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Ruth MacBain

Profile / United States

Ruth MacBain, LCPC, LCMHC

New Hampshire

Licensed counselor - Anxiety and addictions

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  • CBT methods
  • Motivational interviewing
  • DBT skills

About Ruth

Ruth MacBain is a Licensed Clinical Professional Counselor (LCPC) in Maine and a Licensed Clinical Mental Health Counselor (LCMHC) in New Hampshire with 11 years of experience. She focuses on stress, anxiety, addictions, self-esteem, depression, compassion fatigue, trauma and abuse, and grief. Ruth also works with intimacy-related concerns, eating issues, coping with life changes, and related areas such as abandonment and attachment issues.

Her background includes work in residential treatment and integrated treatment for co-occurring disorders. She holds a master's-level certificate in Substance Use Disorders and has taught groups using Cognitive Behavioral Therapy integration for substance use. Ruth has experience with LGBTQ clients, anxiety, depression, and PTSD, and has worked with people on the autism spectrum and those with intellectual disabilities.

Ruth uses a collaborative style in sessions. She brings Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) into her work, adapting techniques to each person's goals. Sessions often include clear strategies for coping, managing thoughts, and changing unhelpful habits.

Outside clinical work she volunteers with adaptive sports and supports people with autism and disability-related challenges. She is active outdoors and spends free time hiking, biking, and swimming.

Her approach emphasizes practical steps and regular review of progress. Clients can expect focused conversations about problems, specific skills to try between sessions, and periodic reassessment of what is helping.

How Ruth uses CBT, DBT and client-centered work online

Ruth combines Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Client-Centered Therapy in ways that focus on practical skills and clear objectives. CBT is used to spot and test unhelpful thoughts and to build concrete behavior changes that can reduce anxiety and depression symptoms. DBT provides tools for tolerating strong emotions and improving moment-to-moment coping when stress or crisis spikes. Client-Centered Therapy offers space to talk through experiences and set goals that matter to the individual.

Deciding which approach to use is a shared process. Ruth reviews goals and preferences with each person and adjusts methods over time. That makes it easier to try CBT exercises, DBT skills, or more conversational client-centered work depending on what fits and what is helping.

Session formats are not specified in the biography, so confirm current online options before booking. In general, online sessions can help fit therapy into a busy week by removing travel time, allowing shorter check-ins when needed, and offering options that do not require being on camera every time. Talk with the clinician about which session pattern would work best given your schedule and concerns.

Areas of expertise

Primary focus

Also works with

Family conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersCoping with life changes

Additional focus areas

AbandonmentAttachment issuesDivorce and separationDrug and alcohol addictionPrejudice and discrimination

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Jungian TherapyMotivational InterviewingNarrative Therapy

Experience

11+ years

Listed in

New Hampshire, Maine

Languages

English

Frequently asked questions

What concerns does she address most often?

She works with stress, anxiety, addictions, depression, grief, trauma and related relationship and attachment issues.

How does Ruth use Cognitive Behavioral Therapy?

She uses CBT to identify unhelpful thoughts and test new behaviors. Sessions include concrete strategies and practice between appointments.

What is her professional background?

She has 11 years of experience in residential treatment and integrated care for co-occurring disorders and a master's-level certificate in Substance Use Disorders.

Where is she licensed and based?

Ruth holds ME LCPC and NH LCMHC licenses and is located in New Hampshire.

Which languages are supported?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

How are sessions paid for?

Cost varies with location; services use a subscription that can be canceled at any time.

How do I begin a first session?

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.

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Ruth MacBain

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