CBT Therapist Directory

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Ruth MacBain, LCPC, LCMHC

Ruth MacBain - Experienced counselor for addiction and trauma
  • CBT and DBT methods
  • Substance use expertise
  • Outdoor and adaptive sports

About Ruth MacBain

Ruth MacBain is a licensed community mental health clinician practicing in New Hampshire and Maine with 11 years of clinical experience and a master’s-level certificate in Substance Use Disorders. She draws on a background in residential treatment and integrated care for co-occurring disorders to support people facing addiction, anxiety, depression, trauma, grief, relationship and family challenges, and issues related to self-esteem and life transitions.

Her work is collaborative and evidence-informed, using Motivational Interviewing to build readiness for change, Cognitive Behavioral Therapy (CBT) to address unhelpful thinking and behavior patterns, and Dialectical Behavior Therapy (DBT) skills to improve emotional regulation and interpersonal effectiveness. When teaching groups, she incorporates Seeking Safety and CBT approaches tailored to substance use recovery. She also has training working with LGBTQ clients, people with PTSD, and individuals who are autistic or have intellectual disabilities.

Ruth holds LCPC and LCMHC credentials - Licensed Clinical Professional Counselor and Licensed Clinical Mental Health Counselor - which reflect her clinical licensure in the region. Outside of clinical work she volunteers with adaptive sports programs, supports people with autism, and enjoys outdoor activities such as hiking, biking, and swimming.

Areas of Expertise

Primary Focus

Also Specializes In

Family conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersCoping with life changes

Additional Focus Areas

AbandonmentAttachment issuesDivorce and separationDrug and alcohol addictionPrejudice and discrimination

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Jungian Therapy Motivational Interviewing Narrative Therapy

Frequently Asked Questions

How much experience does Ruth MacBain have?

Ruth MacBain has 11 years of clinical experience.

Is Ruth MacBain a licensed therapist?

Yes. She holds LCPC and LCMHC credentials. License details are ME LCPC CC7025 and NH LCMHC 2331.

In which languages does Ruth MacBain provide therapy?

Ruth MacBain provides therapy in English.

Where is Ruth MacBain located?

Ruth MacBain is located in New Hampshire.

How can I work with Ruth MacBain as my therapist?

You can work with Ruth MacBain through video calls, phone sessions, live chat, or text-based messaging.

Does Ruth MacBain work with international clients?

Ruth MacBain does not currently work with international clients.

How much does therapy with Ruth MacBain 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, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. 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 by phone, video call, live chat, or in-app messaging.

Evidence-Informed Approaches for Online Care

Ruth MacBain uses several practical, skills-based approaches that translate well to online work. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing patterns of thinking and behavior that contribute to anxiety, depression, and many everyday struggles, offering concrete tools for coping and symptom reduction. Dialectical Behavior Therapy (DBT) teaches emotional regulation, distress tolerance, and interpersonal skills to help people manage intense emotions and improve relationships. Motivational Interviewing is a collaborative, client-centered approach that helps people explore ambivalence and strengthen their own motivation for change, which is particularly useful for substance use and behavior change goals.

Finding the right approach is part of the therapeutic process. Ruth works collaboratively with each person to assess needs, preferences, and goals, then tailors techniques and pacing so the approach fits the individual rather than forcing a single method.

Online therapy offers flexible options such as video calls, phone sessions, live chat, or text-based messaging, making it easier to fit support into a busy life or access care from different locations. These formats allow licensed professionals to deliver structured interventions, teach skills, run psychoeducational groups, and maintain ongoing therapeutic contact in ways that adapt to each person’s schedule and comfort level.

Ready to start therapy with Ruth MacBain?

Take the first step toward a better you.