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Sarah Roe, LCSW

Compassionate LCSW with 34 years experience
  • Trauma and addiction
  • Stress and anxiety
  • Relationship and family

About Sarah Roe

Sarah Roe, LCSW (Licensed Clinical Social Worker), brings 34 years of experience in the behavioral health field. She has practiced in a variety of settings, from community mental health centers to private practice, and has supported people with a wide range of concerns including depression, anxiety, relationship problems, codependency, addictions, abuse and trauma, anger management, and stress management.

Trained in evidence-based methods such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, and Wellness Management and Recovery, she blends clinical skill with a relational approach. For Sarah, technical competence matters, but it must be paired with an authentic connection that allows meaningful work to happen.

She recognizes and honors the courage it takes to begin therapy and to "bare your soul" to someone unfamiliar, and she uses natural empathy and genuine interest to create a space where clients can feel seen and understood. Her practice is guided by a few core beliefs: people are doing the best they know how, solutions are individualized rather than one-size-fits-all, and each person holds resources that can be uncovered through collaboration. Rather than positioning herself as an authority, she approaches therapy as a partnership in which her knowledge and skills help clients find their own path toward healing, health, and recovery.

Areas of Expertise

Additional Focus Areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationWomen's issuesYoung adult issues

Therapeutic Approach

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

Frequently Asked Questions

How much experience does Sarah Roe have?

Sarah Roe has 34 years of experience in the behavioral health field.

Is Sarah Roe a licensed therapist?

Yes. She holds the credential LCSW (Licensed Clinical Social Worker). License details: NC LCSW C003486.

In which languages does Sarah Roe provide therapy?

Sarah Roe provides therapy in English.

Where is Sarah Roe located?

Sarah Roe is located in North Carolina.

How can I work with Sarah Roe as my therapist?

You can work with Sarah Roe through video calls, phone sessions, live chat, or text-based messaging.

Does Sarah Roe work with international clients?

Sarah Roe does not currently work with international clients.

How much does therapy with Sarah Roe cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Could Remote Therapy Work For You?

Many people wonder whether online therapy can truly help. For many common concerns - including stress, anxiety, depression, relationship challenges, and life transitions - online therapy has been shown to be just as effective as traditional in-person sessions.

One major benefit is flexibility. People can connect with therapists in the way that fits their routines and comfort levels, choosing from video calls, phone sessions, live chat, or in-app messaging. This adaptability makes it easier to maintain continuity of care alongside work, family, and other obligations.

Licensed professionals provide care online, and clients may change therapists if they want a different fit. For many, remote therapy offers a practical and effective way to access consistent therapeutic support without sacrificing quality of care.

Ready to start therapy with Sarah Roe?

Take the first step toward a better you.