Ruth Dombrowski , LISW, LCSW

Ruth Dombrowski is a licensed clinical social worker with more than two decades of practice. She holds LISW and LCSW credentials and works from Texas. Ruth focuses on helping people who feel stuck by stress, anxiety, depression, addiction, and relationship struggles. Ruth speaks plainly and keeps sessions focused on small, useful steps. She helps clients notice unhelpful patterns and try different ways of thinking and behaving. Mindfulness and practical skill building are part of how she works. Her background spans 26 years of clinical experience. Over that time she has supported people coping with trauma, grief, chronic health problems, caregiving stress, and major life transitions. She also addresses intimate concerns such as sexual expression, BDSM and kink topics, and issues around attachment and abandonment. Ruth uses a mix of approaches to match what a person needs. That can include cognitive behavioral methods to change thinking, emotionally focused work to improve closeness, and attachment-based ideas to untangle relationship patterns. She also draws on relationship models like the Gottman and Imago approaches when relationships and communication are central concerns. Sessions can address a wide range of struggles including eating and sleeping problems, anger, self-esteem, career stress, parenting pressures, and compassion fatigue. Ruth accepts international clients and offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and preferences.

Therapeutic approaches and online options that fit your life

Attachment-based work focuses on how early bonds shape current relationships and helps people notice patterns that affect trust and closeness. It can be useful when fear of abandonment, attachment issues, or recurring relationship conflicts are present.

Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. It teaches concrete tools to change unhelpful thinking and reduce symptoms like anxiety, low mood, and problematic coping behaviors.

Emotionally-Focused Therapy aims to deepen emotional connection and rebuild safety in relationships. It helps people identify core emotions and express needs more clearly, which supports improving intimacy and communication.

Finding the right approach is part of the work. Ruth will collaborate with each person to choose methods that match their goals, needs, and comfort level. She adjusts strategies over time based on what is helping and what isn’t.

Online therapy offers flexibility for busy lives. Video calls let people work face to face from wherever they are. Phone sessions can be a good fit when bandwidth is limited or a camera feels like too much. Live chat and text-based messaging provide short check-ins, written reflections, and easier access between scheduled sessions. These options make it easier to fit therapy into work, caregiving, and travel schedules.