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Sarah Roe, LCSW

Experienced LCSW offering collaborative therapy
  • 34 years experience
  • Collaborative client-centered care
  • Online sessions available

About Sarah Roe

Sarah Roe is a licensed clinical social worker (LCSW) with 34 years of experience in the behavioral health field. She has practiced in a variety of settings, from community mental health centers to private practice, bringing long-term clinical experience to each therapeutic relationship.

She has worked with a wide range of concerns including depression, anxiety, relationship difficulties, codependency, addictions, abuse and trauma, anger management, and stress management. Her training includes widely used evidence-informed models such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, and Wellness Management and Recovery. As an LCSW, she holds a clinical social work license that authorizes her to provide mental health services and psychotherapy.

Sarah emphasizes empathic connection as the foundation of effective therapy. She recognizes the courage it takes to begin treatment and seeks to create an atmosphere where people feel understood and respected. Her practice is guided by the belief that clients are doing the best they can with the skills they have, that effective solutions vary by individual, and that people often already hold the resources needed for change. In that spirit she approaches therapy as a collaborative process - offering knowledge, skills, and support to help clients identify and pursue their own paths to healing and recovery.

Areas of Expertise

Also Specializes In

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 Approach

Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Narrative Therapy Psychodynamic Therapy Solution-Focused Therapy Trauma-Focused Therapy

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?

Costs 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 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.

Therapeutic Approaches for Online Care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and build actions that align with those values. It focuses on accepting difficult thoughts and feelings while committing to meaningful behavioral changes, and can be useful for anxiety, stress, and life transitions.

Attachment-Based Therapy explores how early relationships shape current patterns in connections and trust. By understanding attachment styles, clients can work on improving intimacy, communication, and emotional regulation in relationships and family dynamics.

Client-Centered Therapy emphasizes an empathic, nonjudgmental therapeutic relationship in which the therapist listens carefully and supports the client in finding their own solutions. This approach is especially helpful for people seeking a collaborative space to explore identity, self-esteem, grief, and complex life changes.

Finding the right approach is part of therapy itself. Sarah Roe works collaboratively with each person to identify which methods fit their needs, goals, and preferences, and adjusts strategies over time so the work remains relevant and effective.

Online therapy offers practical flexibility - sessions by video, phone, live chat, or text-based messaging make it easier to fit care into a busy life and to maintain continuity during transitions. Working with licensed professionals through these options can make therapy more accessible for people balancing work, family, caregiving, or mobility concerns.

Ready to start therapy with Sarah Roe?

Take the first step toward a better you.