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Therapist profile

Sarah Roe

Therapist · North Carolina

Experienced LCSW focused on practical healing

Continue with Sarah

Review online therapy options and next steps on BetterHelp.

Sarah Roe
Credentials
LCSW
License
LCSW, North Carolina · C003486
NPI
1245242668
Experience
34 years
Languages
English
Location
North Carolina
  • Empathic listening
  • Skill focused
  • Collaborative process

About Sarah

Sarah Roe is a Licensed Clinical Social Worker with 34 years of experience in behavioral health. She has worked across community mental health centers and private practice, helping people with anxiety, depression, addiction, trauma, and codependency. Sarah approaches therapy with a straightforward, empathetic style that values honest connection and practical steps.

She believes most people are already doing their best and that therapy can help uncover workable skills and options. Sessions focus on understanding what hasn’t helped and trying new ways of coping. Sarah emphasizes collaboration - she listens first, then offers tools that fit a person’s life and goals.

Her work draws on several evidence-based methods, including cognitive behavioral approaches and mindfulness techniques. She uses these tools to help people notice patterns, manage strong emotions, and change behaviors that cause distress. Sarah also incorporates attachment-informed perspectives to improve how people relate to themselves and others.

Clients can expect a warm, down-to-earth presence and clear, practical suggestions. Conversations are paced to each person’s comfort, with attention to strengths as well as struggles. Sarah aims to create a space where people feel heard and can try small, doable steps toward change.

Her sessions are guided by respect and realism - life is messy, and solutions are often developed one step at a time. Sarah works with each person to discover what feels helpful for them and to build skills they can use after therapy ends.

Therapeutic Approaches and Online Care

Sarah uses cognitive behavioral techniques to help people notice unhelpful thoughts and try concrete behavior changes that reduce distress. CBT often focuses on breaking down problems into manageable steps and practicing new reactions in everyday life.

She also draws on attachment-based ideas to look at how early patterns of relating affect current connections. This approach helps people understand emotional responses and build more secure ways of relating to others and themselves.

Finding the right approach is part of therapy. The therapist will work with each person to decide which methods match their needs and goals. That process is collaborative and may shift over time as different strategies are tried.

Because the profile does not specify session formats, confirm current options before booking. Online therapy can make it easier to fit sessions into a busy life, cut travel time, and allow for quicker check-ins when needed. Some people like shorter conversations during a break at work, while others prefer longer, more reflective sessions. Discussing practical needs during the first contacts helps shape a plan that works with everyday routines.

Areas of expertise

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

Credentials

North Carolina

Languages

English

Frequently asked questions

What concerns does Sarah commonly address?

She works with stress, anxiety, depression, trauma, addictions, codependency, relationship and intimacy issues, parenting strain, grief, and related concerns.

What is her general approach in sessions?

Her style is collaborative and practical. She listens first, then helps people try skills and strategies that fit their daily lives.

How long has she worked in behavioral health?

She brings 34 years of experience in settings from community mental health centers to private practice.

What credentials and region are listed for this therapist?

She is a Licensed Clinical Social Worker - LCSW - licensed in North Carolina.

Which languages are supported and can international clients work with her?

Sessions are offered in English and she is not currently accepting international clients.

What session formats are offered?

Please confirm current session options before booking, as formats are not specified in the provided profile.

How does pricing work for sessions?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.

Sarah RoeContinue with Sarah