Sarah Roe , LCSW

Sarah Roe is a licensed clinical social worker (LCSW) with over 30 years of experience in the behavioral health field. She has practiced across a range of settings, from community mental health centers to private practice, bringing wide experience with diverse client populations and complex concerns. Her work has included support for depression, anxiety, relationship struggles, codependency, addictions, abuse and trauma, anger management, and stress management among other issues.

Sarah is trained in widely used, evidence-informed models such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, and Wellness Management and Recovery. Those trainings inform her skill set, but she emphasizes that technical knowledge matters only when coupled with an empathic connection to the person in front of her. She values the courage it takes to begin therapy and works to create an environment where people feel understood and accepted.

Her practice is guided by clear principles: each client is doing the best they know how; difficulties often reflect a lack of skills or awareness rather than a personal defect; what helps one person may not help another; and solutions are often found within the client with the therapist serving as a supportive guide. Sarah approaches therapy as a collaborative process, offering knowledge and skills to help clients discover practical ways forward toward healing and recovery.

Evidence-informed approaches for online care

Sarah Roe draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy to support online clients. CBT focuses on identifying unhelpful thinking and behavior patterns and developing practical skills to shift them, which can help with anxiety, depression, and stress. DBT emphasizes emotional regulation, distress tolerance, and interpersonal effectiveness, offering concrete tools for managing intense emotions and relationship challenges.

She also incorporates Attachment-Based ideas when relevant, exploring how early relationship patterns influence current connections and helping clients build more secure ways of relating. Selecting the right approach is a collaborative process - the therapist works with each person to determine which methods best match their needs, goals, and preferences, and adapts techniques over time as those needs evolve.

Online therapy with Sarah can take place by video call, phone session, live chat, or text-based messaging, providing flexibility for varied schedules and life demands. These options make it easier to access consistent support from licensed professionals regardless of location, helping clients maintain momentum in their work while fitting therapy into daily life.