Practitioner record · Checked 9 Oct 2026

Sarah Roe has been in practice 34 years and is licensed in North Carolina. Sarah lists stress, Anxiety, addictions and trauma and abuse among 71 subjects on the BetterHelp roster.

Everything below is either quoted from Sarah's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.

34years in practice
71subjects listed
11approaches listed

01 · Who Sarah works with

Sarah works with stress, Anxiety, addictions and trauma and abuse

Sarah lists 17 specialisms and 54 further focus areas. Specialisms are the subjects Sarah chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • Addictions
  • Trauma and abuse
  • Depression
  • Coping with life changes
  • LGBT
  • Relationship issues
  • Family conflicts
  • Grief
  • Intimacy-related issues
  • Parenting issues
  • Anger management
  • Self esteem
  • Career difficulties
  • Bipolar disorder
  • Compassion fatigue
  • ADHD
Also experienced with
  • Abandonment
  • Aging and geriatric issues
  • Attachment issues
  • Autism and Asperger Syndrome
  • Body image
  • Caregiver issues and stress
  • Chronic pain, illness, and disability
  • Co-morbidity
  • Codependency
  • Commitment issues
  • Communication problems
  • Control issues
  • Dissociation
  • Divorce and separation
  • Domestic violence
  • Drug and alcohol addiction
  • Emptiness
  • Family of origin issues
  • Family problems
  • Fatherhood issues
  • First responder issues
  • Forgiveness
  • Gender dysphoria
  • Guilt and shame
  • Impulsivity
  • Infidelity
  • Isolation / loneliness
  • Jealousy
  • Life purpose
  • Midlife crisis
  • Veteran and Armed Forces Issues
  • Mood disorders
  • Multicultural concerns
  • Narcissism
  • Obsessions, compulsions, and OCD
  • Panic disorder and panic attacks
  • Paranoia
  • Personality disorders
  • Polyamory / non-monogamous relationships
  • Postpartum depression
  • Post-traumatic stress
  • Pregnancy and childbirth
  • Prejudice and discrimination
  • Process addiction (porn, exercise, gambling)
  • Seasonal Affective Disorder (SAD)
  • Self-harm
  • Self-love
  • Sex addiction
  • Sexual assault and abuse
  • Sexuality
  • Social anxiety and phobia
  • Somatization
  • Women's issues
  • Young adult issues

02 · In Sarah's own words

What Sarah says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a licensed clinical social worker with over 30 years of experience in the Behavioral Health field. Over the years I have worked in many different settings ranging from Community Mental Health centers to private practice. I have worked with a wide variety of client populations and issues including depression, anxiety, relationship problems, codependency, addictions, abuse/trauma, anger management, stress management and many others. I am trained in best practice models including CBT, DBT, Motivational Interviewing and Wellness Management and Recovery to name a few. However, no matter how well trained and experienced I am, it means nothing if I am unable to empathically connect with my clients. This begins by recognizing and honoring the courage it takes to enter therapy and "bare your soul" to a complete stranger. I am naturally empathic and genuinely interested in others which I use to foster an environment in which my clients feel safe, understood and accepted. As a therapist I adhere to certain guiding principles such as the following: Each client is doing the best they know how. The problem is not that there is something wrong with them - it is that they simply are not aware of more effective ways to navigate life's issues or they lack the skills needed to do so; What is effective for one person, is not necessarily effective for another; Each person's solution lies within them and it is my responsibility to help them find it; and none of us received a "How to live life" handbook - Life is hard and messy and this means that none of us have all the answers including me! And so I view therapy in many ways as a collaborative process in which we work together to find the best ways forward. I don't see myself so much as an "expert", but rather as a guide imbued with knowledge and skills that can help a client find their own path to healing, health and recovery.

Sarah Roe, on the BetterHelp listing · read 9 Oct 2026

03 · How Sarah works

The 11 approaches Sarah lists, in plain English

These are the clinical methods Sarah lists. The descriptions are Maker Therapy's, not Sarah's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Sarah runs a session.

Acceptance and Commitment TherapyACT
Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.
Attachment-Based Therapy
Reads present-day relationship difficulty through the lens of how safety and closeness were learned early on. The therapeutic relationship itself is treated as part of the work, because it is where the pattern tends to show up first.
Client-Centred TherapyPerson-centred · Rogerian
The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.
Cognitive Behavioural TherapyCBT
Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.
Dialectical Behaviour TherapyDBT
A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.
Mindfulness-Based TherapyMBCT
Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.
Motivational InterviewingMI
A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.
Narrative Therapy
Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.
Psychodynamic Therapy
Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.
Solution-Focused Brief TherapySFBT
Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.
Trauma-Focused TherapyTF-CBT · trauma-informed
CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Sarah practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Sarah's own practice, and not a promise about how quickly anything happens.

  1. A questionnaire, not a booking form

    BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Sarah at this point.

  2. Naming Sarah specifically

    BetterHelp matches algorithmically by default, so asking for Sarah is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Sarah.

  3. If the caseload is full

    You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

  4. The first conversation

    A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

  5. If the fit is wrong

    Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Sarah

Built from what Sarah actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Sarah's - Sarah has not seen them and is under no obligation to answer any of them.

  • “You list both Cognitive Behavioural Therapy and Attachment-Based Therapy. Which do you lean on with someone like me?”

    Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

  • “How do you decide when someone is ready to work on a traumatic memory itself?”

    Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

  • “With 34 years in, what has changed most in how you work?”

    Long experience is only an advantage if it has been examined. This tends to surface whether it has.

  • “How do you handle the gap between sessions if something comes up?”

    On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential
LCSW
Licensed in
North Carolina
Licence
NC LCSW C003486
Licence number
C003486
Licence expires
26 Jul 2027
NPI
1245242668
Years in practice
34
Gender
Female
Languages
English
International clients
Not accepted
Listed since
15 May 2026

07 · Provenance

Where every line on this page came from

Sarah's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Sarah. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

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