Debra Aquino, LCSW

Debra Aquino is an LCSW practicing in Kentucky who brings a calm, respectful approach to therapy. She uses clear, practical methods to help people manage stress, anxiety, mood concerns, and life transitions. Her manner is warm and interactive, aiming to make difficult conversations easier to start.

She works with a broad range of concerns including depression, bipolar disorder, ADHD, grief, and anger. She also supports people facing challenges with parenting, relationships, career decisions, and identity issues such as LGBT concerns. Additional focus areas include veteran and armed forces issues, multicultural concerns, and seasonal affective disorder (SAD).

Debra blends approaches that center the client’s perspective with goal-focused strategies. Cognitive Behavioral Therapy, mindfulness practices, and solution-focused techniques are part of the mix she draws on. Sessions emphasize practical skills, clearer thinking patterns, and small steps that can be used between appointments.

Her style emphasizes respect and sensitivity. Conversations are shaped to match each person’s needs and pace rather than fitting someone into a fixed plan. She avoids stigmatizing labels and works to create a place where people can talk honestly about what’s hard.

For people taking the first step toward change, she offers guided support and collaborative planning. The work often focuses on coping tools, setting reachable goals, and improving day-to-day functioning. Debra aims to make therapy understandable and useful for each person she meets.

How Debra Uses Practical Therapies Online

Debra uses Cognitive Behavioral Therapy to help people identify unhelpful thinking patterns and try new behaviors. CBT often includes short exercises and clear steps you can practice between sessions to ease anxiety or low mood.

She also uses Client-Centered Therapy, which focuses on listening and responding to where each person is in their life. That approach helps people feel heard and guides decisions about what to work on next.

Finding the right approach is a collaborative process. Debra will talk with each person about goals, daily challenges, and preferences, then tailor session work. She checks in over time and adjusts techniques to fit what is most helpful for the individual.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to match different needs. Video calls allow face-to-face conversation and visual cues. Phone sessions can work when bandwidth is limited or when being off camera feels easier. Live chat and text messaging are useful for brief check-ins, homework support, or pacing work into a busy day. These options make it easier to schedule therapy around work, school, or family demands while keeping the focus on practical tools and steady progress.