Esther Priegue, LCSW

Esther Priegue is a Licensed Clinical Social Worker (LCSW) with 25 years of practice. She centers therapy on practical tools and collaboration so people can manage stress, anxiety, mood changes, and the fallout from trauma. Esther speaks English and Spanish and works from New York to support people facing life transitions and health-related challenges.

Her approach blends proven methods like Cognitive Behavioral Therapy and Dialectical Behavior Therapy with solution-focused techniques. Sessions focus on clear steps clients can try between meetings, skills for managing strong emotions, and ways to rebuild confidence after painful experiences. Esther emphasizes small, achievable changes rather than sweeping promises.

She also draws on Motivational Interviewing to help people find their own reasons for change. Trauma-focused strategies are used when past events are making daily life harder. The goal is to create practical plans that fit each person’s situation, including long-term illness, chronic pain, or caregiving stress.

Clients bring concerns ranging from sleep problems and grief to relationship and career strain. Esther helps people address issues such as abandonment, codependency, and coping with serious illness without labeling or rushing the process. She invites clients to name their priorities and then work together to meet them.

To begin, visitors complete a short matching questionnaire and schedule sessions based on therapist availability. Esther uses a subscription model that can be canceled at any time, and she does not currently accept international clients.

How therapeutic approaches guide online care

Esther uses Cognitive Behavioral Therapy to help people spot unhelpful thought patterns and try different behaviors. This approach is often useful for anxiety, depression, sleep problems, and stress related to health issues. She also uses Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and clearer communication, which can help when feelings feel overwhelming or relationships are strained.

Finding the right approach is part of the work. Esther collaborates with each person to identify what fits their goals and preferences. Together they decide whether to focus on skill-building, problem-solving, trauma processing, or a mix of methods and then adjust over time based on what helps most.

Confirm current session options before booking so you know which online formats are offered. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, and remove travel time. They also let people work with a licensed professional from their own city, which can be helpful for ongoing care while managing chronic illness or caregiving demands.