Ruth MacBain

Ruth MacBain is a licensed counselor who practices in New Hampshire. She holds LCPC and LCMHC credentials and brings 11 years of experience working with people facing stress, anxiety, addiction, depression, grief, and life changes. Ruth often focuses on issues around attachment, abandonment, intimacy, and divorce and separation when those topics come up in sessions.

She draws on several practical approaches in sessions. That includes client-centered work that starts with the person's goals, cognitive behavioral techniques to spot and change unhelpful thoughts and behaviors, and dialectical behavior therapy skills for managing strong emotions. Motivational interviewing is used when people are weighing change, especially around substance use.

Ruth's background includes residential treatment and integrated care for co-occurring disorders, and she has a master's level certificate in Substance Use Disorders. That experience shapes how she supports people with drug and alcohol addiction and related concerns. She also has experience with anxiety, PTSD, and working with autistic and intellectually disabled clients.

Away from clinical work she volunteers with adaptive sports programs and supports people with disabilities. She enjoys hiking, biking, and swimming. Ruth aims to keep sessions practical and collaborative, helping people build skills they can use between meetings.

Before booking, confirm current session options and scheduling details. To begin, follow the site's start therapy flow and complete the matching questionnaire to schedule according to availability.

How her approaches translate to online work

Client-Centered Therapy emphasizes listening and building goals that matter to the person. Online sessions can keep that same focus by starting each meeting with what matters most that day. Cognitive Behavioral Therapy, or CBT, teaches practical ways to notice and change unhelpful thoughts and behaviors, which can be practiced between sessions using homework and short check-ins. Dialectical Behavior Therapy, or DBT, offers skills for managing intense emotions and improving tolerance for distress, skills that can be reviewed and practiced with guidance during virtual meetings.

Finding the right approach is part of the process, and she will work with clients to figure out what fits best. That means discussing goals, trying techniques, and adapting the plan based on what helps most. The therapist and client make adjustments together rather than committing to one method up front.

Session formats are not specified in the provided biography, so confirm current options before booking. Online therapy can make it easier to fit appointments into a busy week, allow shorter check-ins when needed, and reduce travel time. It also lets people use visual or written tools during sessions and practice skills in everyday settings, while keeping the collaborative work and skill building central to care.