Sarah Roe, LCSW

Sarah Roe is a licensed clinical social worker with 34 years in behavioral health. She has worked in community mental health centers and private practice. Sarah focuses on helping people facing stress, anxiety, addictions, depression, and trauma. She listens first and aims to form a caring connection. Sarah says therapy is a collaboration - she helps people recognize strengths and learn new ways to handle problems. She emphasizes respect and practical steps over judgement. In sessions she mixes straightforward talk with skill-building. That often means learning tools to manage intense feelings, trying small behavior changes, and practicing ways to stay present. She helps people cope with life changes, grief, caregiver stress, and relationship concerns. Sarah also supports people working through issues related to self-esteem, intimacy, ADHD, bipolar concerns, and compassion fatigue. She addresses attachment and abandonment worries, communication problems, and effects of past abuse or domestic violence. Her way of working draws on approaches like acceptance and commitment, attachment-based, client-centered, cognitive behavioral, and dialectical behavior therapies. She adapts these approaches to each person's needs and preferences. The goal is to find realistic steps that fit daily life and move toward better functioning.

Therapeutic approaches and online care

Acceptance and Commitment Therapy (ACT) focuses on helping people notice thoughts and feelings without getting stuck in them, then commit to actions that match their values. It can help with anxiety, addictions, and coping with life changes. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches practical techniques to change unhelpful patterns. This approach is commonly used for depression, anxiety, and stress. Attachment-Based Therapy pays attention to relationship patterns formed early in life and how they affect current connections; it can be useful for intimacy, abandonment concerns, and relationship difficulties.

Finding the right approach is part of the work. The therapist will talk with each person about needs, goals, and preferences, and together they decide which methods to try. That collaborative process makes it easier to tailor strategies that actually fit daily life.

Confirm current session options before booking, as specific online formats are not listed here. Online work can make it easier to fit therapy into a busy schedule, remove travel time, and allow shorter check-ins when needed. It also lets people use skills learned in real life between sessions, which supports steady progress without promising particular outcomes.