- Guilt and shame
- Grief and loss
- Caregiver stress
About Roxanne
Roxanne Rose is a Licensed Clinical Social Worker (LCSW) licensed in North Dakota with 31 years of professional experience. She works with people who are dealing with stress, anxiety, relationship strain, trauma and abuse, grief, and depression. She also addresses concerns such as attachment issues, caregiver stress, communication problems, divorce and separation, forgiveness, guilt and shame, and isolation.
Roxanne structures sessions around practical conversation and goal-focused planning. She listens for what matters most and adjusts the dialogue to the issue at hand. Sessions often include mapping what brings someone distress, identifying unhelpful patterns, and trying small changes to test what helps.
Her approach is aimed at clarifying problems and building manageable steps forward. For trauma and grief she works at a pace chosen by the client, attending to immediate coping needs while addressing longer-term patterns. For anxiety and panic, she helps people break down triggers and practice responses that reduce overwhelm.
Roxanne pays attention to how relationships and attachment affect current feelings. She helps people reframe self-blame and work through guilt and shame alongside the practical demands of caregiving or separation. She speaks plainly and keeps plans concrete so people can try new ways of handling hard moments.
Her practice is shaped by decades of clinical work across many settings. People considering a first session will complete a short matching questionnaire and then schedule a first appointment to discuss goals and next steps.
How evidence-based methods are used in online sessions
Roxanne works from evidence-based therapeutic techniques that focus on practical change. One common approach helps people break down anxiety and panic into smaller parts - what triggers a reaction, how the body responds, and which coping steps reduce intensity. This approach is useful for panic attacks, social anxiety, and worry that gets in the way of daily life.Another frequent method looks at trauma and grief by first stabilizing current coping, then addressing painful memories or losses at a pace the client can manage. This helps people develop safer ways of handling reminders and build skills for everyday functioning after trauma or loss.
Choosing an approach is collaborative. The therapist and client review what is happening, set short-term goals, and try methods that match the person’s needs and preferences. Plans are adjusted as progress and challenges become clearer.
The original biography does not list which session formats are offered. Confirm the available online session options before booking. Online sessions can make it easier to fit therapy into a workday, allow a quick check-in when stress spikes, or remove travel time for caregivers. Licensed professionals offering online work often use the format that best fits a client’s schedule and energy level, and Roxanne will discuss practical options when you arrange a first appointment.
Areas of expertise
Primary focus
Additional focus areas
Experience
31+ years
Listed in
North Dakota
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, relationship difficulties, trauma and abuse, grief, and depression. Additional focuses include guilt and shame, attachment issues, caregiver stress, and communication problems.
How does she approach feelings of guilt or shame?
She uses practical conversation to name the feeling and trace where it comes from. Then she helps people test small changes and rethink self-blame in everyday situations.
What is her background and experience?
She has 31 years of professional work experience in clinical settings. That experience has included work with trauma, grief, mood disorders, and relationship stress.
What credential does she hold and where is she based?
She is an LCSW licensed in North Dakota. Her practice is listed as operating in North Dakota.
Does she work with non-U.S. clients or other languages?
Sessions are offered in English and she accepts international clients.
Which session formats are offered?
The original biography does not specify session formats. Confirm current session options before booking so you know whether video or phone sessions are possible.
How are sessions paid for and billed?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin if I want to work together?
Select the See online therapy options button, complete a short matching questionnaire, and then schedule a first session to discuss goals and next steps.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.