Sarah Roe, LCSW
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 the license with the issuing state board, and the NPI with the national registry.
About Sarah
Sarah Roe is a licensed clinical social worker with 34 years of experience in behavioral health. She draws on long experience in community mental health and independent practice to help people facing stress, anxiety, depression, addiction, grief, and other life strains. Sarah works from a grounded, empathetic place and values the courage it takes to start therapy.
Her style is collaborative and practical. She listens first, then helps people find tools that fit their life.
Background and approach
Sessions focus on skill-building, clearer choices, and steady steps forward rather than quick fixes. The aim is to help people notice what works for them and strengthen those habits. Sarah uses several well-known approaches to tailor care to each person.
She often leans on cognitive behavioral ideas to shift unhelpful thoughts and behaviors, dialectical skills to manage strong emotions, and acceptance-based strategies to build tolerance for difficult feelings. Attachment-informed work guides understanding of relationship patterns and long-standing emotional needs. She believes there is no one right way to live and that each person holds the answers for their own life.
Therapy is framed as a partnership where Sarah brings clinical experience and the client brings their knowledge of themselves. Together they find practical steps toward better coping and clearer direction. Sarah provides services in North Carolina and conducts sessions in English.
Her approach aims to be straightforward, respectful, and focused on usable skills that fit everyday life.
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
Therapeutic approaches and online care
Acceptance and Commitment Therapy (ACT) encourages noticing hard thoughts and feelings without fighting them and then choosing actions that match personal values. It can help with anxiety, stress, and major life changes by clarifying what matters and building committed action. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and changing behaviors that keep problems going. It is often used for anxiety, depression, and problems that respond to skill training. Attachment-Based Therapy looks at how early relationship patterns shape current connections and emotional responses, which can be useful for intimacy and relationship struggles.Finding the right approach is part of the work. The therapist will listen to a person’s situation, goals, and preferences and then suggest which methods to try. Decisions are made together and can be adjusted as therapy moves forward to match what helps most.
Online therapy offers several practical benefits. Video calls let people maintain face-to-face conversation without travel. Phone sessions work well when internet bandwidth is limited or when a simpler check-in is needed. Live chat and text-based messaging allow shorter, flexible touchpoints for processing between sessions. These options make it easier to fit therapy into busy days and different schedules while keeping focus on useful skills and steady progress.
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Questions people ask
What kinds of concerns does this therapist address?
She works with a wide range of concerns including stress, anxiety, depression, addictions, trauma and abuse, grief, relationship and intimacy issues, parenting stress, ADHD, and compassion fatigue.
How would you describe the therapeutic style?
The style is collaborative and practical. Sessions focus on listening, teaching skills, and trying out small changes that fit the client’s life.
What is her background and experience?
She has 34 years of experience in behavioral health, having worked in community mental health centers and independent practice settings.
What credentials and location are listed?
She is an LCSW licensed in North Carolina and provides services within that state.
In which languages are sessions available?
Sessions are offered in English only and international clients are not accepted.
What session formats are offered?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How is cost handled for therapy?
Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.
How do I get started with scheduling?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on therapist availability.
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