Roach works with lens-based media and material deconstruction, utilizing an interplay of film, photography, and collage. Their work examines the liminal spaces between bodily desire, psychological wounds, and trauma by challenging narratives of the body, sexuality, gender performativity, power dynamics, and fetishism. Through carefully layered and intentionally abrasive visual syntax, Roach engages with theories of transgression, jouissance, and psychological experience, resulting in temporal simultaneity, where all moments coexist in an infinite present. The resulting pieces confront viewers with something both familiar and unsettling, pushing them to examine how they process meaning and trauma through their own lived experiences.