01 · Who Deborah works with

Deborah works with trauma and abuse, grief and depression

Deborah lists 14 specialisms and 15 further focus areas. Specialisms are the subjects Deborah chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Deborah's own words

What Deborah says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hello, my name is Debbie Richardson and I have worked in the Counseling field for the past 36 years. I pride myself in being honest, able to appreciate people’s strengths and their struggles and believe that when people take the time to open the door to asking for help, it’s often uncomfortable and brave. It also can be just the right time to look at ourselves and figure out where we fit or want to fit in our world: in relationships, careers, and in our own skin. We can not control other’s thoughts or behaviors – all we can change is our reactions to them, both behaviorally and emotionally. Therapy isn’t magic. It’s a relationship between people that is open and truthful and asking and answering the right questions can help us see and understand things differently. It can be a pathway to a better understanding of ourselves and others and what our version of content could look like.

Deborah Richardson, on the BetterHelp listing · read 8 Nov 2026

03 · How Deborah works

The 6 approaches Deborah lists, in plain English

These are the clinical methods Deborah lists. The descriptions are Maker Therapy's, not Deborah's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Deborah runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

Also listed

• Somatic Therapy

04 · What happens next

From this page to a first session

Deborah practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Deborah's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Deborah at this point.

2. Naming Deborah specifically

   BetterHelp matches algorithmically by default, so asking for Deborah is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Deborah.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Deborah

Built from what Deborah actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Deborah's - Deborah has not seen them and is under no obligation to answer any of them.

• “You list both Dialectical Behaviour Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 38 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMFT

Licensed in

Virginia

Licence

VA LMFT 0717001217

Licence number

0717001217

Licence expires

30 Jun 2027

NPI

1053636134

Years in practice

38

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Deborah's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 8 Nov 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Deborah. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.