CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

SM Portrait of Sarah Maddox

Sarah Maddox

Experienced LCSW guiding practical emotional growth

LCSW North Carolina

Experience
35 years in practice
Focus areas
Stress, Anxiety, Relationship, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages
English
Continue with Sarah

About Sarah

Sarah Maddox is a licensed clinical social worker (LCSW) practicing in North Carolina with 35 years of experience. She works with people facing stress, anxiety, depression, relationship conflict, trauma and abuse, issues with self-esteem, and struggles related to motivation and addictions.

Background and approach

Her practice also addresses a wide range of interpersonal and life-change concerns, including intimacy and family problems, codependency, communication difficulties, and caregiver or illness-related stress. Her style blends evidence-based tools such as cognitive behavioral therapy (CBT) with attachment-informed and client-centered methods, plus elements drawn from dialectical behavior therapy and motivational interviewing.

Sarah honors each person’s background and values, and when clients request it she can incorporate spiritual or Christian perspectives into sessions as a supportive option. Sessions emphasize a respectful, nonjudgmental space where strengths are identified, coping skills are practiced, and practical steps toward goals are developed.

Sarah offers multiple ways to connect, including video calls, phone sessions, live chat, and text-based messaging, and she helps clients find approaches that fit their needs and preferences. Appointments use a cancellable subscription model and availability is set by therapist scheduling.

Practical therapeutic approaches for online care

Sarah commonly uses cognitive behavioral therapy to help clients identify unhelpful thinking patterns and develop concrete skills for managing anxiety, depression, and stress. Attachment-based work explores relationship patterns and emotional needs to improve connection and safety in close relationships, which can be useful for communication and intimacy concerns.

Finding the right approach is a collaborative process. The therapist partners with each person to weigh goals, preferences, and life context, and adapts methods over time so the work fits the individual's needs rather than following a rigid plan.

Online formats include video calls, phone sessions, live chat, and text-based messaging to increase flexibility for people balancing work, caregiving, or health limitations. These options make it easier to maintain consistency, practice skills between meetings, and access support from home while working with a licensed professional in North Carolina.

Frequently asked questions

What kinds of concerns does she address?
She works with stress, anxiety, depression, relationship and intimacy issues, trauma and abuse, self-esteem and motivation struggles, addictions, LGBT concerns, and a range of family and life-change topics.
What is her therapeutic style?
Her practice blends client-centered listening with evidence-informed techniques, using CBT, attachment-based ideas, DBT skills, and motivational interviewing to build coping strategies and practical change.
How much clinical experience does she have?
She brings 35 years of professional experience as a licensed clinician to her psychotherapy practice in North Carolina.
What are her credentials and where is she located?
She is an LCSW licensed in North Carolina with license number NC LCSW C004770 and practices with that credential in the state.
Does she offer services in other languages or accept international clients?
Sessions are offered in English only, and she is not currently accepting international clients.
Which session formats are available?
Clients may meet via video calls, phone sessions, live chat, or text-based messaging depending on preference and availability.
How does billing and cost work?
Cost varies with location and therapist availability; sessions operate through a subscription model that can be canceled at any time.
What is the process to begin therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemDepression

Also works with

AddictionsLGBTFamily conflictsIntimacy-related issuesCoping with life changesCoaching

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesBlended family issuesCancerCaregiver issues and stressCodependencyCommunication problemsCoping with natural or human-caused disasterDivorce and separationEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGuilt and shameHIV / AIDSHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIsolation / lonelinessLife purposeMidlife crisisMood disordersMulticultural concernsPanic disorder and panic attacksPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Motivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

35+ years

Licensed

North Carolina

Languages

English