About Rosa
Rosa Howard-Poston offers help for a wide range of concerns, including stress, anxiety, depression, addictions, low self-esteem, relationship and intimacy issues, grief, and sleep problems. She also supports people facing parenting strain, career changes, ADHD, compassion fatigue, and trauma and abuse. Rosa practices in North Carolina and speaks English and Spanish.
Rosa brings 25 years of experience as a licensed mental health counselor. She holds LMHC and LCMHC credentials and has worked with diverse communities.
Background and approach
Her approach is practical and down-to-earth. Sessions focus on real problems and simple tools that fit daily life. In sessions she listens first, then helps clients set clear goals.
She blends client-centered methods with cognitive behavioral techniques and mindfulness. That means conversations focus on current patterns, and skills practice helps change unhelpful thinking and behavior. Clients can expect an interactive style.
Rosa uses motivational interviewing to support readiness for change and emotionally-focused ideas to address relationship pain. She aims to help people build better communication, manage strong emotions, and repair attachment wounds. Work with Rosa is collaborative and goal oriented.
She helps people with practical steps for coping, better sleep, reducing substance use, and navigating separation or family problems. Her Spanish language ability can help bilingual speakers talk through sensitive issues in their preferred language.
Therapeutic approaches for online treatment and skill-building
Rosa commonly uses client-centered therapy and cognitive behavioral therapy in online work. Client-centered therapy is about listening closely and following what matters most to the person, helping them name goals and feel heard. Cognitive behavioral therapy looks at how thoughts, feelings, and behaviors link together and teaches practical exercises to change unhelpful patterns, which can help with anxiety, depression, sleep, and addictive behaviors.Finding the right approach is collaborative. Rosa will talk with the client about goals, preferences, and how they react to different ideas. Together they try methods, check what helps, and adjust the plan so it fits the client’s life and needs.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and text messaging work well for short updates, coaching-style work, and ongoing reminders between sessions. These options make therapy easier to fit around work, childcare, or travel while keeping treatment focused and practical.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Career difficulties
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Relationship issues
- Self-love
- Sex addiction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- New York, North Carolina
- Languages
- English, Spanish