Debbie Esque

Debbie Esque is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina. She brings 20 years of experience and a practical style that aims to help people facing common life stresses. Debbie focuses on clear communication and building a working relationship that matches each person's needs.

She uses Cognitive Behavioral Therapy (CBT) as a core approach, and combines it with flexible techniques to suit the situation. Sessions typically involve talking through current problems, identifying patterns, and trying small experiments or new skills between meetings. Debbie aims to be kind and sensitive while also being direct when a firmer approach will help move things forward.

Over two decades she has worked with clients across many concerns, including anxiety, depression, bipolar mood disorders, ADHD, grief, trauma and abuse, relationship and intimacy issues, parenting challenges, and career questions. She also supports people coping with adoption and foster care issues, autism and Asperger syndrome, blended family challenges, and end-of-life concerns.

Debbie emphasizes listening carefully and offering clear feedback. She describes therapy as a collaborative effort where the client’s goals guide the work. People can expect practical steps, real-world strategies, and attention to what fits their daily life.

Her practice reflects both formal training and life experience. If someone wants to explore coping skills, mood management, or career-related stress, Debbie offers a steady, experienced presence to help clarify next steps.

How CBT and collaborative care work online

Debbie uses Cognitive Behavioral Therapy (CBT) as a main approach. CBT looks at how thoughts, feelings, and actions link together and teaches practical skills to change unhelpful patterns. It often helps with anxiety, depression, mood regulation, obsessive thinking, and stress management.

She pairs CBT with flexible techniques tailored to each person. That means talking through problems, trying small behavior changes, and reviewing what worked between sessions. The therapist and client decide together which methods fit the client's goals and lifestyle, making adjustments as needed.

Online therapy can make it easier to fit sessions into a busy life, such as shorter check-ins during a work break or avoiding travel time. Confirm which session formats are offered before booking so you know how you will meet. The focus remains practical: using skills in everyday situations, tracking progress, and adapting plans so therapy fits daily routines and goals.