About Ruth
Ruth MacBain is a licensed counselor with more than a decade of clinical experience. She holds LCPC (Licensed Clinical Professional Counselor) and LCMHC (Licensed Clinical Mental Health Counselor) credentials and practices from New Hampshire. Ruth brings practical experience from residential treatment and integrated care for people facing both mental health and substance use challenges.
Ruth uses a collaborative style in sessions. She leans on Motivational Interviewing to build readiness for change and on Cognitive Behavioral Therapy (CBT) to spot and shift unhelpful thinking.
How Ruth works
She also draws on Dialectical Behavior Therapy (DBT) skills for emotion regulation and distress tolerance. In the room, sessions tend to be straightforward and focused. Ruth helps people address stress, anxiety, depression, grief, and self-esteem concerns.
She also supports work on addiction, coping with life changes, intimacy-related worries, trauma and abuse, compassion fatigue, and eating-related concerns. Ruth pays attention to attachment and abandonment issues and offers help around divorce and separation and prejudice and discrimination. Her background includes work with integrated treatment for co-occurring disorders and group work on substance use interventions.
Outside of clinical work she volunteers with adaptive sports and supports people with autism and disability-related challenges. She enjoys hiking, biking, and swimming and brings a down-to-earth approach to sessions.
Ruth lists 6 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.
Also listed
- Abandonment
- Attachment issues
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Grief
- Intimacy-related issues
- Prejudice and discrimination
- Trauma and abuse
Training and background
| Registers | LCPC, LCMHC |
|---|---|
| Years in practice | 11 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New Hampshire |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Ruth’s Approaches Work Online
Client-Centered Therapy focuses on listening and responding to each person’s needs, helping them feel understood and guiding conversations at their pace. Cognitive Behavioral Therapy (CBT) looks at patterns of thought and behavior and teaches concrete strategies to reduce anxiety, depression, and unhelpful habits. Dialectical Behavior Therapy (DBT) offers skills for managing intense emotions and improving coping, which can be useful for stress, self-destructive urges, and relationship strain.Choosing the right approach is part of the work together. Ruth collaborates with clients to match methods to their goals and preferences, adapting techniques as progress is made. She draws from different approaches so sessions stay practical and focused on what the person wants to change.
Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth or camera use is limited. Live chat and text-based messaging work well for short check-ins, tracking progress, or when writing out thoughts feels more comfortable. These options help people fit therapy into busy lives and maintain momentum between sessions.
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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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