- Years in practice
- 5
- Credentials
- LCSW
- Licensed in
- Delaware
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Addictions
- Focus
- Family conflicts
About Ruth
Ruth Vivian is a licensed clinical social worker (LCSW) based in Delaware. She draws on five years of clinical experience to help people facing stress, anxiety, substance use concerns, trauma, and family-related struggles. Ruth focuses on practical, plainspoken work.
She helps clients name problems, build coping skills, and make small changes that add up. Sessions are goal-oriented and paced to each person's needs. Her approach blends trauma-focused methods, psychodynamic ideas, and skill-based strategies like Dialectical Behavior Therapy.
Background and approach
Ruth uses these tools to address painful memories, patterns that repeat in relationships, and intense emotions that interfere with everyday life. She commonly supports people dealing with grief, parenting stresses, relationship strain, eating and body image concerns, and mood disorders such as depression or bipolar symptoms. She also attends to attachment wounds, codependency, and challenges that come with chronic illness or caregiving.
Ruth believes clients are the experts on their own lives. Her role is to offer options, point out patterns, and practice new ways of responding together. The aim is clearer thinking, steadier emotions, and more satisfying connections.
Sessions may include skill teaching, processing difficult memories, and exploring how past experiences shape today. She accepts international clients and works in English.
What Ruth works with
Everything Ruth lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Ruth helps people with.
- Stress, Anxiety
- Addictions
- Family conflicts
- Trauma and abuse
- Coping with life changes
- LGBT
- Relationship issues
- Grief
- Intimacy-related issues
- Eating disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Depression
- Abandonment
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dissociation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Panic disorder and panic attacks
- Post-traumatic stress
- Self-harm
- Self-love
- Sexual assault and abuse
- Trichotillomania
- Women's issues
- Young adult issues
Approaches Ruth lists
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Psychodynamic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Approaches that translate well to online therapy
Ruth uses Dialectical Behavior Therapy to teach clear, practical skills for managing intense emotions, improving relationships, and reducing harmful behaviors. DBT sessions often include skill practice and check-ins to build stability and day-to-day coping.She also uses Trauma-Focused Therapy and Eye Movement Desensitization and Reprocessing to address painful memories and their lasting effects on mood and behavior. These approaches aim to reduce the hold of traumatic memories while helping people reclaim routine functioning and trust in themselves.
Finding the best approach is collaborative. Ruth will talk with each person about their history, goals, and preferences and then suggest methods to try. That may mean combining skill teaching with trauma work or shifting focus as needs change over time.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for longer talks and skill demonstrations, phone can be a lower-tech option when bandwidth is limited, live chat helps with quick check-ins, and messaging supports short updates or ongoing support between sessions. These options offer flexibility to fit therapy into work, caregiving, and travel schedules.
Questions people ask about Ruth
What concerns does Ruth commonly help with?
She works with stress, anxiety, addictions, trauma and abuse, family conflict, grief, depression, and related issues such as body image, codependency, and caregiver stress.
What is her therapeutic style like?
Her style is practical and collaborative, mixing skill-based work with deeper exploration of patterns and past experiences to reduce symptoms and improve relationships.
How much clinical experience does she have?
Ruth has five years of clinical experience as a licensed clinical social worker in Delaware.
What are her credentials and where is she located?
She holds an LCSW credential and practices from Delaware.
Which languages are sessions offered in?
Sessions are offered in English, and she is available to work with international clients.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How does pricing work for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.
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