Hi. My name is Sarah Roe and I am a licensed clinical social worker, (LCSW), based in North Carolina. I received my masters of social work degree from the University of Georgia and have been working in direct practice for over 30 years. I have a wide range of experience that I use to help adults age 18+ learn new skills and strategies and access their own strengths and resources in order to achieve their desired outcomes.
What can clients expect to take away from sessions with you?
Our first session is an opportunity to learn about what your particular concerns are and to hear your perspective on what has led up to the current situations. I will ask a lot of questions about what you are experiencing currently as well as any past similar experiences. I will also be exploring the things you have tried to resolve your concerns, what helped and what didn't help. Obtaining information on family history is important as it can provide insights into behavior patterns that may be impacting your situation. We will discuss logistical issues related to therapy such as confidentiality and cancellation policies. As we finish our session, I will provide you with feedback about what you have shared with me and give you a general outline of what I think would be the best way to proceed in therapy. This is also a good time for you to let me know if I have an accurate understanding of your concerns and desired outcomes or to ask any additional questions you have. My hope is that you will leave the first session feeling heard and hopeful about therapy.
Explain to clients what areas you feel are your biggest strengths.
Having worked with people from all walks of life with a wide variety of concerns and challenges, I have become very skilled at viewing each client with a "fresh pair of eyes"; meaning I view each person as unique and I bring a mindset of curiosity about who you are as an individual. I am particularly interested and curious about what makes people resilient. Most often people don't come to therapy thinking that they are resilient and they tend to judge themselves for struggling. I am particularly good at identifying those strengths and inner resources that you have possessed all along and that have sustained you through very challenging situations. I am empathic and I use this ability to better understand what you are experiencing as well as what interventions might work best for you. Clients have told me that I am easy to talk to and that they feel accepted and safe with me which are qualities that I, myself, have looked for in therapists when I have sought out my own therapy. I am also a believer in the healing power of laughter and, when appropriate, am known to inflect a bit of humor into the mix. Lastly, I am a seasoned clinician and have received ongoing training and supervision for many years.
About Sarah Roe
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VirtualMy treatment methods
Cognitive Behavioral (CBT)
I find CBT to be extremely versatile and applicable to such a wide range of issues and I tend to use it to some degree with every client I see. Through exploration of the relationship between our thoughts, emotions and behaviors, we are able to identify and change limiting beliefs and interpretations that are at the root of many of life's struggles.
Attachment-based
Attachment relates to how we form connections with others. Chronic relationship problems such as difficulties allowing others in or excessive anxiety related to fears of abandonment are usually related in some way to attachment wounds incurred earlier in life. Exploring attachment allows us to address the underlying attachment wounds that are at the heart of many relationship struggles.
Dialectical Behavior (DBT)
I have had extensive training and experience with the use of DBT and, similar to CBT, I find it to be extremely versatile and effective with a wide range of issues. DBT is "skills based" which means that it places much emphasis on the "how to" with regards to coping skills and strategies for managing our emotions, thoughts and behaviors. It differs from CBT in that it emphasizes the importance of acceptance and the universal need for validation. It's guiding principles are about acceptance of oneself as they are, while simultaneously acknowledging the need for change.
Mindfulness-Based Therapy
Mindfulness is about what you pay attention to and how long you pay attention to it. I use aspects of mindfulness in every therapy approach I use. It is foundational to almost every issue I've seen brought to therapy. And it is something literally everyone can do and benefit from! Whether I'm doing CBT work, trauma work or simply helping with self-improvement, I incorporate some aspect of mindfulness into the work.
Mind-body approach
Research is showing more and more that our emotional health can not be separated from our physical health. Traditional talk therapy is helpful, however, it often fails to address the role of our bodies and nervous system in the manifestation of symptoms of emotional problems. Learning strategies to address the overactivation of our fight or flight mechanism, for example, can lead to much greater resolution of many longstanding difficulties. I address this using a variety of techniques including mindfulness-based approaches, somatic exercises and activities and meditation or visualization techniques.