Sarah Maddox, LCSW
- 35 years clinical experience
- Warm nonjudgmental approach
- Optional Christian counseling
About Sarah Maddox
Her work is grounded in a welcoming, nonjudgmental space where clients can speak openly and explore thoughts and emotions at their own pace. Sarah prioritizes collaboration and respect, helping clients feel heard while identifying patterns that may be keeping them stuck and clarifying what they want to change.
Alongside evidence-informed therapy, she can also provide spiritual counseling for those who want it, with an option to incorporate Christian perspectives. Spiritual support is included only when it fits the client’s beliefs, values, and goals, and Sarah remains attentive to what feels most helpful to the person in front of her.
Sarah’s focus is on empowering clients to recognize their strengths, build resilience, and move toward healing, growth, and a clearer sense of purpose as they work toward the life they hope to create.
Areas of Expertise
Primary Focus
Also Specializes In
Additional Focus Areas
Therapeutic Approach
Frequently Asked Questions
How much experience does Sarah Maddox have?
Sarah Maddox has 35 years of professional experience.
Is Sarah Maddox a licensed therapist?
Yes. Sarah Maddox is licensed as an LCSW (Licensed Clinical Social Worker). Her North Carolina license is NC LCSW C004770.
In which languages does Sarah Maddox provide therapy?
Sarah Maddox provides therapy in English.
Where is Sarah Maddox located?
Sarah Maddox is located in North Carolina.
How can I work with Sarah Maddox as my therapist?
You can work with Sarah Maddox through video calls, phone sessions, live chat, or text-based messaging. This allows you to choose the format that best fits your comfort level, schedule, and communication style.
Does Sarah Maddox work with international clients?
No. Sarah Maddox does not currently work with international clients.
How much does therapy with Sarah Maddox cost?
The cost of therapy can vary depending on factors such as your location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the “Start Therapy” button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the “Start Therapy” button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Practical Approaches, Real Support - Online
Sarah Maddox draws from well-established therapy approaches to help clients work through anxiety, stress, relationship concerns, and the impact of difficult experiences.With Cognitive Behavioral Therapy (CBT), clients learn to notice unhelpful thought patterns and build more effective ways of responding to stressors. This approach is often useful when anxiety, low mood, or self-critical thinking is getting in the way of daily life.
Dialectical Behavior Therapy (DBT) adds concrete skills for managing intense emotions, tolerating distress, and improving communication. It can be especially helpful for people who feel overwhelmed easily or want better tools for staying grounded during conflict or high-pressure moments.
Attachment-Based Therapy focuses on how early and ongoing relationships shape current needs, boundaries, and connection. It can support clients who feel stuck in recurring relationship dynamics or who want to strengthen trust and closeness.
Finding the right approach is part of the process. Sarah works collaboratively with clients to understand goals, preferences, and what has or has not helped in the past, then tailors the work accordingly.
Online therapy also makes support more accessible. Sessions can happen through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules and different communication styles.