Debbie Esque , LCMHC

Debbie Esque is a Licensed Clinical Mental Health Counselor who focuses on helping people manage stress, anxiety, mood concerns, and life transitions. She has 20 years of experience and aims to build a working relationship that feels respectful and clear. Her style is grounded and practical so people know what to expect from session to session.

She uses Cognitive Behavioral Therapy to help clients notice unhelpful thoughts and try different behaviors. Sessions are conversational and focused on real-life changes that fit each person's routine. Debbie balances a warm, caring presence with direct feedback when that helps move things forward.

Over two decades she has worked with a wide range of concerns including depression, bipolar issues, ADHD, trauma, grief, parenting strain, intimacy-related questions, and career stress. She also supports people coping with adoption and foster care matters, autism and Asperger Syndrome, blended family challenges, and life purpose questions.

Her practice emphasizes clear goals and step-by-step plans. She listens closely, offers practical strategies, and checks progress along the way. The goal is to reduce overwhelming feelings and build everyday skills that make daily life easier.

Clients in North Carolina will find sessions focused on what matters to them now. Debbie treats each person as an individual and works with them to create a plan that fits their needs and pace.

How Debbie Uses CBT Online

Debbie practices Cognitive Behavioral Therapy, which helps people notice patterns of thought that lead to distress and try small behavior changes to improve mood and functioning. CBT is often used for anxiety, depression, obsessive thoughts, and stress-related problems by focusing on practical exercises and short-term goals.

Her online work is collaborative. She will help clients choose the best approach based on their needs, goals, and comfort with different methods. Together they set clear goals, try strategies between sessions, and adjust the plan as progress is reviewed.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to match different schedules and preferences. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is low or a client prefers audio only. Live chat or text works well for brief check-ins, shorter progress notes, or for people who prefer writing over speaking. These options make it easier to fit therapy into busy lives and help maintain continuity when in-person meetings are difficult.