Rosa Howard-Poston, LMHC, LCMHC

Rosa Howard-Poston is a licensed mental health counselor who helps people facing stress, anxiety, depression, addiction, and struggles with self-esteem. She brings 25 years of experience to conversations about parenting, career changes, ADHD, grief, intimacy, and relationship concerns. Rosa speaks English and Spanish and works from North Carolina.

Her style is down-to-earth and interactive. Sessions focus on what matters most to the person sitting in the room. She listens, asks straightforward questions, and offers tools people can try between meetings.

Rosa uses a mix of approaches that match each person’s goals. Cognitive Behavioral Therapy helps identify and change unhelpful thinking and behavior patterns. Client-Centered Therapy keeps the person's perspective central. Mindfulness techniques support noticing thoughts and feelings without getting swept up by them.

She also draws on Emotionally-Focused Therapy to address how partners and individuals experience strong feelings, and Motivational Interviewing when people want support making life changes. The time spent and techniques used are guided by the client’s needs and goals.

In sessions Rosa aims to teach practical skills, improve communication, and help people cope with life changes and trauma history. She encourages questions, small experiments between sessions, and steady progress rather than quick fixes.

How these approaches work in online therapy

Client-Centered Therapy focuses on hearing the person’s experience and following their lead. In practice this means the therapist reflects what is said, helps clarify priorities, and supports choices that feel right for the individual.

Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. It involves practical exercises, short experiments, and skill-building to reduce unhelpful patterns and improve day-to-day functioning.

Emotionally-Focused Therapy (EFT) attends to strong emotions and how they shape relationships and behavior. It helps people understand and shift painful emotional cycles to improve connection and self-understanding.

Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods match their needs, goals, and preferences. That means trying things, checking what helps, and adjusting the plan together.

Confirm the current session formats before booking, as formats are not specified here. Online therapy can make it easier to fit sessions into a busy life - for example by cutting travel time, allowing shorter check-ins around work breaks, or offering options that don’t require being on camera. Licensed professionals can tailor exercises and homework to suit the practical realities of each person’s day-to-day routine.