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Ruth Dombrowski, LISW, LCSW

Ruth Dombrowski, LISW and LCSW
  • Stress and anxiety support
  • Relationship and family therapy
  • Trauma and grief care

About Ruth Dombrowski

Ruth Dombrowski frames modern stress as a human response to rapid cultural and personal change, noting how families, relationships, and health can be strained by daily pressures. She recognizes that unhealthy coping - from problematic eating and substance use to process addictions - can grow quietly and then intensify into anger, isolation, or a sense that life is slipping out of control.

Rather than waiting for a crisis, Ruth offers practical pathways for interrupting harmful patterns and rebuilding healthier routines. She works to help people shift long-standing thoughts and behaviors, pursue healing and forgiveness where needed, and cultivate present-moment awareness through mindfulness. Her approach integrates Cognitive Behavioral Therapy - a method that links thoughts, feelings, and behaviors - with Emotionally Focused Therapy and complementary strategies tailored to each person’s needs.

Ruth holds both LISW and LCSW credentials. LISW stands for Licensed Independent Social Worker and LCSW stands for Licensed Clinical Social Worker, designations that reflect advanced training and clinical experience in social work and psychotherapy. She emphasizes accessible counseling that meets people where they are and focuses on practical tools for coping, repair, and growth.

Areas of Expertise

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?

Ruth Dombrowski provides therapy in English.

Where is Ruth Dombrowski located?

Ruth Dombrowski is located in 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.

Could Virtual Sessions Be a Good Fit?

Many people wonder whether meeting with a therapist remotely can truly help. For common concerns such as stress, anxiety, depression, relationship difficulties, or coping with life transitions, online therapy can be just as effective as traditional in-person care.

One of the biggest benefits is flexibility - individuals may choose the communication method that fits their needs, whether that is video calls, phone sessions, live chat, or in-app messaging. This flexibility makes it easier to maintain continuity of care alongside work, family, and other commitments.

Licensed professionals provide remote support using therapeutic approaches suited to each situation, and therapists can be changed if a different fit is desired. For many people, online sessions provide a practical, effective way to access the support they need without disrupting daily life.

Ready to start therapy with Ruth Dombrowski?

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