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LCMHC

Debbie Esque, LCMHC

  • Experience20 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Bipolar
  • Therapy approachesCognitive Behavioral Therapy (CBT)
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About Debbie

Debbie Esque is a Licensed Clinical Mental Health Counselor (LCMHC) with two decades of professional experience who focuses on helping people manage stress, mood concerns, attention challenges, and major life transitions.

Background and approach

She emphasizes building a collaborative therapeutic relationship that begins by understanding each person’s needs and goals, then tailoring practical strategies to fit their daily life. Her work draws primarily on Cognitive Behavioral Therapy (CBT), using structured techniques to identify and shift unhelpful thinking and behavior patterns.

Debbie brings a warm, attentive presence and balances empathy with clear, goal-focused guidance when it supports progress. Over the course of her career she has addressed a wide range of concerns including anxiety, depression, bipolar mood disorders, ADHD, trauma and grief, as well as issues related to parenting, relationships, and life purpose.

Clients can expect an approach grounded in skill-building and problem solving, informed by training and long clinical experience. Debbie sees each client as an individual and aims to help them reduce distress, improve daily functioning, and move toward greater satisfaction in their lives.

Using CBT and Practical Tools in Online Care

Debbie uses Cognitive Behavioral Therapy (CBT) as a central method, which involves identifying patterns of thought and behavior that contribute to distress and learning concrete skills to change them; this approach is often helpful for anxiety, depression, mood regulation, and attention-related challenges. She also integrates rational-emotive techniques that challenge unhelpful beliefs and promote more flexible thinking when those patterns get in the way of daily functioning.

Deciding on the right approach is collaborative: the therapist and client review symptoms, goals, and preferences and adjust methods over time to find what fits best. Sessions emphasize practical skills, homework, and steady progress so clients can apply new strategies between meetings.

Online formats - including video calls, phone sessions, live chat, and text-based messaging - make scheduling more flexible and allow work to continue from different locations. These options let clients choose the communication style that suits them, support consistent attendance, and make it easier to integrate therapeutic tools into everyday routines.

Frequently asked questions

What kinds of concerns does Debbie address?
She works with a broad range of issues including stress, anxiety, bipolar disorder, depression, ADHD, trauma, grief, relationship and family concerns, parenting challenges, anger, self-esteem, and career questions.
How would you describe the therapeutic style?
Debbie combines a kind and sensitive demeanor with direct, goal-focused guidance when needed, emphasizing collaboration and clear feedback to help clients reach their objectives.
What is her clinical experience?
She has 20 years of experience working with people from many backgrounds and life stages, bringing both formal training and practical clinical wisdom to her practice.
What credentials and location are on record?
Debbie holds the LCMHC credential with NH LCMHC 2735 and NC LCMHC 3812 and practices from North Carolina.
Does she provide services in other languages or to international clients?
Services are offered in English only and she is not currently accepting international clients.
What session formats are available?
Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences.
How does pricing and payment work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To start you select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist 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

What Debbie can help with

Debbie Esque works with clients on stress and anxiety, bipolar disorder, depression, coping with life changes, and ADHD.

How Debbie approaches therapy

Debbie's clinical approaches include Cognitive Behavioral Therapy (CBT).

Experience and training

Debbie is a Licensed Clinical Mental Health Counselor practicing in North Carolina, with 20 years of clinical experience.