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Ramon Ruiz IV

Profile / United States

Ramon Ruiz IV, LCSW

Texas

LCSW in Texas - Anxiety and Addictions

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  • CBT techniques
  • Motivational interviewing
  • Skills for emotion regulation

About Ramon

Ramon Ruiz IV is a Licensed Clinical Social Worker (LCSW) in Texas with 10 years of practice experience. He focuses on stress, anxiety, addictions, self-esteem, depression, relationship concerns, trauma and abuse, sleep problems, anger, bipolar disorder, and coping with life changes.

He works in a straightforward, problem-focused way. Sessions look at thoughts, habits, and reactions. He helps people notice patterns that keep problems going and then try new responses.

Ramon uses Cognitive Behavioral Therapy (CBT) along with client-centered methods and elements of Dialectical Behavior Therapy and motivational interviewing. That means sessions mix practical exercises, skill practice, and direct conversation about what is getting in the way.

People often come for help with addictions or substance use, low motivation, shame, body image, and trouble communicating in relationships. He also supports those dealing with chronic pain, dissociation, attachment difficulties, and personality-related challenges.

In therapy he will set clear goals and suggest concrete, short-term steps to try between sessions. He discusses coping skills for stress, routines to improve sleep, and approaches to manage mood swings and impulsive behavior.

Ramon aims to keep sessions focused and action-oriented. He asks practical questions, reviews progress, and adjusts strategies based on what works. To begin, clients complete a brief matching form and schedule a first appointment.

How Ramon applies structured approaches in remote sessions

Ramon often draws on Cognitive Behavioral Therapy to spot patterns of thought and behavior that keep problems going. CBT sessions focus on practical exercises, tracking thoughts and testing small behavior changes to reduce anxiety, depression, and unhelpful habits.

He also uses Client-Centered Therapy to keep the conversation grounded in the client’s concerns and Motivational Interviewing to help people find reasons to change and build momentum. Client-Centered Therapy prioritizes listening and clarifying goals while Motivational Interviewing helps when motivation feels low or change feels risky.

Finding the right mix of methods is part of the work. Ramon will talk with the client about goals, try specific strategies, and adjust the approach based on what helps. The process is collaborative and focused on concrete steps and skills.

Session formats are not listed in the biography, so confirm current options before booking. Online sessions can make it easier to fit work on coping skills and behavior changes into a weekly routine, allow shorter check-ins when needed, and reduce travel time so therapy fits into busy days.

Areas of expertise

Also works with

Relationship issuesTrauma and abuseSleeping disordersAnger managementBipolar disorderCoping with life changes

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesAvoidant personalityBody imageChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDrug and alcohol addictionEmptinessFamily problemsFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMood disordersNarcissismPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused Therapy

Experience

10+ years

Listed in

Texas

Languages

English

Frequently asked questions

What kinds of problems does he help with?

He supports people facing stress, anxiety, depression, addictions, self-esteem issues, relationship strain, trauma and sleep problems among other concerns.

How does he use CBT in sessions?

He uses Cognitive Behavioral Therapy to identify unhelpful thoughts and behaviors, then tests alternative responses through practical exercises and homework.

What is his clinical background?

He has 10 years of professional experience providing therapy in a variety of concerns including mood, addiction, and personality-related issues.

What credential does he hold and where is he based?

He is a Licensed Clinical Social Worker (LCSW) licensed in Texas and provides services from that state.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with him?

He does not accept international clients at this time.

How are fees handled?

Cost varies by location and sessions use a subscription model that can be canceled at any time.

How do I begin the process?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Ramon Ruiz IV

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