- Guilt and shame focus
- CBT and TF methods
- Play therapy approaches
About Debra
Debra Cosentino is a Licensed Professional Counselor (LPC) in Pennsylvania with four years of clinical experience. She works with adults on relationship and family concerns, trauma and abuse, anxiety, depression, grief, parenting stress, anger, self-esteem, and coping with life changes. She also addresses guilt and shame alongside related issues such as abandonment and attachment wounds.
Debra has experience supporting people impacted by domestic violence and sexual assault. That work included youth as well as adults while at an agency focused on those issues. She brings direct exposure to trauma-related concerns including post-traumatic stress, panic, phobias, and complex family situations.
Her practice blends Client-Centered Therapy with Cognitive Behavioral Therapy and Solution-Focused approaches. She also uses Trauma-Focused Therapy techniques and incorporates play therapy methods when appropriate, including adaptations for adults. Sessions focus on practical steps, skills, and clearer ways to handle painful memories and difficult conversations.
In sessions she helps people identify thoughts and patterns that keep them stuck, then practices small changes that build different responses. She works on communication problems, blended family dynamics, forgiveness, and reducing isolation. The emphasis is on straightforward tools for daily life, like coping strategies and ways to manage panic or overwhelming emotions.
Debra offers counseling in English and practices in Pennsylvania. Her LPC credential guides her clinical work and she draws on her agency experience when supporting survivors of abuse and those facing familial conflict.
How her approaches are used in online counseling
Debra combines Client-Centered Therapy with Cognitive Behavioral Therapy in a way that focuses on the client's experience and on changing unhelpful thoughts and behaviors. Client-Centered work prioritizes the person's perspective and helps clarify what matters most. CBT targets patterns of thinking and behavior that keep problems like anxiety, panic, and shame going, and practices concrete exercises to shift them.She also draws on Trauma-Focused Therapy when addressing memories and symptoms related to domestic violence, sexual assault, or other traumatic events. That approach uses skills to manage distressing memories, reduce reactivity, and build more effective coping in day-to-day life.
Finding the right mix of approaches is part of the work. She will collaborate with the client to choose methods that fit their goals, preferences, and what feels manageable. Sessions are practical and paced to the person's needs rather than following a single roadmap.
The therapist's biography does not list specific session delivery formats, so confirm current online session options before booking. In general, remote sessions can make it easier to fit counseling around work, childcare, or travel. They can also allow shorter check-ins when needed, or let someone opt out of video if that lowers the stress of starting therapy.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with relationship and family issues, trauma and abuse, anxiety, depression, grief, parenting stress, anger, and related concerns like guilt and shame.
How would she approach feelings of guilt or shame?
She uses Client-Centered work together with Cognitive Behavioral and Trauma-Focused techniques to look at thoughts, memories, and behaviors that keep guilt or shame active, then practices alternative responses.
What is her professional background?
She has four years of professional experience, including work at a domestic violence and sexual assault agency supporting youth and adults.
What are her credentials and where does she practice?
She is a Licensed Professional Counselor (LPC) in Pennsylvania and provides counseling there.
Does she offer sessions in other languages or internationally?
Sessions are offered in English and she does not accept international clients.
What session formats are available?
The original biography does not list specific session formats; please confirm current session options before booking.
How is cost handled for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.