Ruth Dombrowski , LISW, LCSW

Ruth Dombrowski is a licensed social worker with 26 years of experience helping people untangle patterns that create stress, anxiety, and relationship pain. She approaches difficult life moments with practical strategies drawn from evidence-informed methods such as Cognitive Behavioral Therapy, Emotionally-Focused Therapy, and attachment-based techniques. Ruth blends these approaches with mindfulness and other coping skills to reduce escalation of anger, address unhealthy coping like compulsive eating or substance use, and support recovery from trauma and abuse.

Her practice attends to a wide range of concerns including mood disorders, addictions, grief, intimacy and family challenges, parenting and caregiver stress, sleep and eating difficulties, and issues of self-esteem and identity. She also works with people navigating sexual diversity and alternative relationship cultures, blended family dynamics, chronic illness and pain, and the stresses that accompany life transitions. Ruth tailors interventions to each person or couple, focusing on changing unhelpful thinking patterns, improving emotional connection, and strengthening communication.

Ruth holds the credentials LISW and LCSW - Licensed Independent Social Worker and Licensed Clinical Social Worker - and provides services in English. She offers therapy through video calls, phone sessions, live chat, and in-app messaging, and accepts clients internationally when schedules allow.

Attachment, Emotionally-Focused, and CBT Approaches Online

Ruth commonly integrates Attachment-Based Therapy, Cognitive Behavioral Therapy - CBT, and Emotionally-Focused Therapy - EFT in her online work. Attachment-Based Therapy explores how early and adult attachment patterns shape closeness and trust, helping with abandonment concerns, relationship strain, and communication problems. CBT focuses on identifying and shifting unhelpful thoughts and behaviors to reduce anxiety, depression, and stress while building practical coping skills. EFT helps couples and individuals access and reorganize emotional responses to strengthen bonds and improve intimacy.

Choosing the right approach is part of the therapeutic journey. Ruth collaborates with each person or couple to determine which methods best match their needs, goals, and preferences, adapting techniques as progress unfolds so therapy remains responsive and relevant.

Online sessions by video, phone, live chat, or text-based messaging offer flexibility for people balancing work, family, caregiving, or health-related limitations. These options make it easier to maintain continuity of care across time zones and life changes while enabling licensed professionals to deliver focused, evidence-informed support in formats that fit daily routines.