About Ruth
Ruth Vivian is a Licensed Clinical Social Worker who focuses on practical support for stress, anxiety, addiction, trauma, and family concerns. She speaks plainly and helps people break big problems into manageable steps. Ruth aims to help clients find clearer footing and regain control of daily life.
Ruth uses a mix of approaches tailored to each person. She draws on Dialectical Behavior Therapy for emotion regulation and coping skills. She uses trauma-focused methods and EMDR to address painful memories.
Background and approach
Psychodynamic ideas and Internal Family Systems help uncover patterns and inner parts that shape choices. Sessions typically focus on day-to-day coping, improving communication, and reducing symptoms that get in the way of work and relationships. Ruth helps people build routines, set boundaries, and try practical strategies between meetings.
She also works on grief, self-esteem, intimacy concerns, and issues tied to identity and sexual orientation. Ruth has five years of clinical experience as an LCSW. She practices from Delaware and offers services to people living elsewhere as well.
Sessions can be scheduled by following the site’s start process and completing a short matching questionnaire. People who choose Ruth can expect clear goals, straightforward suggestions, and a calm, steady presence in sessions. She encourages collaboration and small experiments so progress feels doable.
The focus is on helping people move toward more satisfying daily life.
How Ruth’s Approaches Translate to Online Therapy
Dialectical Behavior Therapy teaches specific skills for managing strong emotions and improving relationships. Online DBT sessions focus on learning and practicing those skills, with worksheets or short exercises to try between meetings. EMDR is a trauma-focused method that works with processing distressing memories and reducing their emotional intensity; in online sessions it can be guided step-by-step while the therapist supports pacing and grounding.Finding the right approach is part of the work. Ruth will collaborate with each person to choose which method or mix of methods fits their goals and comfort level. That plan can change over time as goals shift and new needs appear.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face interaction and screen-sharing for handouts. Phone sessions can be a good option when bandwidth is limited or a quieter audio check-in is needed. Live chat and text messaging are useful for ongoing check-ins, brief coaching between appointments, and flexible scheduling. These options help make therapy more accessible and easier to fit into a busy life.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Family conflicts
Also works with
- Abandonment
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Dissociation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Trauma and abuse
- Trichotillomania
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 5 years
- Licensed
- Delaware
- Languages
- English