About Sarah
Sarah Roe is a licensed clinical social worker with 34 years of experience. She has worked across community mental health and independent practice settings in North Carolina. Her background covers many common concerns, including depression, anxiety, addictions, trauma, grief, and stress.
Sarah focuses on building a warm, straightforward connection first. She believes therapy starts with understanding each person’s courage in seeking help. Sessions aim to be collaborative - the therapist and client work together to find practical steps forward.
Background and approach
Her approach mixes several evidence-informed methods to match a person’s needs. She draws on cognitive behavioral ideas to identify unhelpful patterns and on acceptance-based strategies to manage painful thoughts and feelings. Attachment-informed work helps when past relationships affect present life.
Sarah also uses client-centered principles, keeping the person’s perspective central. She listens for strengths and skills that can be expanded. She helps people practice new ways of coping, communicating, and setting boundaries.
Many people come to her for relationship and intimacy concerns, parenting strain, career stress, or challenges tied to chronic health and caregiving. She also supports those navigating trauma, addiction, bipolar disorder, ADHD, and complicated grief. Sessions are offered in English and take place using video calls, phone, live chat, or text messaging.
Practical matters such as cost vary by location and subscription options. To begin, a person selects Start Therapy, completes a short matching questionnaire, and schedules sessions according to therapist availability.
Approach-focused care for online therapy
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts without fighting them and focus on actions that matter despite those thoughts. It can be useful for anxiety, stress, and life changes when avoidance keeps someone stuck. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behaviors and teaches practical exercises to change unhelpful patterns. It is often used for depression, anxiety, and coping skills. Attachment-Based Therapy pays attention to how early relationships shape current trust, closeness, and communication, and it can help with intimacy issues and relationship patterns.Choosing the right approach is part of the work. The therapist collaborates with each person to decide which methods fit their goals and preferences. That may mean trying a mix of techniques and adjusting as progress is made.
Online therapy offers flexible ways to meet. Video calls allow face-to-face sessions when visual cues matter. Phone sessions can be a good choice when bandwidth is limited or for shorter check-ins. Live chat and text messaging work well for people who prefer writing or need frequent, brief support between longer sessions. These options make it easier to schedule sessions around work, caregiving, or medical needs while still using proven therapeutic approaches.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 34 years
- Licensed
- North Carolina
- Languages
- English