About Debra
Debra Cosentino, LPC, helps people who are struggling with anxiety, phobias, trauma, relationship stress, and changes in family life. She offers straightforward support for depression, panic attacks, grief, anger, and low self-esteem. Her approach is warm and person-focused, aimed at helping people find practical ways to cope day to day.
She draws on client-centered work to listen first and follow each person’s pace. Cognitive Behavioral Therapy is used to identify unhelpful thoughts and try new behavior patterns.
Background and approach
Solution-focused techniques help set small, achievable goals so progress is visible. Debra has four years of professional experience and practices as a Licensed Professional Counselor in Pennsylvania. Much of her background includes work at a domestic violence and sexual assault agency, supporting survivors and those impacted by trauma.
That experience informs how she supports people who have experienced abuse or loss. In sessions she aims to create a calm, nonjudgmental space where feelings can be named and explored. Practical coping skills and communication strategies are a frequent part of the work.
She also adapts methods when people prefer brief, goal-focused sessions or longer explorations. Her work includes helping with parenting strain, blended family issues, attachment and abandonment concerns, and communication problems. She also supports people dealing with guilt, shame, isolation, and the emotional fallout from divorce or separation.
How client-centered and CBT approaches work online
Client-centered therapy focuses on listening and following the person's lead. In online sessions this means the therapist reflects what is said, helps name feelings, and supports the person's own goals and timing.Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. Online CBT involves identifying unhelpful thought patterns, testing small behavioral changes, and tracking progress between sessions to reduce anxiety, panic, or phobic reactions.
Finding the right approach is a collaborative process. The therapist will talk with each person about their needs, goals, and preferences and suggest whether more client-centered work, CBT, or a solution-focused plan fits best. Plans are adjusted over time based on what helps most.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which makes scheduling easier around work, school, or caregiving. Video is useful for in-depth conversations and observing body language, phone calls work when bandwidth is limited, live chat can be good for brief check-ins, and messaging supports ongoing reflection between sessions. These options let people access therapy with flexibility and continuity.
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What this therapist works with
Most often
- Relationship issues
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- Anger management
- Attachment issues
- Blended family issues
- Co-morbidity
- Communication problems
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Isolation / loneliness
- Jealousy
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 4 years
- Licensed
- Pennsylvania
- Languages
- English
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