Ruth Dombrowski, LISW, LCSW
Therapist for stress, relationships, and recovery
- Stress and anxiety
- Relationship struggles
- Addictions and recovery
About Ruth Dombrowski
Ruth Dombrowski, LISW, LCSW, brings 26 years of clinical experience to people facing the pressures of modern life. She frames the strain of changing cultures, fraught family dynamics, and frayed relationships as understandable responses to difficult times rather than personal failures, and she works to create clear pathways back to stability and meaning.
Ruth helps clients interrupt unhelpful patterns - whether those patterns show up as overeating, substance use disorders, process addictions, or escalating anger - before those behaviors take over daily life. She guides people away from downward spirals by teaching practical skills to change habitual thinking and to manage strong emotions, drawing on Cognitive Behavioral Therapy, Emotionally Focused Therapy, and mindfulness-based practices to tailor care to each situation. Her approach emphasizes learning to live more fully in the present while also addressing the wounds that keep old cycles in place.
As a Licensed Independent Social Worker and a Licensed Clinical Social Worker, Ruth offers accessible counseling that focuses on healing, forgiveness, and concrete strategies for coping. She prioritizes realistic tools and compassionate support so that individuals and couples can find healthier ways of relating to themselves and one another without waiting until problems feel unbearable.
Ruth helps clients interrupt unhelpful patterns - whether those patterns show up as overeating, substance use disorders, process addictions, or escalating anger - before those behaviors take over daily life. She guides people away from downward spirals by teaching practical skills to change habitual thinking and to manage strong emotions, drawing on Cognitive Behavioral Therapy, Emotionally Focused Therapy, and mindfulness-based practices to tailor care to each situation. Her approach emphasizes learning to live more fully in the present while also addressing the wounds that keep old cycles in place.
As a Licensed Independent Social Worker and a Licensed Clinical Social Worker, Ruth offers accessible counseling that focuses on healing, forgiveness, and concrete strategies for coping. She prioritizes realistic tools and compassionate support so that individuals and couples can find healthier ways of relating to themselves and one another without waiting until problems feel unbearable.
Areas of Expertise
Primary Focus
Also Specializes In
Relationship issuesFamily conflictsTrauma and abuseGriefEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCompassion fatigue
Additional Focus Areas
AbandonmentAging and geriatric issuesAttachment issuesBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaTrichotillomaniaWomen's issuesWorkplace issuesYoung adult issues
Therapeutic Approach
Attachment-Based Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Gottman Method Imago Relationship Therapy Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy Trauma-Focused Therapy
Frequently Asked Questions
How much experience does Ruth Dombrowski have?
Ruth Dombrowski has 26 years of experience.
Is Ruth Dombrowski a licensed therapist?
Yes, she holds these credentials: LISW, LCSW. License details: SC LISW 5050, TX LCSW 103725.
In which languages does Ruth Dombrowski provide therapy?
English.
Where is Ruth Dombrowski located?
Texas.
How can I work with Ruth Dombrowski as my therapist?
You can work with Ruth Dombrowski through video calls, phone sessions, live chat, or text-based messaging.
Does Ruth Dombrowski work with international clients?
Yes, Ruth Dombrowski works with international clients.
How much does therapy with Ruth Dombrowski cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Attachment, CBT, and Emotion-Focused Approaches for Online Care
Ruth Dombrowski integrates Attachment-Based Therapy, Cognitive Behavioral Therapy (CBT), and Emotionally Focused Therapy (EFT) to address a wide range of concerns. Attachment-Based Therapy explores early patterns of relating and how they affect current relationships and feelings of safety, making it helpful for intimacy, abandonment, and attachment issues. CBT focuses on identifying and changing unhelpful thoughts and behaviors, offering practical strategies for anxiety, depression, and stress management. EFT centers on the emotional bonds between people and helps partners and individuals understand and shift emotional responses that keep cycles of hurt or distance in place.
Finding the best therapeutic approach is a collaborative process. Ruth works with each person to assess needs, goals, and preferences, and she adjusts techniques over time so that treatment fits the client rather than the other way around. This partnership helps ensure the chosen methods feel relevant and effective for the client’s life.
Online therapy makes these approaches more accessible through video calls, phone sessions, live chat, or text-based messaging. These options provide flexibility for scheduling, continuity when life is busy or travel is necessary, and easier access to licensed professionals and therapists from a range of locations.