Debbie Esque, LCMHC

North Carolina · 20 years in practice

Debbie Esque is a Licensed Clinical Mental Health Counselor who brings 20 years of experience to her work in North Carolina.

License and registration

LCMHC, North Carolina: 3812 · expires June 2027
LPC, New Jersey: 37PC00853900 · expires November 2026
LCMHC, New Hampshire: 2735 · expires November 2027
NPI: 1164568408 · national provider identifier
Years in practice: 20
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Debbie

Debbie Esque is a Licensed Clinical Mental Health Counselor who brings 20 years of experience to her work in North Carolina. She focuses on building a trusting relationship first, so clients feel heard and understood. Debbie aims to understand each person's goals before deciding how best to proceed.

Debbie uses practical techniques to help people manage stress, anxiety, mood concerns such as depression and bipolar disorder, and life transitions. She also addresses parenting challenges, relationship and intimacy questions, grief, trauma and abuse, and attention-related concerns like ADHD.

Background and approach

Her practice includes support for issues such as obsessive thoughts and compulsions, anger, self-esteem, and career-related stress. Her style is direct but warm. She listens closely, gives clear feedback, and suggests steps people can try between sessions.

Cognitive Behavioral Therapy - CBT - is a core part of her approach, helping people notice patterns and try small behavior and thought changes. Debbie draws on two decades of clinical work and life experience to tailor plans that fit each person. She values honesty and practical problem solving over jargon.

Progress is treated as a step-by-step process with adjustments along the way. Clients can expect straightforward conversation, goal-focused work, and tools meant for everyday life. Debbie describes it as a privilege to walk alongside people as they make changes and regain a sense of balance.

Focus areas and approaches

Everything Debbie lists on their public professional profile, in their own terms.

Stress, Anxiety
Bipolar disorder
Depression
Coping with life changes
ADHD
Relationship issues
Family conflicts
Trauma and abuse
Grief
Intimacy-related issues
Parenting issues
Anger management
Self esteem
Career difficulties
Adoption and foster care
Autism and Asperger Syndrome
Blended family issues
Communication problems
Coping with natural or human-caused disaster
Divorce and separation
Family problems
Forgiveness
Guilt and shame
Hospice and end-of-life counseling
Isolation / loneliness
Life purpose
Mood disorders
Obsessions, compulsions, and OCD
Paranoia
Post-traumatic stress
Seasonal Affective Disorder (SAD)
Self-harm
Self-love
Social anxiety and phobia
Women's issues

Approaches Debbie names

Cognitive Behavioral Therapy (CBT)

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How CBT and online sessions work together

CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and testing small behavior changes. It helps with anxiety, depression, obsessive tendencies, and mood-related struggles by breaking problems into manageable steps and practicing new skills between sessions.

Debbie treats therapy as a collaborative process. She works with clients to pick approaches that fit their goals, needs, and preferences. If a technique isn’t working, she adjusts the plan so the work feels relevant and doable.

Online formats - video calls, phone sessions, live chat, and text messaging - make it easier to fit therapy into busy lives. Video is useful for in-depth conversations and teaching new skills. Phone sessions can be quicker and use less bandwidth. Live chat and text messaging work well for brief check-ins, homework support, or people who prefer writing to talking. These options let clients use the format that matches their schedule, comfort with technology, and day-to-day needs.

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Questions people ask

What kinds of problems does this therapist address?

She works with stress, anxiety, depression, bipolar mood concerns, and life changes. Other focuses include parenting, trauma and abuse, grief, intimacy issues, ADHD, and career stress.

What is the therapist's general approach to therapy?

Her approach combines listening with clear feedback and practical steps. She uses Cognitive Behavioral Therapy to help people notice unhelpful thinking and try different behaviors.

How much clinical experience does she have?

She has 20 years of experience working with a wide range of people and presenting concerns. That background informs how she adjusts treatment to each person's needs.

What credentials and location should I know about?

She is a Licensed Clinical Mental Health Counselor - LCMHC - with licenses in New Hampshire and North Carolina, and she practices in North Carolina.

Which languages are sessions offered in?

Sessions are offered in English only. International clients are not accepted at this time.

What session formats are available?

She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and schedules.

How does billing and cost work?

Cost varies with location and therapist arrangements; sessions use a subscription model that can be canceled at any time. Exact pricing is provided through the platform you use to schedule.

How do I begin working with this therapist?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.

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