Ruth Vivian, LCSW

Licensed in Delaware · 5 years in practice

Ruth Vivian is a licensed clinical social worker (LCSW) practicing in Delaware.

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 any license with the state board and any NPI with the national registry.

About Ruth

Ruth Vivian is a licensed clinical social worker (LCSW) practicing in Delaware. She focuses on helping people manage stress, anxiety, substance use concerns, and trauma. Ruth keeps sessions straightforward and practical so parents and busy people can follow along even on a phone screen.

Ruth draws on a mix of trauma-focused methods and relational work to address problems that feel overwhelming. She helps people name patterns that cause pain and develop small, doable skills for coping.

Background and approach

Sessions often include breathing or grounding tools, clearer communication strategies, and steps to reduce substance use when that is a concern. When trauma or past hurts are part of the picture, Ruth uses approaches aimed at processing memories and easing strong reactions. She also uses longer-term psychodynamic ideas to look at repeating relationship patterns.

Together these approaches help people understand why they react the way they do and try new ways of relating. Ruth has five years of clinical experience working across a wide range of concerns, including grief, parenting strains, eating and body image issues, attachment struggles, and mood disorders. She works with people who identify as LGBT and supports issues around intimacy and self-esteem.

Her style is collaborative and down-to-earth. Ruth asks practical questions, sets clear goals, and adjusts tools to fit each person’s life. She welcomes international clients and conducts sessions in English.

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

Therapeutic approaches that translate to online care

Ruth uses Dialectical Behavior Therapy, which teaches concrete skills for managing intense emotions, tolerating distress, and improving relationships. DBT is helpful for people who need step-by-step tools to handle strong feelings and reduce reactive behaviors.

She also uses EMDR, a trauma-focused method that helps process upsetting memories so they cause less disturbance in daily life. EMDR is often used when past events continue to trigger strong reactions or flashbacks.

Finding the right approach is part of the work. Ruth will talk with each person about goals and preferences and then recommend a plan. She checks in regularly and adapts methods so sessions stay practical and relevant to everyday life.

Online therapy with Ruth includes video calls, phone sessions, live chat, or text-based messaging to match different needs. Video visits are useful for longer sessions and face-to-face conversation. Phone appointments can be simpler when bandwidth is limited or during a short break. Live chat and text messaging make it easier to check in between sessions, share brief updates, or use coaching-style prompts without scheduling a full call.

We will earn a commission if you sign up through our link, at no cost to you. It does not change what you pay or the order of the listings.

Questions people ask

What concerns does Ruth commonly address?

She works with stress, anxiety, depression, bipolar mood issues, substance use and trauma-related problems. Additional focuses include grief, self-esteem, body image, parenting strains, and relationship difficulties.

What is Ruth's therapy style like?

Her approach blends practical skills with deeper exploration of relationship patterns. Sessions mix coping tools, communication work, and processing of difficult memories when needed.

How much clinical experience does she have?

Ruth has five years of experience in mental health practice. That experience includes work on addictions, trauma and family-related concerns.

What are Ruth's credentials and where does she practice?

She is a licensed clinical social worker, LCSW, licensed in Delaware. Her professional practice is based in Delaware.

Can I meet with Ruth if I live outside the United States?

Sessions are offered to international clients. All sessions with Ruth are conducted in English.

Which session formats does she offer?

Ruth provides video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.

How does billing and cost work for sessions?

Cost varies with location and therapist availability and uses a subscription model. The subscription can be canceled at any time.

What should I do to begin working with Ruth?

Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule a session according to her availability.

Is this your profile?

Ask us to correct details or take the page down.