About Debbie

Debbie Esque is a Licensed Clinical Mental Health Counselor with two decades of practice. She focuses on clear, practical help for people facing stress, anxiety, depression, mood concerns, and life transitions. Her style is caring and direct, aimed at helping clients make changes that matter in daily life.

She uses Cognitive Behavioral Therapy as a core method, working with clients to identify unhelpful thinking and try different behaviors. Sessions emphasize straightforward feedback and skills that can be used between meetings.

Background and approach

Debbie aims to build a strong working relationship first, so goals are clear and realistic. Her experience spans many challenges including ADHD, trauma and abuse, grief, parenting concerns, relationship and intimacy issues, and career stress. She also supports people navigating adoption and foster care matters, autism-related challenges, blended family questions, and end-of-life concerns.

Debbie draws on a long clinical background to tailor practical steps to each person’s needs. Debbie keeps sessions focused and solution-minded while remaining empathetic. She listens carefully, reflects what she hears, and suggests small experiments clients can try.

The goal is to reduce distress, improve daily functioning, and increase confidence in handling problems. She practices in North Carolina as an LCMHC and offers a variety of online formats. Getting started involves a short matching questionnaire and scheduling a session that fits the client's timing.

CBT-based Online Care and Flexible Session Options

Debbie uses Cognitive Behavioral Therapy to help people notice patterns of thought and behavior that keep problems going. CBT focuses on identifying unhelpful thoughts, testing them, and trying new actions that can reduce anxiety, depression, and mood symptoms.

She pairs that practical method with a straightforward, conversational approach. Together the client and therapist set goals, try small experiments between sessions, and adjust strategies based on what works. Finding the right fit is a collaborative process and she will help tailor methods to each person's needs and preferences.

Online sessions are available by video calls, phone sessions, live chat, or text-based messaging to match different schedules and comfort levels. Video calls allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging can be useful for shorter check-ins, tracking progress, or fitting therapy into a busy day. These options make it easier to keep continuity of care and practice skills between meetings.

Questions people ask

What concerns does she commonly address?
She works with stress, anxiety, depression, bipolar and mood disorders, ADHD, grief, trauma and abuse, relationship and intimacy struggles, parenting and career issues.
How would you describe her therapeutic style?
Her approach is kind and sensitive while also direct when needed. She emphasizes clear goals, practical skills, and honest feedback during sessions.
What is her clinical background?
She has over 20 years of experience in mental health practice and has worked with a wide range of concerns across the lifespan.
What credentials and region are associated with her practice?
She is a Licensed Clinical Mental Health Counselor - LCMHC - practicing in North Carolina with licensure noted in NH and NC.
Which languages are offered and can international clients connect?
Sessions are offered in English. International clients are not currently accepted.
What session formats does she use?
She provides video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How is cost handled for sessions?
Costs vary with location and therapist availability; sessions are offered through a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

What this therapist works with

Most often

Experience
20 years
Licensed
North Carolina, New Jersey, New Hampshire
Languages
English

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