Sarah Roe, LCSW

Sarah Roe is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina with 34 years of practice. She works with stress, anxiety, addictions, trauma and abuse, depression, and other life changes using approaches she lists such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and client-centered methods.

Roe emphasizes a collaborative process. She says each person brings strengths and that solutions often come from the client’s own experience. Sessions focus on practical skills, talking through patterns, and finding workable strategies for everyday problems. The therapist frames work around concrete goals rather than abstract labels.

Her background includes work in community mental health settings and private practice. That history informs an ability to address a wide range of concerns from addiction and codependency to grief, caregiver stress, chronic illness, and intimacy-related issues. She also lists interests in attachment, abandonment, aging, autism and Asperger Syndrome, and bipolar concerns.

In session she draws on methods such as ACT to clarify values and flexible action, CBT to challenge unhelpful thinking and behaviors, and DBT skills for emotional regulation and distress tolerance. Attachment-based ideas guide conversations about relationships and long-term patterns. Client-centered ways of working keep the client’s experience central.

Roe presents therapy as a practical collaboration. She says she does not position herself as the sole expert but as a guide who brings tools and experience. The aim is clearer coping, better communication, and improved day-to-day functioning.

Therapeutic approaches used in remote sessions