About
Rosa Howard-Poston, LMHC, LCMHC, is a licensed mental health therapist in New York and North Carolina with 25 years of experience providing therapy and broader human services to diverse communities. She works with adults and families facing a wide range of concerns, including depression, anxiety, bipolar disorder, gender dysphoria, relationship challenges, parenting stress, career transitions and goals, obsessive-compulsive disorder, and attention deficit hyperactivity disorder (ADHD). She also supports clients navigating issues such as self-esteem, grief, trauma and abuse, addiction, anger, sleep concerns, and major life changes.
Her style is down to earth, interactive, and tailored to the client in front of her. Sessions are shaped around each person’s needs and goals, with an emphasis on practical tools that can be applied in everyday life. Rosa draws from Client-Centered Therapy to keep the work grounded in the client’s values and pace, Cognitive Behavioral Therapy (CBT) to address unhelpful thought and behavior patterns, and mindfulness-based strategies to strengthen awareness and coping. She also integrates additional techniques when helpful, always aiming to offer steady guidance and actionable support.
Rosa believes everyone has a story worth hearing, and she approaches the therapeutic relationship with respect, warmth, and encouragement. She is committed to supporting and empowering clients who are ready to take the next step toward feeling more balanced and aligned with their goals.
Evidence-based approaches, adapted for online therapy
Rosa Howard-Poston draws from several well-established approaches that translate well to online work. Client-Centered Therapy emphasizes a supportive, nonjudgmental space where the client’s goals lead the process, which can be especially helpful when someone feels stuck, overwhelmed, or unsure where to begin.
Cognitive Behavioral Therapy (CBT) focuses on noticing patterns in thoughts, feelings, and behaviors and then practicing new ways of responding. It is often used to build coping skills for stress, anxiety, depression, and life transitions through practical exercises and between-session strategies.
Mindfulness Therapy helps clients develop greater awareness of what is happening in the moment, so emotions and urges feel more manageable rather than controlling. This approach can support steadier responses to stress, relationship strain, and difficult moods.
Finding the right fit is part of the work. Rosa collaborates with clients to choose methods that match their needs, goals, and preferences, adjusting the pace and tools as therapy unfolds.
Online therapy also makes it easier to stay consistent. Clients can meet through video calls or phone sessions, and they can use live chat or text-based messaging for added flexibility and ongoing support between scheduled appointments.How much experience does Rosa Howard-Poston have?
Rosa Howard-Poston has 25 years of experience providing therapy and human services.
Is Rosa Howard-Poston a licensed therapist?
Yes. Rosa Howard-Poston is licensed as an LMHC and an LCMHC. License details: NY LMHC 007965 and NC LCMHC 16015.
In which languages does Rosa Howard-Poston provide therapy?
She provides therapy in English and Spanish.
Where is Rosa Howard-Poston located?
Rosa Howard-Poston is located in North Carolina.
How can I work with Rosa Howard-Poston as my therapist?
You can work with Rosa Howard-Poston through video calls, phone sessions, live chat, or text-based messaging.
Does Rosa Howard-Poston work with international clients?
No. Rosa Howard-Poston does not currently work with international clients.
How much does therapy with Rosa Howard-Poston cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.