Sarah Roe, LCSW
Licensed in North Carolina · 34 years in practice
Sarah Roe is a licensed clinical social worker with 34 years of experience in behavioral health.
License and registration
- LCSW, North Carolina
- C003486 · expires July 2027
- NPI
- 1245242668 · national provider identifier
- Years in practice
- 34
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Sarah
Sarah Roe is a licensed clinical social worker with 34 years of experience in behavioral health. She has worked in community mental health settings and independent practice, and she brings that long experience to each session. Sarah centers warmth and straightforward support in her work.
She aims to make therapy feel like a steady conversation instead of a lecture. Sarah helps people manage stress, anxiety, depression, addiction concerns, and trauma.
Background and approach
She also supports people facing relationship strain, grief, parenting challenges, career transitions, and issues around identity and intimacy. Her practice includes attention to ADHD, bipolar mood concerns, compassion fatigue, and chronic illness challenges. In sessions Sarah blends practical tools with a listening stance.
She uses approaches such as cognitive behavioral techniques, dialectical skills, and acceptance-based practices to help people try new ways of coping. The focus is on small, doable steps that translate to daily life. Sarah describes therapy as a collaborative process.
She works to understand a person’s values and goals, then helps them build skills that match those aims. Clients can expect direct feedback, gentle challenge when needed, and plenty of space to make sense of difficult feelings. Sarah offers video calls, phone sessions, live chat, and text-based messaging.
Sessions are provided in English from North Carolina. Costs vary by location and use a subscription model that can be canceled at any time.
Focus areas and approaches
Everything Sarah lists on their public professional profile, in their own terms.
- 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 Sarah names
- 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
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How therapeutic approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions toward those values. It often focuses on noticing difficult thoughts without getting stuck and then trying behavior that aligns with personal goals. Cognitive Behavioral Therapy (CBT) targets unhelpful thinking and behavior patterns and teaches concrete skills to change them, which can help with anxiety, depression, and stress. Attachment-Based Therapy looks at how early relationships influence current patterns and helps people build more supported ways of relating and handling emotions.Finding the right approach is part of the work. Sarah treats therapy as a team effort and will check in about which methods feel most useful. She will adapt tools and pacing to match a person's goals, needs, and daily life, so the plan evolves together rather than being fixed at the start.
Online therapy offers practical flexibility. Video calls let people read facial cues and try in-the-moment exercises. Phone sessions work when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging can support ongoing processing between sessions or provide brief check-ins on tough days. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping the focus on practical skills and progress.
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Questions people ask
What concerns does Sarah commonly address?
She works with stress, anxiety, depression, addictions, trauma, grief, relationship and intimacy issues, parenting and career concerns, and related challenges such as ADHD and bipolar mood issues.
How would you describe her therapy style?
Sarah keeps sessions straightforward and collaborative. She combines active listening with practical tools and occasional direct feedback.
What kind of experience does she bring?
She has 34 years in behavioral health across community mental health centers and independent practice settings.
Where is she licensed and based?
She is an LCSW licensed in North Carolina and practices from that state.
Which languages are available for sessions?
Sessions are offered in English.
Are international clients accepted?
International clients are not currently accepted.
What session formats are offered?
Sessions can take place via video calls, phone sessions, live chat, or text-based messaging.
How are fees handled and how do I begin?
Cost varies with location and therapist availability and uses a subscription that can be canceled at any time. To start, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
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