• Every great journey begins with a First Step!
  • banner

    Sara A. Shook-Rosen, MA, LCAS, CS-I, Clinical Director

    Sara Shook

    Sara started her career at First Step Services in August 2008 when she began as a master’s level intern. Sara has moved up through the ranks to Clinical Director of First Step Services, LLC. As time allows, she continues Counselor/Therapist duties. She received Bachelor’s degrees in Psychology with a concentration in Child Development, and Sociology with a concentration in Family Development from Appalachian State University in May 2005.

    Sara continued her education, and received a Master’s degree in Community Counseling with an emphasis in Addictions Counseling in December 2008. As an intern, Sara gained experience working with substance abuse at a women’s therapeutic community located in Western North Carolina. Sara is a Licensed Clinical Addiction Specialist, Licensed Professional Counselor Associate and Certified Clinical Supervisor Intern. She is registered with the National Board of Certified Counselors and is a National Certified Counselor.

    Formerly one of our Intensive Outpatient Patient Program counselors, Sara became active in assisting management early in her career. She became Associate Clinical Director and then Clinical Director of First Step Services, LLC in 2015. In addition to her management duties, Sara provides substance abuse assessments, group and individual counseling as needed. Sara incorporates a Person Centered approach as well as a Systems Theory approach to substance abuse treatment and utilizes various expressive arts techniques.

    Sara has lived in North Carolina her entire life. She was raised in Sanford, North Carolina, and lived in Boone, North Carolina for eight years before she moved to Raleigh, North Carolina.


    Choosing outpatient substance abuse treatment

    Choosing outpatient substance abuse treatment

    Congratulations! You have decided to seek information regarding counseling or education for alcohol or drug use.
    Substance use disorder – screening, referral and placement

    Substance use disorder – screening, referral and placement

    Does someone you know need treatment for alcohol or drug use?  Who do you rely on for accurate information
  • Client Experiences

    "I came to First Step understanding that it was going to be required by the court for my DWI. After the first class, I began looking forward to my Tuesday night classes. It was a place where I could come and open up about stuff in a safe environment that I wouldn’t have been able


  • Read All Testimonials