Sheet 1
- Person-centered work
- Evidence-based techniques
- Focus on relationships
About Dustin
LCSW in North Carolina with four years of clinical experience, Dustin Roche focuses on depression, anxiety, stress, trauma, addiction, and relationship concerns. He works with individuals facing issues such as isolation, shame, panic, and post-traumatic stress. His work aims to be person-centered and grounded in evidence-based therapeutic techniques.
Dustin helps people manage life transitions including divorce, midlife changes, and challenges common to young adults. He addresses workplace stress and men’s issues as part of that practical support. He talks through attachment patterns, codependency, abandonment, and infidelity, using straightforward conversation and concrete strategies.
Clients bring concerns about substance use, drug and alcohol addiction, and co-morbid mental health symptoms. Dustin also works with people coping with guilt, forgiveness, emptiness, jealousy, and control issues. He includes coping for natural or human-caused disasters when relevant to a person’s recovery.
His approach centers on the client’s perspective and values. He uses techniques that research supports and adapts them to each person’s goals. Sessions balance exploring painful experiences with practical skills to reduce symptoms and improve day-to-day functioning.
Dustin is comfortable working with people who have faith-based or secular worldviews. He aims to be direct and clear about goals and steps in therapy, helping clients build resilience and reconnect to things that matter to them.
Sheet 2
How evidence-based approaches guide online work
He describes his practice as person-centered and rooted in evidence-based techniques. Person-centered work focuses on listening to the client’s perspective and shaping goals around what matters most to them. It supports building trust and clarifying what change looks like for each person.Evidence-based techniques are practical methods supported by research. These methods can include symptom-focused strategies for anxiety and depression and structured ways to process trauma and addiction. They aim to give people tools they can use between sessions to manage panic, cravings, or overwhelming emotions.
Finding the right approach is part of the work together. The therapist will collaborate with each person to choose methods that fit their needs, goals, and preferences. That may mean trying a few strategies and adjusting the plan based on what helps most.
The biography does not specify which session formats are used. Confirm current session options before booking so you know how sessions are delivered. Online work can make it easier to fit appointments into a busy schedule, reduce travel time, and allow shorter check-ins when needed. Therapists and licensed professionals often use these practical benefits to make regular care more manageable for people with work, family, or school commitments.
Sheet 3
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
North Carolina
Languages
English
Sheet 4
Frequently asked questions
What kinds of problems does he address?
He works with stress, anxiety, depression, trauma and addiction. Additional focus areas include relationship challenges, shame, abandonment, and codependency.
What style of therapy does he use?
He uses a person-centered approach combined with evidence-based therapeutic techniques. Sessions mix discussion of experiences with practical strategies.
How much clinical experience does he have?
He has four years of experience as a practicing clinician. That experience includes work with trauma, addiction, and relationship concerns.
What are his credentials and where is he based?
He is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina. His practice is based in North Carolina.
Can I see him if I live outside the United States?
Sessions are offered in English and he is not accepting international clients at this time.
What session formats are offered?
The biography does not list specific session formats. Confirm current session options before booking to know which formats are available.
How much do sessions cost?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing depends on the chosen plan and your location.
How do I begin working with him?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That process starts the intake and scheduling steps.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.