Ruth Dombrowski , LISW, LCSW

Ruth Dombrowski brings 26 years of experience as a licensed social worker to clients seeking help with stress, anxiety, addictions, relationship struggles, trauma, grief, and a wide range of life challenges. She combines practical strategies with a warm, steady presence to help people interrupt unhelpful patterns and develop healthier ways of coping. Ruth emphasizes working in the present to notice automatic responses - whether those responses show up as anger, eating or substance use, sleep difficulties, or difficulty connecting with others - and then building new, sustainable skills.

Having earned credentials as an LISW and an LCSW - respectively a Licensed Independent Social Worker and a Licensed Clinical Social Worker - she draws on approaches such as Cognitive Behavioral Therapy and Emotionally Focused Therapy alongside mindfulness practices to tailor care to each person or couple. Her work addresses a broad set of concerns including intimacy and attachment issues, family and blended-family dynamics, caregiving stress, chronic illness, and identity-related concerns such as LGBT issues and kink-aware therapy.

Ruth frames therapy as a collaborative process. She helps clients identify the patterns that keep them stuck, clarifies concrete goals, and supports practical steps toward improved communication, self-compassion, and coping. For people navigating life transitions, relationship pain, or the aftermath of trauma, she offers structured tools and empathetic guidance to move toward greater stability and connection.

Therapeutic approaches and online care

Ruth integrates Attachment-Based Therapy, Cognitive Behavioral Therapy (CBT), and Emotionally-Focused Therapy (EFT) into her online practice to address both individual and relational concerns. Attachment-Based Therapy examines how early relationship patterns influence present-day connections and can be especially helpful for people dealing with abandonment, attachment issues, or difficulties in close relationships. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors - a practical approach often used for anxiety, depression, compulsive behaviors, and stress management. Emotionally-Focused Therapy centers on understanding and reshaping emotional responses within relationships, making it useful for couples and partners working on intimacy, communication, and repair.

Finding the right therapeutic approach is part of the work. Ruth collaborates with each person or couple to determine which methods best fit their goals, preferences, and life circumstances, adjusting strategies as progress unfolds. This collaborative stance helps tailor sessions to concrete needs while honoring individual pacing and readiness.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, and text-based messaging. These options let people schedule care around work, family, and other commitments and provide multiple ways to stay connected with licensed professionals and therapists when in-person appointments are difficult to arrange.