Sarah Roe, LCSW

Sarah Roe is a licensed clinical social worker with 34 years of experience in behavioral health. She practices in North Carolina and brings a calm, steady presence to sessions. Sarah focuses on clear, practical work people can use between visits.

She helps people manage stress, anxiety, depression, and relationship difficulties. She also supports those facing addiction, trauma, grief, and major life changes. Aging and geriatric issues are among her stated additional focus areas.

Her approach is collaborative. She uses client-centered listening to understand what matters most to each person. Together they identify small, realistic steps that fit the client’s life and goals.

Sarah draws on several evidence-based methods, including cognitive behavioral techniques and acceptance strategies. She also integrates attachment and dialectical ideas when they suit the situation. The goal is to blend practical skills with a respectful, listening stance.

Sessions tend to emphasize problem solving, emotion regulation, and building healthier patterns in relationships and daily routines. She pays attention to caregiver stress, chronic illness concerns, and issues tied to identity and intimacy. Sarah aims to help people find tools that make everyday life easier and more livable.

Approaches that translate to online work

Acceptance and Commitment Therapy, or ACT, focuses on helping people notice their thoughts without getting stuck in them and commit to actions that match their values. It is useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and behavior and teaches practical skills to break unhelpful patterns. It is commonly used for anxiety, mood, and stress-related concerns. Attachment-Based Therapy centers on understanding patterns in close relationships and how early bonds shape current reactions; it can help with intimacy, relationship problems, and attachment issues.

Finding the right approach is part of the therapeutic process. Sarah works collaboratively with each person to try methods that fit their goals and preferences. She will suggest options, explain what each one involves, and adjust the plan as people learn what helps them most.

Confirm the current session options before booking so you know what formats are offered. Online work can make it easier to fit sessions into busy days, reduce travel time, and allow quick check-ins when needed. It also supports steady work on skills like emotion regulation and communication across weekly appointments without requiring in-person travel.