About Sarah
Sarah Roe is a licensed clinical social worker with 34 years of experience in behavioral health. She practices in North Carolina and works with people facing stress, anxiety, depression, addiction, trauma, and a wide range of life challenges. Sarah focuses on building an honest, steady connection so clients feel heard and respected from the first session.
Her approach is practical and collaborative. She listens first, then helps people identify small, workable steps forward.
Background and approach
Sessions emphasize skills you can use between meetings, such as managing intense feelings, improving communication, and coping with change. Sarah often brings in strategies from cognitive behavioral therapy and mindfulness to help reduce anxious thoughts and unhelpful habits. Sarah also draws on attachment-based work to look at how early relationships affect present behavior and relationships.
That can be helpful for intimacy issues, abandonment concerns, and repeating patterns in relationships. Dialectical behavior therapy tools are used when emotion regulation or distress tolerance skills are needed. She believes clients already have many of the answers they need and that therapy is a teamwork process.
The therapist offers guidance, teaches skills, and helps people try new ways of responding to stress and difficult emotions. Her style is direct but warm, with a steady focus on practical change. People come to her for many issues including parenting stress, caregiver strain, career concerns, grief, bipolar disorder, ADHD, and challenges related to identity and relationships.
Her long experience includes community mental health and independent practice, which she uses to adapt support to each person’s life circumstances.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy, often called ACT, helps people notice painful thoughts and feelings without letting them control actions. It focuses on values and small steps that move someone toward a more meaningful life, which can help with anxiety and stress. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, behaviors, and feelings interact and teaches concrete skills to change negative patterns; it is useful for anxiety, depression, and many day-to-day problems.Choosing the right approach is part of work done together. The therapist will collaborate with each person to decide which methods fit their goals and preferences. That might mean starting with CBT skills, adding mindfulness practices, or using attachment-informed conversations when relationship patterns come up.
Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different needs. Video calls let people use visual cues and more in-depth conversation. Phone sessions can fit a break at work or be easier when bandwidth is limited. Live chat and text messaging work well for quick check-ins, short skill practice, or when someone prefers not to be on camera. These options make it easier to keep therapy consistent while matching each person's daily routine.
Questions people ask
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What this therapist works with
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
Therapeutic approaches
- Experience
- 34 years
- Licensed
- North Carolina
- Languages
- English
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