About Debbie
Debbie Esque is a Licensed Clinical Mental Health Counselor in North Carolina with 20 years of experience. She focuses on building a strong working relationship first. That connection helps shape clear goals and the path forward.
Debbie uses straightforward, evidence-based methods such as Cognitive Behavioral Therapy, tailoring sessions to the person in front of her. She keeps a warm and respectful tone but can be direct when clear feedback will help progress.
How Debbie works
Sessions aim to identify unhelpful thinking and practical steps to change everyday behavior. Her experience spans a wide range of concerns, including stress, anxiety, mood disorders such as bipolar and depression, ADHD, grief, trauma and abuse, and issues around intimacy and parenting.
She also supports people dealing with adoption and foster care challenges, autism and Asperger syndrome, blended family issues, and life transitions like divorce and separation. Debbie combines clinical knowledge with years of work experience to help people tackle anger, low self-esteem, obsessive or compulsive behaviors, and career or life purpose questions.
She listens carefully, offers feedback, and works with each person to set realistic, trackable steps toward their goals. Her practice emphasizes practical skills that can be used between sessions. People who prefer clear guidance and a collaborative approach may find her style helpful when managing everyday stressors and longer-term mood concerns.
Debbie lists one way of working on the entry:
What Debbie works with
The areas below are the ones Debbie selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Bipolar disorder
- Depression
Also listed
- ADHD
- Adoption and foster care
- Anger management
- Autism and Asperger Syndrome
- Blended family issues
- Career difficulties
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Divorce and separation
- Family conflicts
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Paranoia
- Parenting issues
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Training and background
| Register | LCMHC |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How CBT and online sessions work together
Debbie uses Cognitive Behavioral Therapy, which focuses on spotting unhelpful thoughts and testing new behaviors. CBT breaks problems into small, manageable steps and teaches skills you can use between sessions to reduce anxiety, improve mood, and handle everyday stress.Finding the right approach is part of the work. Debbie will collaborate with each person to choose techniques that match their goals and preferences. She listens to your needs, explains options, and adjusts the plan as progress is made so therapy stays practical and relevant.
Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging. Video calls work well for in-depth conversations and exercises that benefit from face-to-face contact. Phone sessions can fit into a busy day or require less bandwidth. Live chat and text messaging are useful for brief check-ins, support between sessions, or when writing feels easier than talking. These options make it easier to schedule regular contact and continue work even when life is busy.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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