Clinical care for the deeper layer
A Catholic psychologist for anxiety, depression, trauma, and the patterns running underneath your life.
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You’re still showing up…
You are still meeting the due dates, still making it to mass, still in the relationship, still perusing the dream career.
But you snapped at someone you love last week and it didn't feel like you. You woke up at 3 a.m. again. You sat in your car in the parking lot for twenty minutes before you could drive home. You read the same paragraph four times. You cried in the bathroom for reasons you couldn't name. You had the second glass… and then the third.
What's underneath isn't a character flaw. It's usually anxiety, depression, attention difficulty, burnout, or some combination of all of them, carried by a high-achiever who has been compensating for too long.
If this resonates, make sure to save my info for later.
Clinical psychologist
Dr. Kathryn Esquer
I'm a clinical psychologist, and I built my practice around women like the ones I kept meeting everywhere I worked. Bright, capable, doing too much, and quietly running out of room.
I hold a doctorate in clinical psychology and an MBA, a combination that lets me move fluently between the inner life of a person and the outer life of a career, a family, and the responsibilities that come with both. My professional training has taken me through university counseling centers, integrated primary care, and organizational consulting, which means I have spent my career sitting across from people who are highly capable, deeply invested in their lives, and quietly carrying more than the people around them realize.
I'm also a cradle Catholic and was taught by the Jesuits at Saint Joseph's University. The Ignatian attention to interior movement, to discernment, to the particularity of a life, shaped both how I think and how I practice. I began teaching kindergarten religious ed in high school alongside my best friend, continued teaching through graduate school, and still teach my daughter's kindergarten religious education class today.
What that means for our work: I bring a deep, lived understanding of the faith to the therapy room. Not as a framework I'm going to impose, and not as spiritual direction, but as a lens that helps me understand your experience more accurately and meet you where the layers of your life actually meet. When it's useful, I’m happy to collaborate with spiritual directors; when it isn't, we simply do the clinical work, and your faith life is held with respect rather than analyzed or steered.
My clinical work is psychodynamic, integrative, and depth-oriented. I pair scientific rigor with humanity. I take symptoms seriously and I take you and your faith seriously.
If you're curious whether this is the kind of work you've been looking for, I'd love to hear from you.
How the work actually goes
Most therapy stops at symptom management. The work I'm trained to do goes further. Anxiety, burnout, and decision paralysis are rarely the whole picture and my work is widening the frame.
As a Catholic clinical psychologist, work with me is informed, integrative, and depth-oriented. I pull from a range of empirically supported methods so the work adapts to your needs.
Know a friend that I can help? Send them my info.
What this is not
This isn't crisis care. If you're in acute crisis, you need a different kind of support, and I'll help you find it.
This isn't spiritual direction. I am faith-literate and respect the interior life you bring with you, but I will not direct your spiritual life or substitute for the work of a director, pastor, or priest. If you want both, many of my clients work with me alongside a spiritual director.
This isn't coaching. There's overlap in what I do and what an executive coach does (I hold both backgrounds), but this work is therapy, with the depth and protection that implies.
This isn't advice-giving. I'm not going to tell you whether to have the baby, take the job, or leave the marriage. I'm going to help you become someone who can hear her own answer.
This isn't a quick fix. If you're looking for a total transformation after one session, this isn't the right room.
THE PATH TO WORKING TOGETHER
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Step 01
Schedule a consultation
A conversation, not commitment
Fifteen minutes on the phone to talk through what's bringing you here, what you've already tried, and what you're looking for now. We'll cover fees, insurance, scheduling, and any questions you have. By the end, you'll know whether this is the right fit and what your next step looks like.
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Step 02
Begin Together
Your first sessions
If we're a fit, we'll schedule your first session within the week and I'll send paperwork ahead of time so we can use our time well. The first few sessions are about clinical orientation, understanding the full picture of what you're bringing in, and calibrating our approach to meet your specific needs.
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Step 03
Establish a Cadence.
Regular sessions, virtual
We'll start by meeting weekly by secure video. Then we’ll adjust the frequency as needed to meet your changing needs. Most clients see meaningful shifts within the first months and stay for the deeper work that follows.
Frequently Asked Questions
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Yes and no. I am a cradle Catholic, Jesuit-educated, and I have been teaching religious education since I was in high school. My faith is real and formed. I am also not a Catholic therapist in the branded sense. I do not practice a faith-based modality, and I work with people across the full spectrum of belief, practice, and complication. What my background gives you is fluency. I understand the tradition from the inside, which means I will not fumble it, oversimplify it, or treat it as a symptom. Whether that fluency comes into our work depends entirely on what you bring in.
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I do not use therapy as a venue for theological instruction in either direction. I am not going to argue Catholic teaching with you, and I am not going to argue against it. What I will do is take seriously the framework you actually live within, whatever it is, and help you understand yourself more clearly inside it. Discernment about doctrine, practice, or belief belongs in different rooms, with different practitioners.
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Yes. The people I work with in my practice include practicing Catholics, people in other traditions, folks who were raised Catholic and have stepped away, people who are exploring or returning, and people with no faith life at all. All of those experiences are welcome here, and none of them are the focus of the work unless you want them to be. My background gives me literacy with the Catholic tradition specifically, but it does not narrow who I work with.
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I'm a licensed psychologist with both a doctorate in clinical psychology (PsyD) and an MBA from Widener University in Chester, PA, earned through a dual-degree program that few clinical psychologists pursue. Widener's PsyD is psychodynamic in orientation — meaning my training prepared me to work below the surface of presenting symptoms, with the inner conflicts, attachment patterns, and unconscious dynamics that shape how a person lives. I'm trauma-informed and draw on attachment theory and somatic and expressive methods. The dual degree shaped a second arm of my work as well: I practice as an executive consultant, helping senior leaders identify and heal the patterns that determine how they lead, decide, and relate.
My Catholic formation came earlier and runs underneath all of it. I'm a graduate of Saint Joseph's University in Philadelphia, and the Jesuit tradition I received there — the seriousness about interior life, the discipline of discernment, the conviction that the whole person matters — is the soil this entire vocation grew from. I'm grateful for it in a way that has only sharpened with time.
You can learn more about my professional experiences on my LinkedIn page.
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No lying on a couch (unless you want to) and no three-times-a-week analysis with a blank slate therapist.
Depth therapy means I am working with both the symptom and what is underneath the symptom at the same time. We will absolutely address the anxiety, the burnout, the decision you cannot make, and we will also be tracking the patterns, the body cues, the relationships, and the parts of your story that those symptoms are pointing toward. The work is collaborative, conversational, and grounded in evidence-based methods.
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No. I will not tell you whether to take the job, go back to school, leave the marriage, have the baby or move across the country. What I will do is help you become the kind of person who can hear her own answer clearly. The clients who come to me having tried a more advice-oriented approach almost always tell me that the answer they actually trust is the one they arrived at themselves, with support, rather than the one a clinician handed them.
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It depends on what you are bringing in. Some clients come for focused work around a specific concern and stay for eight to sixteen sessions. Some stay weekly for a year or more. Some stay for years because there is always more to do. The honest answer is that we will know more after a few sessions, and I will tell you what I am seeing as we go. The first step is to schedule an initial call to determine if we’re a good fit for your goals.
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Sessions are around fifty minutes, unless we schedule a longer period of time.
Most clients start at one session a week. That cadence gives the work room to build, especially early on. After a few months, we may adjust together. Some clients move to every other week. Some stay weekly for years and I become an integrated part of their caring community.
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I am an out-of-network provider, which means I do not bill insurance directly. Many of my clients use their out-of-network benefits to get partial reimbursement, and I provide superbills monthly to make that straightforward. On the discovery call I can walk you through how to check your benefits before you commit to anything.
There are three reasons for this: First, in-network rates do not support the kind of clinical care I offer, which depends on having the time and freedom to work at depth. Second, insurance requires a diagnosis on your permanent medical record, which many of my clients prefer to avoid. Third, insurance dictates session length, frequency, and treatment approach in ways that often interfere with good clinical care. Out-of-network keeps the work between you and me.
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All sessions are virtual, by secure HIPAA-compliant video. A secure link is emailed to clients after booking an appointment.
If you’re traveling, I will work with local laws and requirements to keep meeting as scheduled.
If you move permanently, we look at whether I am able to serve you in your new state. If it is, the work continues. If it is not, I will help you transition to a clinician I trust.
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You are not alone in that. A significant portion of the people I work with have done one or more rounds of therapy that helped some but did not fully resolve what they came in with. That is often what brings them here. On the discovery call, I will ask about your prior therapy experience so I can give you a real assessment of whether this work is likely to go somewhere new.
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Yes, and that is what the discovery call is for. You do not need to be ready to commit before the call. The call exists so you can ask the questions you have, get a sense of how I work, talk through fees and logistics, and decide whether and when to start. There is no obligation to schedule a first session at the end of the call.
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If you are in acute crisis, including thoughts of harming yourself or others, please call or text 988 (the Suicide and Crisis Lifeline) or go to your nearest emergency room. My practice is not built for crisis stabilization, and you deserve immediate support that I am not positioned to provide. Once you are stabilized, I am happy to talk about ongoing work.
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Yes. The work depends on it, and confidentiality is real. The only exceptions to confidentiality are the standard legal ones (acute risk of harm to self or others, abuse of a vulnerable person, court order) which I will explain in detail in our paperwork. Otherwise, what you say in session stays in session.
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The people who say this on the discovery call are almost always exactly the professionals I am built to work with. High-functioning, high-achievers are systematically the most likely to underestimate what they are carrying. The discovery call is the place to find out whether starting work together makes sense.
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About fifteen minutes. We will talk about what is bringing you here, what you have already tried, and what you are hoping for. I will answer your questions about fees, insurance, scheduling, and how the work goes. By the end, you will have a clear picture of whether this is the right fit and what your next step looks like, whether that is scheduling a first session, taking time to think, or being referred to a different clinician who might better help you achieve your goals.