About Ruth
Ruth Vivian is a licensed clinical social worker (LCSW) based in Delaware. She uses practical, evidence-informed methods to help people manage stress, anxiety, addiction concerns, and trauma. Ruth keeps sessions straightforward and focused so families and individuals can start making changes quickly.
Ruth draws on five years of clinical practice to guide conversations toward clear goals. She listens for patterns that get in the way of daily life and helps clients build skills to handle strong emotions.
How Ruth works
Sessions may include strategies for coping with grief, improving self-esteem, and navigating relationship or parenting challenges. Her work also addresses complex areas like attachment struggles, abandonment wounds, and issues tied to chronic illness or caregiving stress. She supports people dealing with eating concerns, bipolar symptoms, or substance use with a mix of short-term tools and longer-term insight work.
Trauma-focused approaches are used when past events keep affecting present functioning. Ruth aims to help clients find practical ways to reduce distress and increase satisfaction. She partners with each person to set realistic steps and track progress.
The emphasis is on skills that can be used between sessions and on understanding how old patterns started. People meet Ruth for clear guidance and steady support as they work toward change. Her style balances skill-building with attention to life stories, so treatment addresses immediate problems and underlying causes.
Ruth lists 5 ways of working on the entry:
What Ruth works with
The areas below are the ones Ruth selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Family conflicts
Also listed
- 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
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 5 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Delaware |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based approaches for online healing
Ruth uses several proven approaches that translate well to remote work. Dialectical Behavior Therapy (DBT) teaches concrete skills for managing intense emotions and improving relationships; it is helpful for anxiety, anger, and self-regulation challenges. Eye Movement Desensitization and Reprocessing (EMDR) focuses on processing distressing memories so they cause less disruption in daily life, which can ease trauma symptoms. Psychodynamic Therapy looks at long-standing patterns and how past experiences shape current reactions, supporting deeper insight and change.Choosing the right approach is a collaborative process. Ruth will talk with each person about goals, preferences, and what feels most useful. Together they decide whether short-term skills work, trauma processing, or insight-oriented therapy is the best next step and adjust the plan as progress is made.
Online therapy offers practical flexibility. Video calls allow a fuller face-to-face experience, phone sessions work when bandwidth is limited, live chat can suit check-ins or quick support, and text messaging supports ongoing contact between sessions. These options make it easier to fit appointments into busy schedules and to maintain continuity of care across locations.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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