Ruth Dombrowski, LISW, LCSW
Licensed in South Carolina · 26 years in practice
Ruth Dombrowski is a licensed clinical social worker with over 26 years of experience helping people manage stress, anxiety, addiction, and relationship concerns.
License and registration
- LISW, South Carolina
- 5050 · expires December 2026
- LCSW, Texas
- 103725 · expires November 2026
- NPI
- 1619900875 · national provider identifier
- Years in practice
- 26
- 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 Dombrowski is a licensed clinical social worker with over 26 years of experience helping people manage stress, anxiety, addiction, and relationship concerns. She practices in Texas as an LISW and as an LCSW and brings a calm, practical focus to sessions. Her style is straightforward and caring, aimed at people who want concrete steps to feel better.
Ruth helps people notice patterns that keep them stuck and then change those habits.
Background and approach
She uses tools from cognitive behavioral ideas to reframe thoughts and from emotionally focused work to improve connections. Sessions often include clear exercises you can try between meetings. Her background includes long experience with grief, trauma, chronic illness, and caregiving stress.
She also supports people dealing with intimacy issues, body image, sexual variation and kink, and the effects of life transitions. Ruth has worked with a wide range of concerns, from bipolar mood management to coping after disaster. Ruth emphasizes small, doable steps and focuses on what will make daily life easier.
She helps clients set realistic goals for sleep, eating, anger, and substance use patterns. The work balances practical skill building with attention to attachment and connection. Many people come for help with communication, commitment worries, or career stress.
Ruth also addresses caregiver burnout, aging and geriatric issues, and co-morbid health conditions. Her approach is collaborative - she and the client decide which strategies fit best.
Focus areas and approaches
Everything Ruth lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Addictions
- LGBT
- Intimacy-related issues
- Depression
- Relationship issues
- Family conflicts
- Trauma and abuse
- Grief
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- Abandonment
- Aging and geriatric issues
- Attachment issues
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Divorce and separation
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Approaches Ruth names
- 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
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 attachment and emotion work translate online
Attachment-Based Therapy focuses on how relationships shape feelings and behavior. Online sessions use conversation and structured exercises to help people notice attachment patterns and try new ways of relating to others.Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. In remote sessions Ruth guides simple tools like thought records and behavioral experiments that clients can apply between meetings to reduce anxiety or change habits.
Finding the right approach is part of the process. Ruth works collaboratively to decide which methods fit a person’s goals, needs, and preferences. She will suggest options and adjust the plan as you try different strategies together.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets you work face to face when bandwidth allows. Phone sessions can be easier when a quiet space is available and lower bandwidth is needed. Live chat or text messaging can serve as shorter check-ins, flexible planning, or support between longer sessions. These options make it easier to schedule therapy around work, caregiving, or mobility limits.
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Questions people ask
What kinds of concerns does Ruth address?
She works with stress, anxiety, depression, addictions, relationship and intimacy issues, trauma and grief, eating and sleeping problems, parenting strain, and many other life challenges listed in her specialties.
What is her general therapy style?
Ruth uses a practical, conversational style that emphasizes small, doable steps and exercises to try between sessions.
How long has she been practicing?
She has 26 years of clinical experience supporting people through emotional and behavioral challenges.
Where is Ruth licensed and based?
She practices in Texas and holds credentials as an LISW and as an LCSW with licenses noted for South Carolina and Texas.
Which languages are sessions offered in?
Sessions are offered in English and she does accept international clients.
What session formats are available?
She meets by video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How are sessions priced?
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 her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on therapist availability.
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