Profile / United States
Ruby Preston, LPC
Texas
LPC in Texas - anxiety and life transitions
See online therapy options- Cognitive Behavioral Therapy
- Dialectical Behavior Therapy
- Skills and behavioral experiments
About Ruby
Ruby Preston is a Licensed Professional Counselor (LPC) in Texas with 18 years of experience. She works with people who struggle with stress, anxiety, addictions, parenting concerns, self-esteem, depression, relationship and family issues, trauma and abuse, grief, anger, bipolar disorder, coping with life changes, compassion fatigue, and ADHD.
Her sessions focus on practical, structured work. She uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy to notice unhelpful thoughts and test new responses. Conversations are direct and goal-focused, with specific skills and small experiments to try between meetings.
In practice she helps clients break problems into manageable parts. That can mean tracking patterns, testing a thought to see if it holds up, or practicing a new way to respond in stressful moments. She pays attention to daily routines and habits that make problems worse or better.
She adapts pacing so sessions fit what a person needs that week. Some weeks are skill-building and homework, other weeks are space to process big events. She balances short-term strategies with steps people can use long term.
People who choose her should expect straight talk about coping strategies and clear steps to practice. To begin, clients answer a short matching questionnaire and schedule a first session through the online options button.
How CBT and DBT are used in online sessions
Ruby uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and test them against reality. CBT sessions often involve tracking thoughts, trying small behavior experiments, and reviewing what changed afterward to refine the approach.She also draws on Dialectical Behavior Therapy for skills that help manage intense emotions and improve stress tolerance. DBT methods include short-term coping skills, emotion regulation techniques, and practical grounding strategies useful during high-arousal moments.
Finding the right approach is part of the work. She will collaborate with each person to decide which methods fit their goals and preferences. That may mean starting with CBT exercises and adding DBT skills when emotion regulation becomes a focus.
Session formats are not specified in the original biography, so confirm current options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, or avoid travel time. Discuss scheduling and session length when arranging the first appointment so sessions match everyday routines and goals.
Areas of expertise
Primary focus
Also works with
Therapeutic approaches
Experience
18+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does she work with most often?
She addresses stress, anxiety, addictions, parenting concerns, self-esteem, depression, relationship and family issues, trauma and abuse, grief, anger, bipolar disorder, coping with life changes, compassion fatigue, and ADHD.
How would her therapeutic style be described?
Her approach is practical and structured, using Cognitive Behavioral Therapy and Dialectical Behavior Therapy to identify unhelpful thoughts and practice new behaviors.
How long has she been practicing?
She has 18 years of professional experience working with clients in counseling settings.
What credentials and location are listed?
She is a Licensed Professional Counselor (LPC) licensed in Texas.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are costs and billing handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What is the process to get started?
Use 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.