Debbie Esque, LCMHC

Debbie Esque is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with over 20 years of experience. She aims to build a trusting connection first, so clients feel heard and understood before moving into goal work. She values clear communication and a steady, respectful presence in sessions.

Debbie often uses Cognitive Behavioral Therapy, Rational Emotive Therapy, and integrative methods to help people notice thought and behavior patterns. She talks with clients about practical steps and small habit changes they can try between sessions. Her style is kind and caring, while also direct when a firmer approach will help progress.

She has worked with people from many different backgrounds and life stages across a wide range of concerns. Common focuses include stress, anxiety, mood disorders, ADHD, relationship and family issues, trauma, grief, parenting strain, and career questions. She also supports people coping with adoption or foster care issues, blended family dynamics, and end-of-life caregiving topics.

In sessions Debbie listens closely and offers clear feedback aimed at practical problem solving. She helps people set realistic goals and practices skills that can fit into everyday life. Over two decades she has combined education and hands-on experience to guide her work.

People who prefer straightforward guidance and collaborative planning tend to connect well with her approach. If you want a therapist who focuses on thoughts and everyday habits, Debbie uses approaches aimed at changing patterns that keep problems going.

How CBT and practical approaches work online

Debbie commonly uses Cognitive Behavioral Therapy as a core approach. CBT focuses on identifying unhelpful thoughts and testing them with real-life experiments. It helps with anxiety, depression, stress, and many everyday habit patterns by teaching concrete skills for changing thoughts and behaviors.

She also draws on Rational Emotive Therapy and integrative methods, which examine belief systems and combine useful techniques from different approaches. These methods aim to reduce distress by changing rigid thinking and by practicing new ways of responding in daily life.

Finding the right approach is part of the work. Debbie will collaborate with each person to choose methods that match their goals and preferences. She helps set clear, achievable steps and adjusts strategies as progress is made.

Confirm current session options before booking so you know what formats are offered. Online therapy can make it easier to fit sessions into busy schedules, reduce travel time, and allow shorter check-ins when needed. It can also let people work on thought patterns and daily routines in the settings where those habits happen, making skill practice more practical and immediately useful.