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DE Portrait of Debbie Esque

Debbie Esque

Compassionate counselor focused on practical change

LCMHC North Carolina

Experience
20 years in practice
Focus areas
Stress, Anxiety, Bipolar, Depression
Approaches
Cognitive Behavioral Therapy (CBT)
Languages
English
Continue with Debbie

About Debbie

Debbie Esque is a Licensed Clinical Mental Health Counselor with two decades of experience helping people navigate anxiety, depression, bipolar mood concerns, and a wide range of life transitions.

Background and approach

She emphasizes building a trusting working relationship as the foundation for meeting each client's goals and begins by clarifying what a person most needs from therapy. Her style blends kindness and sensitivity with clear, direct guidance when appropriate.

Debbie uses Cognitive Behavioral Therapy (CBT) to help clients examine patterns of thinking and behavior that contribute to stress, relationship strain, obsessive-compulsive tendencies, grief, and parenting or career challenges. She also draws on integrative thinking from her long clinical practice to tailor strategies to an individual's situation.

Licensed in North Carolina as an LCMHC, she brings both formal training and practical experience to address issues such as adoption and foster care concerns, autism-related challenges, blended family dynamics, trauma and abuse, end-of-life caregiving, and feelings of isolation or life-purpose uncertainty.

Debbie frames therapy as a collaborative process aimed at resolving emotional and behavioral difficulties so clients can move toward more satisfying, functional lives.

Approaches and Flexibility for Online Care



Cognitive Behavioral Therapy (CBT) is used to help clients identify and change unhelpful thought and behavior patterns that contribute to anxiety, depression, stress, and obsessive tendencies; sessions typically include practical tools like thought records and behavioral experiments. Debbie also integrates techniques from her broad clinical experience to adapt interventions to each person's circumstances, which can be useful for issues such as grief, family challenges, adoption-related concerns, and life transitions.

Finding the right approach is treated as a collaborative process. The therapist works with clients to explore goals, preferences, and day-to-day realities, and adjusts methods over time so strategies fit what actually helps the client make progress.

Online therapy with this practice is offered through video calls, phone sessions, live chat, and text-based messaging to increase accessibility and scheduling flexibility. These options make it easier to maintain continuity of care across busy schedules, respond rapidly to emerging concerns, and practice skills between live sessions with ongoing therapist feedback.

Frequently asked questions

What kinds of concerns does she address?
She works with a broad range of issues including stress, anxiety, bipolar disorder, depression, trauma and abuse, grief, relationship and parenting challenges, ADHD, obsessional problems, and many mood and behavioral concerns.
What is her therapeutic style like?
Her approach combines a caring, sensitive demeanor with clear, direct feedback when needed, aiming to create a collaborative relationship that supports practical change.
How long has she been practicing?
She brings 20 years of clinical experience working with clients across the lifespan and draws on that background to inform treatment planning and intervention choices.
What credentials and location are listed?
She is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina with license numbers NH LCMHC 2735 and NC LCMHC 3812.
Does she work in languages other than English or accept international clients?
Sessions are conducted in English, and she is not accepting international clients at this time.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How does pricing work for sessions?
Cost varies with location and therapist availability, and sessions are provided through a subscription that can be canceled at any time.
What is the process for getting started?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyBipolar disorderDepressionCoping with life changesADHD

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficulties

Additional focus areas

Adoption and foster careAutism and Asperger SyndromeBlended family issuesCommunication problemsCoping with natural or human-caused disasterDivorce and separationFamily problemsForgivenessGuilt and shameHospice and end-of-life counselingIsolation / lonelinessLife purposeMood disordersObsessions, compulsions, and OCDParanoiaPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)

Experience

20+ years

Licensed

North Carolina, New Jersey, New Hampshire

Languages

English