Esther Priegue , LCSW

Esther Priegue uses evidence-based therapies to help people navigate difficult moments. She combines practical skills with a respectful, direct style so clients can make clear changes. Esther holds an LCSW, a clinical social work license, and works from New York. She offers sessions in English and Spanish.

Esther focuses on stress, anxiety, depression, trauma and abuse, low self-esteem, and ADHD. She also helps with relationship and family concerns, grief, sleeping issues, parenting strain, career questions, and coping with major life changes. Additional areas she addresses include chronic illness and pain, codependency, abandonment, and end-of-life issues.

Her work centers on short-term, goal-focused techniques alongside trauma-informed care. Clients can expect tools from Cognitive Behavioral Therapy to change unhelpful thinking patterns. Dialectical Behavior Therapy skills are used for emotion regulation and distress tolerance when feelings feel overwhelming.

Motivational Interviewing and Solution-Focused Therapy guide conversations about goals and practical next steps. Trauma-Focused Therapy is brought in when past events are affecting daily life. Esther draws from 25 years of experience to match methods to each person’s needs.

Sessions are conversational and action-oriented. Esther helps people notice unhelpful patterns, try new habits, and build on strengths. She supports people through midlife shifts, caregiving stress, compassion fatigue, and the challenges of chronic conditions.

People who want to begin can expect clear guidance on next steps and tools to practice between sessions. Esther aims to make therapy manageable and relevant to everyday life.

Therapeutic approaches and online care

Esther often uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy in online work. CBT involves learning to notice and change unhelpful thoughts and behaviors, which can reduce anxiety and depression. DBT teaches concrete skills for managing intense emotions and improving relationships, useful when stress or mood swings interfere with daily life.

She also draws on Motivational Interviewing to clarify what matters most and build motivation for change. Choosing an approach is collaborative - the therapist and client review goals, try methods, and adjust as needed to find what works best for the person.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility. Video calls allow face-to-face conversation and skill practice. Phone sessions can work when bandwidth is limited or a quieter check-in is needed. Live chat or text messaging can be useful for brief updates, problem solving, or ongoing coaching between sessions. These options make it easier to fit therapy into work, caregiving, or medical schedules while using the therapeutic approaches described above.