Therapist profile
Dustin Roche, LCSW
North Carolina
LCSW - relationships and addiction concerns
Continue with DustinWhere Dustin stands
- Credentials
- LCSW
- License
- LCSW, North Carolina / C019098
- NPI
- 1245984012
- Experience
- 4 years
- Languages
- English
- Location
- North Carolina
About
- Person-centered care
- Evidence-based methods
- Codependency focus
About Dustin
Dustin Roche is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with four years of experience. He works with adults facing depression, anxiety, stress, trauma, addiction, and relationship difficulties. He commonly helps people dealing with isolation, guilt and shame, and struggles around codependency and attachment.
Dustin uses person-centered care and evidence-based therapeutic techniques. Sessions focus on clear, practical steps people can try between meetings. He listens for how past losses, abandonment, or patterns of people-pleasing show up in daily life and in relationships.
Many clients bring problems tied to transitions. Dustin supports people managing divorce, midlife shifts, and the move into adulthood. He also addresses workplace stress and challenges that commonly affect men without assuming the same path fits everyone.
He will talk through how past events like sexual assault, betrayal, or long-term substance use shape emotions and behavior now. Conversations often include identifying unhelpful patterns, learning boundary-setting skills, and practicing ways to reduce panic or intense shame.
Dustin respects clients who bring faith-based perspectives as well as those who prefer a secular approach. He helps people notice what matters to them, test new ways of relating, and take small steps that make daily life feel more manageable.
How sessions work
How evidence-based methods guide online sessions
Many of Dustin's approaches draw on evidence-based techniques that focus on present problems and skills practice. One common method helps people recognize and change thinking patterns that feed anxiety and low mood by testing beliefs and trying new behaviors. Another method concentrates on attachment and relational patterns, helping people spot repeated responses to abandonment or codependency and experiment with different ways of asking for needs to be met.Finding the right approach is collaborative. Dustin will work with the client to choose methods that match their goals and preferences. That process can include trying a skill-driven technique for a few sessions and then shifting if something else fits better.
The biography does not list specific session formats, so confirm the available options before booking. Online work can make it easier to fit sessions into a busy week, shorten check-ins when time is limited, or avoid travel. It can also let people use sessions for focused skills practice, processing difficult events, or planning boundary changes while keeping therapy practical and tied to everyday life.
Areas of focus
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
North Carolina
Languages
English
Questions
Frequently asked questions
What kinds of concerns does he work with?
Dustin works with depression, anxiety, stress, trauma, addiction, and relationship difficulties. He also helps with issues like abandonment, attachment, codependency, shame, and isolation.
How would you describe his therapeutic style?
He uses a person-centered approach combined with evidence-based techniques. Sessions emphasize practical steps and exploring how past patterns affect current relationships.
How much clinical experience does he have?
He has four years of practice as a clinician in North Carolina working with adults on mood, trauma, and addiction-related concerns.
What credential and location does he hold?
Dustin is an LCSW licensed in North Carolina and provides services from that state.
Does he offer sessions in other languages or to international clients?
Sessions are offered in English. He does not accept international clients at this time.
What session formats are available?
The original biography does not list specific session formats. Please confirm current session options before booking.
How does payment and cost work?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing depends on your situation.
How do I begin working with him?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.