Esther Priegue, LCSW

Esther Priegue uses practical, skill-based approaches to help people manage stress and anxiety. She combines short-term tools with longer-term work so people can feel steadier in day-to-day life. Esther is a Licensed Clinical Social Worker, LCSW, based in New York and offers services in English and Spanish.

She draws on cognitive behavioral therapy to help people notice and change unhelpful thinking and behavior patterns. She also uses elements of dialectical behavior therapy for emotion regulation and trauma-focused methods to address past harm. Sessions often include concrete exercises, homework tasks, and clearer goals so progress is easy to track.

Esther has twenty-five years of clinical experience working with concerns such as depression, ADHD, grief, relationship and family stress, and issues around identity and LGBT concerns. She also supports people facing chronic illness, cancer, end-of-life matters, and caregiving strain. Her practice includes work on codependency, communication problems, and feelings of abandonment or isolation.

Her style is collaborative and direct. She helps clients set realistic goals and uses motivational interviewing to strengthen commitment to change. People leave sessions with simple strategies they can use between appointments, such as coping skills for sleep, pacing for chronic pain, or communication scripts for difficult conversations.

Esther offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules. Payment is handled through a subscription that can be canceled at any time. New clients begin by completing a short matching questionnaire and scheduling according to therapist availability.

Approaches that translate well to online care

Esther often uses cognitive behavioral therapy to help people identify unhelpful thoughts and change behaviors that keep problems going. CBT works well for anxiety, depression, sleep problems, and many day-to-day stressors. She also draws on dialectical behavior therapy strategies to teach emotion regulation, distress tolerance, and interpersonal effectiveness skills that reduce crisis moments.

Choosing the right approach is a team effort. Esther will talk with each person about goals and preferences and try a few methods to see what fits best. That collaborative process helps shape session focus and homework tasks so the work feels relevant and doable.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video is useful for a full session and skill practice, while phone can work when bandwidth is limited or a simpler check-in is needed. Live chat and text messaging are helpful for brief updates, coaching between appointments, or when someone prefers not to be on camera. These formats make it easier to fit therapy into busy schedules and to keep working on goals between sessions.