- CBT techniques
- DBT skills
- Mindfulness practice
About Sarah
Sarah Roe is a Licensed Clinical Social Worker (LCSW) in North Carolina with 34 years of experience in behavioral health. She has worked in community mental health centers and private practice. She helps people facing stress, anxiety, addictions, trauma and abuse, depression, and anger concerns.
Her work focuses on practical skills and steady conversation. She talks through what is happening now and which actions make things worse or better. She believes each person already has strengths to build on, and she aims to help people find workable strategies.
Sessions are collaborative. Sarah uses straightforward methods rather than jargon. She emphasizes learning new skills for managing strong emotions, handling relationship tensions, and coping with life changes.
Over her career she has used several evidence-based approaches such as cognitive behavioral techniques and mindfulness-informed work. She also draws on attachment ideas to understand relationship patterns and on acceptance and commitment concepts to clarify values and next steps.
Her style is practical and grounded. People meet to identify repeating patterns, try small changes, and notice what helps. She views therapy as a partnership where the therapist brings tools and the client brings the knowledge of their life.
Sarah often helps clients manage symptoms that co-occur, such as anxiety with depression or ADHD with anger. She also supports those coping with grief, caregiver stress, chronic health issues, and questions about identity and relationships.
How her methods translate to online work
Sarah practices cognitive behavioral approaches that focus on identifying unhelpful thinking and testing new behaviors to reduce distress. CBT techniques are useful for anxiety, depression, anger, and many everyday problems because they break issues into clear, testable steps.She also uses elements of Dialectical Behavior Therapy (DBT), which teaches skills for managing intense emotions and improving interpersonal effectiveness. DBT skills can help when frustration or resentment lead to repeated conflict at home or work.
Finding the right approach is part of the work. She will collaborate with clients to choose techniques that fit their goals and preferences. That means trying strategies, checking what helps, and adjusting as needed rather than committing to a single method up front.
Confirm the exact online session options before booking since the biography does not list formats. In general, online sessions can make it easier to fit appointments into a busy day, allow for shorter check-ins when needed, and reduce travel time. Some people prefer sessions without video to save bandwidth or to keep things brief, while others use video to work through body language and interaction patterns. Talk with her about what will work best for scheduling and for the kind of exercises you want to try.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
34+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She works with stress, anxiety, addictions, trauma and abuse, depression, anger, relationship and parenting concerns, among others.
What is her general approach in sessions?
She uses a collaborative, skill-focused approach that emphasizes practical steps and learning new ways to respond to strong emotions.
How much experience does she have?
She has 34 years of experience in behavioral health across community mental health and private practice settings.
What credential does she hold and where is she based?
She is an LCSW - Licensed Clinical Social Worker - practicing in North Carolina.
Which languages are offered in sessions?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
What are the session formats available?
Please confirm current session format options before booking, as formats were not specified in the biography.
How are costs handled?
Cost varies by location and sessions use a subscription that can be canceled at any time.