Sarah Roe, LCSW
Gentle guidance for hard life changes
Details
| Name | Sarah Roe |
|---|---|
| Credentials | LCSW |
| Based in | North Carolina |
| Licensed in | North Carolina |
| Session format | Online |
| Languages | English |
| Years in practice | 34 |
About Sarah
Sarah Roe is a licensed clinical social worker with 34 years of experience. She practices in North Carolina and brings a steady, patient approach to difficult problems. She speaks plainly and helps people make sense of hard moments without judgment.
Sarah has worked in community mental health and independent practice. Over decades she has helped people with anxiety, depression, addictions, trauma, and grief. She also supports those facing career changes, caregiving strain, chronic illness, and relationship and intimacy concerns.
Background and approach
Her work is collaborative and down-to-earth. She listens first, then helps people notice patterns in their stories. She favors practical steps people can try between sessions, and she adjusts her approach to each person's needs and pace.
Sarah uses Narrative ideas to help people reframe difficult events and recognize strengths in their life story. She also draws on Acceptance and Commitment Therapy and attachment-based thinking to address values, relationships, and difficult memories. Cognitive strategies and client-centered skills shape how she helps with mood, anxiety, and behavior changes.
Clients can expect a compassionate guide rather than a distant expert. Sessions focus on small, doable changes and clearer understanding of what matters to each person. Sarah aims to help people build skills and self-awareness so they can move forward with more confidence.
What this therapist works with
Her listing names Stress, Anxiety, Addictions, Trauma and abuse among the things Sarah works with, alongside the areas below.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Intimacy-related issues
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Compassion fatigue
- ADHD
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Women's issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Acceptance and Commitment Therapy (ACT): Listed by Sarah among the ways she works.
- Attachment-Based Therapy: Listed by Sarah among the ways she works.
- Client-Centered Therapy: Listed by Sarah among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Sarah among the ways she works.
- Dialectical Behavior Therapy (DBT): Listed by Sarah among the ways she works.
- Mindfulness Therapy: Listed by Sarah among the ways she works.
- Motivational Interviewing: Listed by Sarah among the ways she works.
- Psychodynamic Therapy: Listed by Sarah among the ways she works.
- Solution-Focused Therapy: Listed by Sarah among the ways she works.
- Trauma-Focused Therapy: Listed by Sarah among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Sarah directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Sarah directly how she uses it and what a session usually looks like.
Online session options
Therapeutic approaches for online work
Sarah draws on Narrative Therapy to help people tell a different, more useful story about their lives. This approach looks at how events are framed and helps separate a person from the problem so they can find new options.She also uses Acceptance and Commitment Therapy, which focuses on values and small actions that matter. ACT helps when someone feels stuck because of painful thoughts or emotions by building willingness to act toward what matters. Attachment-Based Therapy informs how she looks at relationship patterns and emotional needs, which is useful for intimacy, trust, and caregiving concerns.
Choosing an approach is a team effort. The therapist helps clients figure out what fits their goals, preferences, and circumstances. Sessions often mix ideas from different methods so the work matches the person's life and changes as needed.
Online therapy offers practical flexibility. Video calls let people use visual cues and longer conversation. Phone sessions need less bandwidth and can be easier during a busy day. Live chat and text messaging work well for brief check-ins, skill practice, and when someone prefers not to be on camera. These options make it easier to schedule consistent work and try tools between meetings.
Common questions about this listing
What concerns does she commonly address?
She works with stress, anxiety, depression, trauma, addictions, grief, relationship issues, parenting strain, ADHD, bipolar concerns, and related problems.
How would you describe her therapeutic style?
Her style is collaborative and down-to-earth. She listens for meaning in a person's story and offers practical steps to try between sessions.
What kind of background does she bring to sessions?
She has 34 years in behavioral health across community mental health and independent practice settings, working with a wide range of issues and life stages.
Which credential does she hold and where is she based?
She is an LCSW - Licensed Clinical Social Worker - and practices in North Carolina.
In what languages can sessions be held?
Sessions are offered in English.
Are international clients supported?
International clients are not currently accepted.
What session formats are available?
Sessions may be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different needs and routines.
How does payment and scheduling work?
Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule based on the therapist's calendar.
Contacting this therapist
Sessions with Sarah are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Sarah where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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