Ruth Dombrowski, LISW, LCSW

Ruth Dombrowski is a licensed clinical social worker practicing in Texas. She brings 26 years of experience to conversations about stress, anxiety, addiction, relationship strain, grief, and other life changes. Ruth uses practical methods to help people shift unhelpful thinking and find clearer ways forward.

Her work emphasizes Cognitive Behavioral Therapy, which focuses on changing thoughts and behaviors that keep problems stuck. She also draws on Attachment-Based and Emotionally-Focused approaches to help people understand strong emotions and patterns in close relationships. Sessions are conversational and goal-oriented, with simple tools to try between meetings.

Ruth often supports people facing trauma, caregiving burden, chronic illness, or issues around intimacy and sexual expression. She also addresses concerns such as sleep and eating problems, career stress, and compassion fatigue. She talks about how patterns start and what can be done to interrupt them.

People who choose Ruth can expect straightforward guidance and a steady pace. She helps clients set achievable steps and notices progress along the way. Her years of practice mean she can offer a range of strategies and options.

Ruth offers sessions by video, phone, live chat, or text messaging. She works with English-speaking clients in Texas and accepts international clients who prefer online work. To begin, clients use the site match process to schedule a session.

How Ruth’s approaches work online

Ruth uses Cognitive Behavioral Therapy to help people identify and change thoughts and behaviors that worsen anxiety, depression, or addictive patterns. CBT is practical and focused on skills you can practice between sessions. Attachment-Based Therapy helps people notice patterns in close relationships and how early experiences shape current reactions; it can be useful for intimacy issues, attachment concerns, and relationship distress. Emotionally-Focused Therapy concentrates on identifying and working with strong emotions in relationships to improve connection and communication.

Choosing the right approach is a collaborative process. Ruth will discuss your goals, preferences, and needs and suggest methods to try. She adjusts techniques as you go so the work stays relevant and useful for your situation.

Online sessions are offered by video, phone, live chat, or text-based messaging to make therapy more flexible. Video calls allow face-to-face interaction for deeper emotional work, phone sessions can be easier when bandwidth is limited, live chat is useful for shorter check-ins, and text messaging supports ongoing reflection between meetings. These options make it simpler to fit therapy into a busy life and access consistent support from a licensed professional.