- Stress and anxiety
- Addiction support
- Attachment issues
About Dustin
Dustin Roche is an LCSW - Licensed Clinical Social Worker in North Carolina with four years of experience. He works with people dealing with depression, anxiety, stress, trauma, addiction, and relationship challenges. Dustin also lists life purpose among his areas of focus and helps clients who feel stuck after big changes.
Dustin uses a person-centered stance and evidence-based therapeutic techniques in his work. He talks with clients about isolation, self-worth, guilt and shame, panic, and post-traumatic stress. He also supports people navigating divorce, midlife transitions, young adult challenges, and workplace stress.
He often addresses attachment patterns, abandonment, codependency, infidelity, and commitment or control issues. Conversations may include how past relationships affect current choices, and practical steps to reduce harmful coping like drug and alcohol use. Dustin names forgiveness and rebuilding trust as topics he will discuss when they come up.
Dustin welcomes people from faith-based and secular backgrounds and aims to respect each person's worldview. Sessions focus on understanding what matters to the client and working toward clearer next steps. He describes the process as collaborative and direct, with attention to real-life problems and daily routines.
To begin, clients complete a short matching questionnaire and schedule a first session. Payment varies with location and uses a subscription that can be canceled at any time.
How evidence-based techniques work in remote sessions
Many of his core methods are evidence-based therapeutic techniques that focus on present problems and clear steps forward. One approach involves skills-based work to manage anxiety and panic, teaching breathing and grounding strategies and behavioral practices to reduce avoidance. Another approach looks at attachment and relationship patterns, helping people notice how early bonds influence current trust, jealousy, and commitment struggles.Choosing the right approach is part of the work together. He will discuss different methods and decide with each client which fits their goals, needs, and preferences. That process is collaborative and may change as a client's priorities shift.
Confirm current session options before booking, as the biography does not list formats. In general, online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when time is limited, and reduce travel time. They can also let people use audio-only conversations when bandwidth is low or opt for video when visual connection is helpful. Ask about the available session formats when you complete the matching questionnaire so you can choose what suits your routine.
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 address?
He works with depression, anxiety, stress, trauma, addiction, and relationship difficulties, plus related concerns like guilt, shame, isolation, and emptiness.
How would he approach feeling stuck or directionless?
His approach is person-centered and based on evidence-based techniques. He focuses on practical steps and conversations about values and life purpose.
How many years has he been practicing?
He has four years of professional experience as an LCSW working with these concerns.
What credential does he hold and where is he located?
He is an LCSW licensed in North Carolina and practices from that state.
Does he offer sessions in other languages?
Sessions are offered in English.
Can people outside the US work with him?
International clients are not currently accepted; sessions are arranged for clients within his practice region.
How does payment work?
Cost varies with location and services. Sessions use a subscription model that can be canceled at any time.
What are the first steps to begin?
Select the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.