Ruth MacBain, LCPC, LCMHC - Therapist in New Hampshire

About Ruth

Ruth MacBain is a licensed counselor with over 11 years of experience helping people manage difficult life challenges. She holds LCPC and LCMHC credentials and works from New Hampshire. Ruth combines practical techniques with a collaborative attitude to help people find clearer ways forward.

She draws on several proven methods to tailor sessions to each person. Ruth uses Cognitive Behavioral Therapy to identify unhelpful thinking and change patterns that keep problems stuck.

Background and approach

She also brings Dialectical Behavior Therapy skills for emotion regulation and Motivational Interviewing to support readiness for change. Her background includes residential treatment and work with co-occurring substance use concerns. Ruth has a master’s level certificate in Substance Use Disorders and teaches group approaches that integrate CBT for addiction.

This experience shapes how she supports people facing drug or alcohol challenges. Ruth is experienced addressing stress, anxiety, depression, grief, compassion fatigue, trauma and abuse, and eating and intimacy-related concerns. She also focuses on abandonment and attachment issues, divorce and separation, and prejudice and discrimination.

Sessions aim to be straightforward and practical, with concrete strategies to use between meetings. Outside of practice she volunteers with adaptive sports and supports people with autism and disabilities. She enjoys hiking, biking, and swimming and brings that same steady, down-to-earth energy into sessions.

Therapeutic approaches for online support

Client-Centered Therapy focuses on respect and listening. The therapist creates a respectful space and follows the person’s pace, which helps people who need validation and steady support.

Cognitive Behavioral Therapy, or CBT, looks at thoughts and behaviors that keep problems going. It teaches practical skills to change thinking patterns and coping habits, useful for anxiety, depression, and stress.

Dialectical Behavior Therapy, or DBT, provides clear skills for managing intense emotions and improving relationships. It offers tools for emotion regulation, distress tolerance, and better communication.

Ruth treats finding the right approach as a joint process. She works with each person to pick and adapt methods based on needs, goals, and what feels doable. That collaborative process helps tailor sessions so techniques fit everyday life.

Online therapy makes these approaches flexible. Video calls allow face-to-face conversation from home, phone sessions provide a simpler option, and live chat or text messaging let people check in between meetings. These options make scheduling easier and help maintain continuity of care across busy lives.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What kinds of concerns does she address?

Ruth works with stress, anxiety, depression, grief, trauma and abuse, compassion fatigue, eating and intimacy-related issues, and substance use challenges among other concerns.

How would sessions generally feel?

Sessions are collaborative and practical. Ruth focuses on clear steps and skills people can try between meetings.

What is her professional background?

She has 11 years of experience, including residential treatment and integrated work with co-occurring substance use disorders, and a master’s level certificate in Substance Use Disorders.

Which credentials and location are listed?

She is ME LCPC CC7025 and NH LCMHC 2331, practicing from New Hampshire.

In which languages are sessions offered?

Sessions are offered in English.

Can international clients connect?

International clients are not currently accepted.

What session formats are available?

Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging.

How are costs and getting started handled?

Cost varies with location and therapist availability and uses a cancellable subscription. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule based on therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience: 11 years
Licensed: New Hampshire, Maine
Languages: English

Next step

Talk to Ruth

Takes a few minutes
Nothing to set up just to look
Stop at any point

Book with Ruth