I am a licensed therapist in North Carolina with over 35 years of professional experience. I have extensive experience supporting clients through stress and anxiety, relationship challenges, trauma and abuse, and concerns related to motivation, self-esteem, and confidence.
In addition to traditional therapeutic approaches, I also offer spiritual counseling, with a particular focus on Christian perspectives for those who desire it. I respect each client’s individual beliefs and integrate spiritual support only when it aligns with their values and goals.
My approach centers on creating a safe, open, and nonjudgmental environment where you can explore your thoughts and emotions freely. It takes courage to seek a more fulfilling and joyful life, and I deeply honor that step. My role is to support and empower you as you move toward healing, growth, and a stronger sense of purpose.
Together, we’ll work to uncover your strengths, build resilience, and help you move toward the life you envision.
Additional areas of focus:Addictions, LGBT, Family conflicts, Intimacy-related issues, Coping with life changes, Coaching, Abandonment, Aging and geriatric issues, Attachment issues, Blended family issues, Cancer, Caregiver issues and stress, Codependency, Communication problems, Coping with natural or human-caused disaster, Divorce and separation, Emptiness, Family of origin issues, Family problems, Fatherhood issues, Fertility issues, First responder issues, Forgiveness, Guilt and shame, HIV / AIDS, Hospice and end-of-life counseling, Immigration issues, Impulsivity, Infidelity, Isolation / loneliness, Life purpose, Midlife crisis, Mood disorders, Multicultural concerns, Panic disorder and panic attacks, Phobias, Polyamory / non-monogamous relationships, Postpartum depression, Post-traumatic stress, Prejudice and discrimination, Seasonal Affective Disorder (SAD), Self-love, Sexual assault and abuse, Sexuality, Social anxiety and phobia, Women's issues, Workplace issues
These quotes represent just a few of the many positive reviews that we have received for Sarah Maddox. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Sarah is someone I genuinely look forward to talk to. I feel understood. I feel heard. I feel appreciated. I feel less alone. I feel challenged in ways that make me reflect inwardly. She’s so supportive and sweet and feels like someone I’ve known my whole life. She’s wonderful and I enjoy every conversation we have. She’s so patient with me. It’s awesome. I love her and therapy!
Written on Jan 29, 2026 after therapy with Sarah for 3 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, sleeping disorders, self esteem, anger management, coping with life changes, coaching, and adhd
Perfect Therapist
Written on Jan 25, 2026 after therapy with Sarah for 1 year and 3 months on issues concerning relationship issues, family conflicts, trauma and abuse, intimacy-related issues, eating disorders, anger management, and bipolar disorder
Sarah is an excellent therapist. She is calm, understanding, and empathetic while, at the same time, very helpful with the comments she makes. It helps that she is so experienced. I am confident in her ability to work with me on my issues and would highly recommend her to others seeking a positive, helpful and considerate therapist.
Written on Dec 15, 2025 after therapy with Sarah for 6 months on issues concerning sleeping disorders, self esteem, and coping with life changes
Great experience with Sarah.
Written on Dec 14, 2025 after therapy with Sarah for 2 weeks on issues concerning lgbt, relationship issues, family conflicts, and trauma and abuse
I appreciate her availability and kindness in helping me with my concerns. She has empathy and compassion for her clients.
Written on Nov 26, 2025 after therapy with Sarah for 3 months on issues concerning stress, anxiety, family conflicts, self esteem, coping with life changes, and adhd
Very prompt and highly relatable
Written on Nov 24, 2025 after therapy with Sarah for 2 months on issues concerning depression, addictions, relationship issues, trauma and abuse, parenting issues, and adhd
Sarah is a wonderful therapist! She’s not only knowledgeable and unbiased, but she gives you those real life examples to relate to. She meets you where you need AND want to be met. I really could’ve have asked for better. Thank you Sarah!
Written on Oct 22, 2025 after therapy with Sarah for 1 month on issues concerning depression, stress, anxiety, relationship issues, and coping with life changes
Sarah is very insightful and is very easy to talk with.
Written on Oct 13, 2025 after therapy with Sarah for 2 weeks on issues concerning depression, stress, anxiety, grief, coping with life changes, and compassion fatigue
Sarah is very skilled at relating to someone of a different faith and background. I'm very happy to be working with her!
Written on Aug 30, 2025 after therapy with Sarah for 3 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, career difficulties, and bipolar disorder
Sarah is a blessing. She listens and participates. She encourages and cares.
Written on Aug 11, 2025 after therapy with Sarah for 3 weeks on issues concerning depression, stress, anxiety, grief, intimacy-related issues, sleeping disorders, coping with life changes, and compassion fatigue
Sarah Maddox is an excellent therapist, and extremely easy to talk to, and that says a lot because I don’t like talking about my feelings to anyone. I would highly recommend her. It’s immediately like talking to an old friend you haven’t seen in ages.
Written on Jul 28, 2025 after therapy with Sarah for 3 months on issues concerning stress, anxiety, addictions, relationship issues, family conflicts, and anger management
She is thoughtful and quick
Written on Jul 08, 2025 after therapy with Sarah for 6 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, and trauma and abuse
In a matter of a few sessions with Sarah, I was able to find clarity and resolve some issues that I was struggling with. Sarah is a good listener and offers positive reinforcement. At times, I felt like I was conversing with a friend. She is warm and empathetic. I would recommend Sarah.
Written on Jul 07, 2025 after therapy with Sarah for 1 month on issues concerning depression, stress, anxiety, relationship issues, family conflicts, grief, intimacy-related issues, and coping with life changes
Sahar is a very supportive and amazing listener.
Written on May 30, 2025 after therapy with Sarah for 2 months on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, and self esteem
Sarah has been extremely insightful and supportive during a stressful decision-making time in my life. She has offered insights that I could not have come to on my own, and is direct and gentle in introducing them. Her experience makes the difference!
Written on May 06, 2025 after therapy with Sarah for 2 weeks on issues concerning depression, lgbt, relationship issues, intimacy-related issues, eating disorders, self esteem, and coping with life changes
I highly recommend Sarah. I was and still am navigating a transition in my life and Sarah was not only quick with responding during times I was having melt downs, but also great at talking me through them and helping me realize my self worth again and identifying my traumas. She’s worth the investment for sure!!! She doesn’t judge, great listener, and roots for your happiness!!!
Written on Apr 10, 2025 after therapy with Sarah for 5 months on issues concerning stress, anxiety, relationship issues, intimacy-related issues, and self esteem
Experienced and professional therapist with a proactive and adaptable approach.
Written on Apr 04, 2025 after therapy with Sarah for 2 weeks on issues concerning depression, stress, anxiety, self esteem, career difficulties, and adhd
Sarah is amazing!!!
Written on Feb 28, 2025 after therapy with Sarah for 2 weeks on issues concerning stress, anxiety, family conflicts, trauma and abuse, eating disorders, and self esteem
Sarah is amazing. She is always available and listens to my concerns and the things that are most important to me. She is very proactive and checks in with me often
Written on Dec 12, 2024 after therapy with Sarah for 2 months on issues concerning depression, stress, anxiety, relationship issues, career difficulties, and coaching
Sarah is great, she is understanding and always listening to what I say and helps me understand my thoughts. She gives me options on what I can do.
Written on Dec 06, 2024 after therapy with Sarah for 2 months on issues concerning stress, anxiety, relationship issues, and family conflicts
Sarah is absolutely amazing! She listens and helps me understand things. She gives me a better way to look at situations and is helping me become a better person!
Written on Nov 01, 2024 after therapy with Sarah for 2 weeks on issues concerning stress, anxiety, relationship issues, family conflicts, self esteem, anger management, career difficulties, and coping with life changes
I’m only a few weeks into my sessions with Sarah but in these few weeks I’ve never felt more heard. She’s extremely intelligent and supportive in sessions and is open and honest with you. She’s always available to listen when I have a journal entry, but not only is she available, she provides insight and care. I don’t think I’d be where I am in my progress without Sarahs support.
Written on Sep 07, 2024 after therapy with Sarah for 2 weeks on issues concerning addictions, relationship issues, family conflicts, trauma and abuse, anger management, and adhd
Sarah is a genuine person and really cares in a way that actually helps.
Written on Sep 02, 2024 after therapy with Sarah for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, coping with life changes, coaching, and compassion fatigue
Amazing
Written on Aug 03, 2024 after therapy with Sarah for 2 weeks on issues concerning depression, stress, anxiety, addictions, family conflicts, trauma and abuse, sleeping disorders, self esteem, career difficulties, coping with life changes, coaching, and compassion fatigue
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