Works with
- Anger
- Stress, Anxiety
- Addictions
- Family conflicts
- Trauma and abuse
- Coping with life changes
How Ruth works
Practical facts
- Credentials
- LCSW
- Licensed in
- Delaware
- Years in practice
- 5
- Languages
- English
- Session format
- Online, through our partner platform
About Ruth
Ruth Vivian is a licensed clinical social worker who uses structured, skills-based therapy to help people manage strong emotions and rebuild day-to-day balance. She works with adults on anger, stress, anxiety, substance use, grief, and relationship struggles. Ruth practices in Delaware and offers sessions in English for both local and international clients.
Ruth draws from approaches such as Dialectical Behavior Therapy, EMDR, and psychodynamic work to meet different needs. In sessions she helps people learn concrete coping skills, process difficult memories, and notice patterns that keep problems repeating.
Background and approach
The emphasis is on practical steps people can try between meetings. Clients who come with parenting strain, body image concerns, or problems with intimacy find a straightforward, calm way to talk through painful events. Ruth also supports people facing chronic illness, caregiver stress, or recovery from substance use.
She pays attention to attachment wounds and issues like abandonment that often shape relationships. Ruth explains things plainly and breaks bigger problems into smaller tasks. She helps people set realistic goals and practices tools together in session.
This approach makes progress feel more manageable over time. With five years as an LCSW Ruth blends active skills coaching and deeper exploration. New clients complete a short matching questionnaire to begin and then schedule sessions based on availability.
Her work aims to reduce distress, increase stability, and help people move toward the life they want.
What Ruth works with
Everything Ruth lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Ruth's practice.
- 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.
Blending proven approaches for online healing
Ruth commonly uses Dialectical Behavior Therapy and EMDR as part of her online work. Dialectical Behavior Therapy, or DBT, focuses on concrete skills - like emotion regulation, distress tolerance, and clearer communication - that people can practice between sessions to reduce explosive anger and overwhelm. EMDR, or Eye Movement Desensitization and Reprocessing, is a trauma-focused method that helps process painful memories so they have less emotional charge and interrupt daily functioning.Choosing the right approach is a collaborative process. Ruth will talk with each person about their goals, life context, and what has or hasn’t helped before. Together they decide which methods to try and adjust the plan as progress is made.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to fit different needs. Video calls work well for longer weekly sessions and skills practice. Phone meetings can be useful for shorter check-ins or when bandwidth is limited. Live chat and text messaging are helpful for brief updates, coaching between sessions, and people who prefer not to use video. These options make it simpler to fit therapy into a busy life and keep continuity when schedules change.
Questions people ask about Ruth
What concerns does Ruth commonly address?
She helps with anger, stress, anxiety, depression, addictions, trauma and abuse, relationship and intimacy issues, grief, and parenting strain among other concerns.
What is Ruth's general therapy style?
Her work combines practical skills coaching with deeper therapy. Sessions include learning tools, practicing them together, and talking through past patterns that affect current life.
What relevant experience does she bring?
Ruth is a licensed clinical social worker with five years of post-licensure experience working in mental health settings.
Where is Ruth based and what credential does she hold?
She practices in Delaware and holds a Delaware Licensed Clinical Social Worker credential, shown as DE LCSW.
Which languages are offered for sessions?
Sessions are offered in English and she is able to work with international clients as well.
What session formats are available?
Ruth offers video calls, phone sessions, live chat, and text-based messaging to suit different schedules and preferences.
How are fees structured?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with Ruth?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.