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Rosa Howard-Poston

Rosa Howard-Poston, LMHC, LCMHC

Therapist in North Carolina

Compassionate practical therapy for everyday struggles

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  • Down to earth
  • Bilingual English Spanish
  • Practical tools

About Rosa

Rosa Howard-Poston is a licensed mental health counselor with 25 years of experience helping people manage stress, anxiety, depression, addictions, and relationship challenges. She speaks English and Spanish and practices in North Carolina. Her work also addresses issues like ADHD, grief, intimacy struggles, parenting strain, and career transitions. Jealousy is one of the relationship concerns she lists among her focus areas.

Her style is down to earth and interactive. Sessions are conversational and practical. She listens first, then helps create simple goals and steps to reach them.

Rosa draws from client-centered methods to keep the work focused on each person’s needs. She uses cognitive behavioral techniques to identify unhelpful thoughts and test new behaviors. Emotionally-focused ideas help people notice and name difficult feelings.

Mindfulness and motivational interviewing are tools she brings in to support change and enhance self-awareness. The time spent in sessions follows the pace set by the client and their goals.

Her background includes long-term work in human services and community settings. That experience shaped a practical approach to therapy that aims to give usable tools. She encourages people to take small steps toward clearer thinking and better coping.

How her approaches shape online therapy

Client-centered therapy focuses on listening and making the work fit each person. It helps when someone needs a therapist who follows their lead and builds goals from what matters most to them.

Cognitive behavioral therapy looks at thoughts and behaviors that keep problems going and teaches practical skills to change them. It can be useful for anxiety, depression, stress, and unwanted patterns like compulsions or unhelpful reactions.

Emotionally-focused ideas help people notice and name their feelings and the patterns that affect relationships. This can be helpful for intimacy issues, jealousy, communication problems, and attachment concerns.

Finding the right approach is part of the process. The therapist will work collaboratively to decide which methods fit a person’s goals, needs, and comfort level. That choice can change as work progresses, and adjustments are normal.

Session formats are not listed in the original biography, so confirm current session options before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, allow shorter check-ins, and offer choices about whether to be on camera. Licensed professionals can use these features to help therapy fit everyday life without changing the work itself.

Areas of expertise

Primary focus

Also works with

LGBTRelationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityBlended family issuesCodependencyCommitment issuesCommunication problemsControl issuesDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameHoardingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMoney and financial issuesMood disordersMulticultural concernsNarcissismPanic disorder and panic attacksPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPrejudice and discriminationSelf-loveSex addictionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Credentials

New York, North Carolina

Languages

English, Spanish

Frequently asked questions

What kinds of concerns does Rosa address?

She works with stress, anxiety, depression, addictions, relationship and intimacy issues, grief, parenting strain, ADHD, bipolar mood concerns, and related areas such as codependency and attachment problems.

How would you describe her therapeutic style?

Her style is down to earth and interactive. Sessions are conversational, goal-focused, and aimed at providing practical tools.

What is her clinical background?

She has 25 years of experience in therapy and human services, working with diverse communities and a wide range of mental health and life concerns.

What credentials and location are listed?

She holds LMHC and LCMHC credentials and practices in North Carolina with licensure noted for New York LMHC and North Carolina LCMHC.

Which languages are sessions offered in?

Sessions are offered in English and Spanish.

Are international clients accepted?

International clients are not currently accepted.

How are sessions paid for and what does cost look like?

Cost varies with location and therapist availability; sessions are provided through a subscription that can be canceled at any time.

How do I begin working with her?

Choose the continue button on this profile, complete a short matching questionnaire, and then schedule according to therapist availability.

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