Debbie Esque, LCMHC

Debbie Esque is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with 20 years of experience. She focuses on helping people who are overwhelmed by anxiety, depression, stress, grief, mood changes, and relationship and parenting concerns. Her manner is warm and direct, aiming to build a clear, respectful working relationship from the start.

She uses Cognitive Behavioral Therapy (CBT) as a central tool to help clients identify unhelpful thoughts and try new behaviors. Debbie blends practical problem-solving with straightforward feedback so people can make steady progress. Sessions often include concrete exercises and steps to practice between meetings.

Her style balances kindness with structure. She listens closely and gives targeted suggestions when they will help move work forward. That mix is meant to help people feel heard while making measurable changes in how they cope with everyday pressures.

Debbie has worked across many settings during her career and draws on that experience when tailoring plans for each person. She has particular experience with adoption and foster care issues, blended family dynamics, trauma and grief, and obsessive or intrusive concerns. She adapts strategies to fit a person’s daily life and responsibilities.

People who want practical tools and clear steps to manage mood, anxiety, or life adjustments may find her approach useful. Her focus is on collaborative planning, evidence-informed techniques, and helping people build skills that last beyond therapy.

CBT and Practical Help Delivered Online

Debbie uses Cognitive Behavioral Therapy (CBT) as a key method to help people notice the links between thoughts, feelings, and actions. CBT focuses on identifying patterns that cause distress and testing simple changes to reduce anxiety, low mood, or obsessive thoughts. It’s often helpful for stress, depression, mood swings, and anxiety-related problems.

She pairs CBT with clear goal-setting and step-by-step homework. That means clients and the therapist work together to pick priorities, try new skills between sessions, and review what is or isn’t working. The process is collaborative and adjusted to fit each person’s needs and pace.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video can allow for deeper conversation and visual cues, phone calls work well when bandwidth is limited, and messaging or live chat can suit quick check-ins or brief skill practice. These options make it easier to fit therapy into busy schedules and to continue work consistently over time.