Ruth Vivian, LCSW

Delaware · 5 years in practice

Ruth Vivian is a licensed clinical social worker who uses trauma-focused methods to help people move forward.

License and registration

LCSW, Delaware: Q1-0012094 · expires January 2027
NPI: 1912657578 · national provider identifier
Years in practice: 5
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Ruth

Ruth Vivian is a licensed clinical social worker who uses trauma-focused methods to help people move forward. She draws on EMDR therapy alongside other approaches to address trauma, anxiety, addiction, and relationship concerns. Ruth practices with plain language and direct support so people can feel heard and understood quickly.

She focuses on stress, anxiety, substance use, trauma and abuse, and family conflict. Ruth also addresses grief, intimacy issues, eating concerns, parenting strain, and mood disorders such as depression and bipolar.

Background and approach

Additional areas include attachment and abandonment wounds, caregiver stress, chronic illness, and recovery from domestic violence or dissociation. Ruth combines trauma-focused work with Dialectical Behavior Therapy skills and psychodynamic exploration. That means sessions can include skill-building for emotion regulation, guided processing of painful memories, and looking at relationship patterns that repeat.

She aims to help people get practical tools while also understanding deeper reasons for their struggles. Sessions are conversational and collaborative. Ruth centers the client’s experience and helps people organize what feels overwhelming into manageable steps.

She encourages small, achievable goals that add up to meaningful change over time. Ruth holds a Delaware LCSW and has five years of clinical experience. She offers therapy in English and works with international clients.

Her practice includes video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

Focus areas and approaches

Everything Ruth lists on their public professional profile, in their own terms.

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 names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How EMDR, DBT, and trauma work online

Ruth uses EMDR-informed methods to help people process distressing memories and reduce their emotional charge. EMDR-style approaches involve guided attention and focused processing to revisit difficult experiences in a paced way that aims to lessen their intensity.

She also uses Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and better interpersonal communication. DBT skills can help with strong emotions, impulsive behavior, and relationship conflicts. Ruth pairs these approaches with trauma-focused and psychodynamic work to connect symptoms to life patterns and past experiences.

Finding the right approach is a collaborative process. The therapist will work with the client to decide which methods fit best for their goals, needs, and comfort. Sessions can shift over time as priorities change, blending skills practice with memory processing and exploration of relationship patterns.

Online sessions offer practical flexibility. Video calls let people work face to face from different places, phone sessions use less bandwidth and can be easier for quick check-ins, and live chat or text messaging support short updates or ongoing problem solving between sessions. These options make it easier to fit therapy into busy schedules and varied life situations.

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Questions people ask

What concerns does Ruth commonly address?

She helps people dealing with stress, anxiety, trauma and abuse, addiction, family conflict, grief, relationship and intimacy issues, eating concerns, parenting strain, mood disorders, and related challenges.

What is her general therapy style?

Ruth blends trauma-focused work with practical skills and conversational psychodynamic exploration. Sessions aim to be collaborative and focused on real-life tools and understanding patterns.

What experience does she bring to sessions?

Ruth has five years of clinical experience working in mental health settings and brings hands-on practice with trauma, addiction, and relational issues.

What credentials and location are listed?

She holds a Delaware LCSW and practices from Delaware.

Which languages are supported and can international clients connect?

Sessions are offered in English, and she accepts international clients.

What session formats are available?

Therapy is offered via video calls, phone sessions, live chat, and text-based messaging to suit different preferences and schedules.

How does payment and cost work?

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 Ruth?

Click the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist’s availability.

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