settings over her career. That background exposed her to many concerns, including anxiety, depression, addictions, trauma and abuse, bipolar disorder, and stress.
How Sarah works
She also supports people facing relationship strain, grief, parenting challenges, career stress, and burnout like compassion fatigue. Sarah blends several therapy styles to match what each person needs. She uses cognitive behavioral techniques to address unhelpful thoughts and behaviors and incorporates acceptance and mindfulness-based work when that fits.
Attachment-focused ideas guide her when relational patterns and trust issues come up. In sessions she aims to listen first and then build practical skills. She believes people already have strengths and that therapy helps them notice and use those strengths more often.
She works with clients to set clear, achievable goals and practices step-by-step tools between meetings. Her style is collaborative rather than directive. Clients can expect an empathic listener who asks direct questions and offers concrete strategies.
The focus is on real-life changes that reduce distress and improve daily functioning.
Sarah lists 11 ways of working on the entry:
What Sarah works with
The areas below are the ones Sarah selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 34 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online work
Sarah commonly uses cognitive behavioral therapy and acceptance and commitment therapy in online sessions. Cognitive behavioral therapy focuses on identifying thought and behavior patterns that increase distress and then practicing new, more helpful responses. It is often useful for anxiety, depression, and stress-related problems. Acceptance and commitment therapy emphasizes noticing difficult thoughts and feelings without getting stuck in them, then taking values-driven action; this can help with chronic worry, grief, and life transitions.She also draws on attachment-based ideas when relationships and trust are central concerns. That approach looks at how early patterns affect current connections and helps people develop safer ways of relating. Choosing a therapeutic method is collaborative. The therapist will review goals, preferences, and what has helped before, and together they’ll try approaches that match the client’s needs and style.
Online therapy offers flexibility with video calls, phone sessions, live chat, or text-based messaging. Video sessions allow face-to-face work and skill practice, phone calls can work when bandwidth is limited, live chat suits quick check-ins, and messaging supports ongoing reflection between meetings. These options make it easier to fit therapy around work, caregiving, or mobility limits while focusing on the same therapeutic skills used in person.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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