Roberto (BO) Hess, LCSW

Roberto (Bo) Hess is a licensed clinical social worker (LCSW) based in North Carolina who helps people dealing with stress, anxiety, addiction, trauma, sleep problems, anger, grief, depression, and related concerns. He also supports people facing issues with body image, codependency, isolation, first responder stress, and LGBT-related challenges. Bo writes plainly and meets people where they are when emotions feel overwhelming.

Bo describes the therapeutic relationship as a core part of the work. He aims to build trust with honesty and a touch of humor. In sessions he listens, helps name feelings, and offers practical steps so people can move out of feeling stuck. He uses straightforward tools rather than jargon-heavy explanations.

His approach draws from cognitive behavioral techniques, dialectical behavior ideas, mindfulness practices, and EMDR elements. He introduces strategies for managing strong emotions, changing unhelpful thinking patterns, and grounding when memories or flashbacks come up. Sessions often include short exercises and concrete coping skills to try between meetings.

With three years of experience as an LCSW, Bo blends problem-solving and coaching with traditional talk therapy. He encourages collaborative goal-setting so therapy stays focused on what matters most to each person. People who want practical tools alongside emotional support may find his style a helpful fit.

To start, prospective clients fill out a short matching questionnaire and schedule according to the listed availability. Bo offers sessions in English and accepts international clients, and fees vary with location and a subscription model that can be canceled at any time.

Therapeutic approaches and online sessions

CBT, or Cognitive Behavioral Therapy, focuses on identifying and changing unhelpful thoughts and behaviors. It is often used for anxiety, depression, stress, and patterns that keep problems going. DBT, or Dialectical Behavior Therapy, teaches concrete skills for handling intense emotions, improving distress tolerance, and building emotional regulation. EMDR, Eye Movement Desensitization and Reprocessing, is used to help process distressing memories and reduce their emotional impact.

Finding the right approach is collaborative. The therapist will talk with each person about goals and preferences and then suggest which methods to try. Clients and the therapist regularly check in and adjust the plan based on what helps most.

Confirm the therapist's available online session options before booking, as formats are not specified here. Online sessions can make it easier to fit therapy into a busy life, reduce travel time, and allow for shorter check-ins when that works better. They also let people use a quieter environment or avoid being on camera if that feels easier. Licensed professionals can adapt CBT, DBT, and EMDR techniques to work well over remote sessions when appropriate, helping clients practice skills and process difficult memories without needing to change daily routines.