About Ruth
Ruth Vivian is a licensed clinical social worker (LCSW) based in Delaware who focuses on helping people manage stress and anxiety. She uses straightforward, practical guidance to help clients sort through pressing concerns and take small steps toward relief. Ruth writes in plain language and aims to make therapy manageable for people juggling busy lives.
With five years of clinical experience, she draws on several established approaches to tailor sessions to each person's needs.
Background and approach
Ruth combines skill with patience to help people work through trauma, addiction, grief, and relationship challenges. She pays attention to patterns like attachment wounds, abandonment fears, and codependency that often show up in relationships. Ruth helps people who struggle with mood concerns such as depression and bipolar mood cycling, as well as eating and body image issues.
She also supports people facing life transitions, caregiver stress, chronic illness, and the emotional effects of disaster or loss. LGBT clients and those navigating intimacy-related issues are included in her practice focus. In sessions she breaks problems into manageable parts and offers concrete strategies for coping, emotional regulation, and communication.
She draws on trauma-focused methods when past harms affect present day functioning and uses approaches that address internal parts and longstanding patterns. People meet Ruth through online formats and spoken sessions. She encourages a collaborative process that centers the client’s goals, values, and pace of change.
Online approaches for trauma, emotion skills, and lasting change
Ruth uses Dialectical Behavior Therapy (DBT) to teach emotion regulation, distress tolerance, and clearer communication. DBT focuses on skills practice and helps when intense emotions, anger, or self-destructive patterns get in the way of daily life.She also draws on Eye Movement Desensitization and Reprocessing (EMDR) and trauma-focused therapies to address the effects of past harm. These approaches work with difficult memories and the sensations tied to them so that traumatic material feels less overwhelming over time.
Finding the right approach is part of the work. Ruth will talk with each person about goals, symptoms, and preferences, and then tailor methods together. The therapist and client decide collaboratively which techniques to emphasize and when to shift focus.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and longer session work. Phone sessions can be a good fit when bandwidth is limited or a quieter check-in is needed. Live chat and text messaging support brief check-ins, skill coaching, or ongoing support between longer sessions. These options make therapy easier to schedule and adapt to daily life.
Questions people ask
What kinds of concerns can Ruth address?
How would you describe Ruth's therapy style?
What is Ruth's professional background?
Where is Ruth located and licensed?
Which languages are offered for sessions?
What session formats are available?
How are fees and billing handled?
How do I begin working with Ruth?
What this therapist works with
Most often
- 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
Therapeutic approaches
- Experience
- 5 years
- Licensed
- Delaware
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.