- Person-centered approach
- Attachment patterns
- Addiction support
About Dustin
Dustin Roche is a Licensed Clinical Social Worker (LCSW) in North Carolina with four years of clinical experience. He works with adults facing depression, anxiety, stress, trauma, addiction, and relationship challenges. He helps people who are carrying guilt and shame or who feel isolated and uncertain about the next step.
Dustin uses a person-centered approach combined with evidence-based therapeutic techniques. Sessions focus on practical steps and clear conversation about what matters to the client. He pays attention to attachment patterns, codependency, and how past hurts like abandonment or abuse continue to affect daily life. When guilt and shame are the main concern, Dustin helps clients unpack what those feelings mean and how they influence behavior and relationships. He frames work in concrete terms - identifying patterns, testing small changes, and tracking what helps. Dustin aims to respect each person's worldview, whether faith-informed or secular. He works with people who prefer straightforward conversation about goals, values, and practical coping. For prospective clients, he asks that they confirm current session options before booking.
Evidence-based methods for guilt, shame, and trauma online
He integrates person-centered work with evidence-based techniques, focusing on clear, practical steps clients can try between sessions. Person-centered work emphasizes the client’s perspective and values, helping to make sense of feelings like guilt and shame and deciding what matters most to change.He also draws on established therapeutic techniques that target symptoms and patterns. Those approaches help with anxiety, depression, addiction, and trauma by teaching specific skills for managing intense emotions, addressing unhelpful thinking, and changing behaviors that keep problems going.
Finding the right mix of methods is part of the work together. The therapist will help the client and therapist decide which techniques fit the client’s needs, goals, and preferences. That collaborative planning can shift over time as progress and challenges become clearer.
Session format details were not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy life - shorter check-ins can work around a lunch break, and audio-only sessions use less bandwidth when needed. Licensed professionals often use online work to reduce travel time and make regular meetings more practical.
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of problems does he help with?
Dustin works with depression, anxiety, stress, trauma, addiction, and relationship difficulties. He also addresses related issues such as guilt and shame, isolation, and attachment concerns.
How does he approach guilt and shame in sessions?
He uses a person-centered stance alongside evidence-based techniques to talk through how guilt and shame affect thoughts and behavior. Work often focuses on identifying patterns and testing small changes.
How much clinical experience does he have?
He has four years of experience as a practicing clinician. That work has included helping people with trauma, addiction, and relationship stress.
What are his credentials and where does he practice?
He is an LCSW, which stands for Licensed Clinical Social Worker, with licensure in North Carolina. He practices in that state.
Does he work in other languages or with international clients?
Sessions are offered in English. He is not currently accepting international clients.
What session formats are available?
The original biography does not list specific session formats. Please confirm current session options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing depends on the chosen plan and location.
How do I begin working with him?
Begin by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.