Sarah Roe, LCSW

Sarah Roe is a licensed clinical social worker (LCSW) with 34 years of experience in behavioral health. She has worked in community mental health centers and independent practice, supporting people through depression, anxiety, addiction, trauma, and relationship concerns. Sarah emphasizes a warm, empathic connection and respects the effort it takes to start therapy.

She believes each person is trying their best and that therapy is a collaborative process. Sarah listens first, then helps people identify practical steps and skills that fit their life. She approaches problems as skill gaps or unhelpful patterns rather than personal failings.

Her background includes long experience across settings and many types of challenges, from chronic stress and parenting strain to grief and bipolar mood concerns. She draws on several approaches such as cognitive behavioral tools and mindfulness-based skills to tailor the work to each person’s needs.

In sessions Sarah aims to make things understandable and doable. She focuses on concrete strategies for managing strong emotions, improving communication, and coping with major life changes. She also helps people who struggle with intimacy, jealousy, abandonment issues, or codependency find steadier ways of relating.

People who prefer a straightforward, compassionate guide tend to fit well with her style. Sarah frames therapy as a team effort: she brings experience and tools, and the person brings their goals and life knowledge. Together they shape a plan that feels realistic and meaningful.

Therapeutic approaches and working online

Acceptance and Commitment Therapy (ACT) focuses on helping people clarify what matters to them and take small steps toward those values, even when difficult feelings are present. It can help with anxiety, depression, and life changes by shifting attention toward meaningful action. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches practical strategies to change unhelpful patterns. CBT is often used for anxiety, depression, and stress management. Attachment-Based Therapy pays attention to how early relationships shape current patterns, and it supports building healthier ways of relating and managing intimacy or abandonment fears.

Finding the right approach is part of the work. Sarah treats therapy as a collaborative process and will help figure out which methods fit a person’s needs, goals, and preferences. She combines tools from different approaches and adjusts them to match each client’s situation.

Session logistics vary by therapist and location, so confirm the current session options before booking. Many people find online therapy helpful because it makes it easier to fit sessions into busy days, allows shorter check-ins when needed, and can reduce travel time. Online work still focuses on building skills, improving communication, and managing difficult emotions, and Sarah will discuss how to structure sessions so they match practical needs and goals.