- guilt and shame work
- Cognitive Behavioral Therapy
- mindfulness and DBT skills
About Esther
Esther Gorsha is an LCSW licensed in Louisiana with 20 years of experience. She works with adults dealing with stress, anxiety, relationship concerns, trauma and abuse, and depression. People often come to her carrying guilt or shame, or struggling with grief, addiction, or questions about intimacy and self-worth.
Her way of working is straightforward. She listens first and then shapes sessions around what the client brings. Conversations can include practical skills, thought work, and learning ways to tolerate strong emotions. Esther uses approaches such as client-centered work, cognitive behavioral techniques, mindfulness, DBT skills, and trauma-focused methods when appropriate.
Esther often helps people who are juggling caregiver stress, chronic illness, or major life changes. She also addresses family of origin issues, communication problems, control issues, and the fallout of divorce or separation. Topics like forgiveness, guilt and shame, isolation, and finding life purpose are part of her focus.
Sessions typically mix talk with concrete exercises. Clients may practice new ways of thinking, experiment with emotional regulation skills, and bring real-life situations into session to try different responses. The therapist and client set goals together and adjust the plan as needed.
She works in English and is based in Louisiana. To begin, prospective clients follow the site process to complete a brief matching questionnaire and schedule an initial session.
How Esther brings therapies online
Esther uses client-centered methods and cognitive behavioral techniques to guide sessions. Client-centered work focuses on listening and reflecting so the client can notice what matters most. Cognitive Behavioral Therapy looks at the link between thoughts, feelings, and actions and helps people try different ways of thinking and behaving to reduce distress.She also draws on Dialectical Behavior Therapy (DBT) skills when needed to teach concrete emotion regulation and interpersonal strategies. DBT skills can help when strong emotions, relationship conflicts, or repeated patterns get in the way of daily life. Together, therapist and client choose which approach fits the concern and the person's preferences rather than following a fixed plan.
Confirm the session formats available before booking, as current options are shown on the site. Online work can make it easier to fit sessions into a busy schedule, allow shorter check-ins when days are tight, or remove the need to travel. The therapist will help arrange sessions and adapt exercises so they translate to remote meetings and real life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Louisiana
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, relationship concerns, trauma and abuse, depression, addictions, grief, intimacy-related issues, parenting strain, and related areas including guilt and shame.
How does she approach shame and guilt in sessions?
She combines listening with practical techniques such as cognitive work, mindfulness, and emotional regulation skills to help people name and work through feelings of guilt and shame.
What is her professional background?
She is a Licensed Clinical Social Worker with 20 years of professional experience working with adults on mood, trauma, and relationship concerns.
Where is she licensed and practicing?
She holds an LCSW license in Louisiana and practices from that jurisdiction.
Which languages are supported for sessions?
Sessions are offered in English.
Does she work with clients outside the United States?
International clients are not currently accepted.
How are fees handled?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the site.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.