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Ruth Vivian, LCSW

Strength-based support for healing and change
  • Stress and anxiety support
  • Trauma and abuse recovery
  • Substance use concerns

About Ruth Vivian

Ruth Vivian is a Licensed Clinical Social Worker (LCSW) in Delaware who supports people navigating stress and anxiety, substance use concerns, family conflict, and the effects of trauma and abuse.

She approaches therapy with the belief that each person is the expert on their own story and already carries meaningful strengths, even when life feels overwhelming. Ruth’s role is to help clients recognize and organize those strengths so they have practical ways to manage what they are carrying and make room for change.

With a focus on steady progress and personal goals, she works with clients who want support in their healing journey, strengthening relationships, and creating more purpose, satisfaction, and joy in daily life.

Areas of Expertise

Also Specializes In

LGBTRelationship issuesGriefIntimacy-related issuesEating disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderDepression

Additional Focus Areas

AbandonmentAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDissociationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameImpulsivityIntellectual disabilityIsolation / lonelinessLife purposePanic disorder and panic attacksPost-traumatic stressSelf-harmSelf-loveSexual assault and abuseTrichotillomaniaWomen's issuesYoung adult issues

Therapeutic Approach

Dialectical Behavior Therapy (DBT) Eye Movement Desensitization and Reprocessing (EMDR) Psychodynamic Therapy Trauma-Focused Therapy Internal Family Systems

Frequently Asked Questions

How much experience does Ruth Vivian have?

Ruth Vivian has 5 years of experience.

Is Ruth Vivian a licensed therapist?

Yes. Ruth Vivian is licensed as an LCSW (Licensed Clinical Social Worker). Delaware license: DE LCSW Q1-0012094.

In which languages does Ruth Vivian provide therapy?

Ruth Vivian provides therapy in English.

Where is Ruth Vivian located?

Ruth Vivian is located in Delaware.

How can I work with Ruth Vivian as my therapist?

You can work with Ruth Vivian through video calls, phone sessions, live chat, or text-based messaging.

Does Ruth Vivian work with international clients?

Yes, Ruth Vivian works with international clients.

How much does therapy with Ruth Vivian cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Tools That Translate Well to Online Care

Ruth Vivian draws from evidence-informed approaches that can be effective in online therapy settings. Dialectical Behavior Therapy (DBT) focuses on building practical skills for managing intense emotions, coping with stress, and improving relationships through tools like mindfulness, distress tolerance, and communication strategies.

Eye Movement Desensitization and Reprocessing (EMDR) is a structured approach often used for trauma and distressing memories. It helps clients process experiences that may still feel “stuck,” so they can respond to reminders with more steadiness in the present. Trauma-Focused Therapy also centers on understanding how trauma can shape thoughts, emotions, and day-to-day coping, while supporting safer, more workable ways to move forward.

Finding the right approach is part of the process. Ruth collaborates with clients to understand their needs, goals, and preferences, then adjusts the pace and methods over time so therapy stays relevant and supportive.

Online therapy offers flexibility and access from wherever a client is located, including for international clients. Sessions can happen through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit care into a busy schedule and to choose the format that feels most comfortable.

Ready to start therapy with Ruth Vivian?

Take the first step toward a better you.