LIMHP

Debby Sawyer, LIMHP

Experience33 years
LocationNebraska
Focus areasADHD, Stress and Anxiety, and Trauma and abuse
Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)

Check the available next steps for working with Debby online.

About Debby

Debby Sawyer is a licensed mental health practitioner (LIMHP) based in Nebraska with 33 years of clinical experience helping people navigate stress, anxiety, trauma, depression, grief, addictions, and ADHD.

Background and approach

She approaches care with respect for each person's knowledge of their own life and seeks to walk alongside clients as a supportive advocate. Her practice emphasizes empowerment and practical progress so people can begin improving their day-to-day functioning without unnecessary delay.

Debby uses a flexible, eclectic approach tailored to individual needs, drawing from client-centered principles, cognitive behavioral techniques, mindfulness, existential reflection, and motivational interviewing. She aims to make meaningful change early in therapy while honoring clients' values and strengths.

Her background supports work across a wide range of concerns including self-esteem, attachment and abandonment issues, chronic illness and caregiver stress, body image, and substance or behavioral addictions. Sessions are offered in English and she accepts international clients.

Debby encourages people seeking support to consider their goals and preferences so she can help design a collaborative plan that fits their life and priorities.

Therapeutic Approaches and Online Care

Debby draws on client-centered therapy to prioritize each person's perspective and strengths, creating space for people to explore what matters most while the therapist listens and reflects to support self-directed change. Cognitive Behavioral Therapy (CBT) is another core method she uses, helping clients identify unhelpful thinking and behavior patterns and practice concrete skills to reduce anxiety, manage mood, or address addictive behaviors. Mindfulness techniques are integrated to promote present-moment awareness and stress reduction through simple attention and breathing practices.

Choosing the right approach is collaborative and often evolves over time. She works with clients to clarify goals, try strategies that fit their preferences, and adjust methods based on what proves most helpful for progress and daily functioning. The client and therapist decide together which combination of techniques will best meet the client's needs.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which allow for scheduling flexibility and easier access from different locations. These formats make it simpler to maintain continuity of care amid busy lives or distance constraints, while still enabling regular, structured work on goals and skills with a licensed professional.

Frequently asked questions

What kinds of concerns does she work with?

Debby focuses on issues such as stress, anxiety, trauma and abuse, self-esteem, depression, ADHD, addictions, and grief, along with related topics like attachment, chronic illness, caregiver stress, and body image.

What is her therapeutic style like?

Her approach is flexible and client-centered, blending techniques from CBT, mindfulness, existential therapy, and motivational interviewing to match each person's needs and goals.

How much clinical experience does she have?

She brings 33 years of experience working with people across a wide range of emotional and behavioral concerns.

What credentials and location does she hold?

She is licensed as a LIMHP in Nebraska with license NE LIMHP 1119 and practices from that state.

Can international clients work with her and in which language?

Yes, she accepts international clients and works in English.

What session formats are available?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging depending on client preference and availability.

How much do sessions cost?

Cost varies with location and therapist availability; sessions use a subscription model that may be canceled at any time.

What are the first steps to begin working together?

To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse Self esteem Depression ADHD

Also works with

Addictions Grief

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issues Autism and Asperger SyndromeAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCD Panic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issues Young adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyMindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused TherapySystemic Therapy

Experience

33+ years

Licensed

Nebraska

Languages

English