Rosa Howard-Poston, LMHC, LCMHC

Rosa Howard-Poston is a licensed mental health counselor who helps people coping with stress, anxiety, depression, addictions, and relationship concerns. She also supports those facing grief, parenting strain, career changes, ADHD, and issues around intimacy and self-esteem. Rosa communicates in English and Spanish and practices from North Carolina. Rosa brings 25 years of experience in human services and therapy. She keeps sessions direct and practical. Clients can expect an interactive style where goals and tools are agreed on together. She focuses on skills that can be used between sessions. Her work often draws on Cognitive Behavioral Therapy, which looks at how thoughts influence feelings and behavior. She also uses a client-centered approach that prioritizes each person’s perspective and emotional experience. Mindfulness techniques are included to help with stress, sleeping problems, and emotional regulation. Rosa addresses complex life events such as trauma, family of origin concerns, divorce, domestic violence, and addiction. She helps people untangle patterns like codependency, control issues, abandonment fears, and communication problems. Sessions aim to make those patterns easier to recognize and change. People who choose Rosa generally plan practical steps toward their goals. She offers coaching-style guidance alongside traditional therapy work. The focus is on helping clients build coping skills, improve relationships, and manage mood and behavior in day-to-day life.

Approaches for online change and coping

Rosa often draws on Cognitive Behavioral Therapy to help people notice unhelpful thoughts and try new behaviors. CBT is useful for anxiety, depression, sleep problems, and many daily challenges because it focuses on practical steps and experiments. She also uses a client-centered approach that emphasizes listening, empathy, and the client’s own goals to guide the work. That approach helps people feel heard and choose directions that fit their life.

Emotionally-Focused Therapy is another tool she may use to address relationship patterns and strong emotional experiences. EFT helps identify recurring emotional cycles and create different ways of responding, which can reduce conflict and increase emotional connection. Rosa treats finding the right mix of approaches as a collaborative process; she will discuss options and tailor methods to each person’s needs, goals, and preferences during early sessions.

Online therapy with Rosa can take place by video call, phone, live chat, or text-based messaging, giving flexibility for different schedules and situations. Video calls allow face-to-face interaction and visual cues, phone sessions use less bandwidth and can fit a short break at work, and messaging or live chat can work for quick check-ins or when writing feels easier. These options make it simpler to maintain regular contact and keep progress moving forward without traveling to an office.