About Ruby
Dr. Ruby Akhigbe offers support for stress, anxiety, relationship strain, anger, depression, trauma and abuse. She greets people with warmth and a straightforward view of change.
Her style is calm and listening-focused, and she encourages practical steps that can be used right away. Ruby draws on 27 years of clinical experience in Texas and uses a mix of approaches to match each person’s needs. She favors clear, doable tools to reduce rumination, manage strong emotions, and ease role overload.
Background and approach
Conversations aim to help people respond instead of react and improve everyday communication. In sessions she listens closely, asks focused questions, and works with clients to set realistic goals. She supports people trying to heal from past hurt, break co-dependency patterns, or manage mood swings and dissociation.
She also helps with family-of-origin issues, divorce and separation, and blended family stresses. Her approach combines acceptance-based ideas, attachment-informed work, and practical cognitive and skills-based strategies. Those methods are adapted to the person in front of her rather than applied the same way to everyone.
The emphasis is on small, steady changes that fit real life. People meet her who want tools for calmer thinking, better boundaries, and clearer communication. She speaks English and practices as an LCSW - Licensed Clinical Social Worker - in Texas.
The focus is on helping people move toward steadier days and clearer relationships.
Approach-driven online therapy that fits your life
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without getting stuck in them and focus on values-based actions. It is useful for anxiety, rumination, and emotional avoidance. Attachment-Based Therapy looks at how early relationships shape current connection patterns and helps people build safer ways to relate and set boundaries. Cognitive Behavioral Therapy (CBT) breaks down unhelpful thoughts and habits into manageable steps and teaches practical skills for mood and worry management.Finding the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what has or has not helped before. Together they choose and adjust methods so sessions feel relevant and useful rather than one-size-fits-all.
Online formats include video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video calls let people read tone and body language for deeper conversation. Phone sessions can be shorter check-ins or easier when bandwidth is limited. Live chat and text messaging are helpful for brief updates, skill practice between sessions, or when writing feels easier than speaking. These options make it simpler to fit therapy into work, caregiving, or busy days while keeping the focus on consistent progress.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also works with
- Abandonment
- Aging and geriatric issues
- Anger management
- Attachment issues
- Avoidant personality
- Blended family issues
- Co-morbidity
- Codependency
- Communication problems
- Control issues
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 27 years
- Licensed
- Texas
- Languages
- English