Ruth MacBain is a licensed clinician working in New Hampshire with 11 years of experience.
01About Ruth
Ruth MacBain is a licensed clinician working in New Hampshire with 11 years of experience. She holds ME LCPC and NH LCMHC credentials and brings a background in residential treatment and integrated care for co-occurring disorders. Ruth focuses on practical help for people facing stress, anxiety, depression, addictions, and related struggles.
She uses straightforward, collaborative work in sessions. Ruth leans on Motivational Interviewing to support readiness for change and Cognitive Behavioral Therapy to spot and shift unhelpful thoughts and behaviors.
Background and approach
She also draws from Dialectical Behavior Therapy for skills around emotion regulation and distress tolerance. Her prior work includes teaching group approaches that combine CBT and addiction-focused strategies. That experience informs how she helps people manage drug and alcohol concerns and cope with life changes such as divorce, grief, or separation.
Ruth also attends to issues of attachment, abandonment, intimacy, and the effects of prejudice and discrimination. Clients can expect a practical, paced approach that balances safety and change. Ruth aims to build skills for everyday life while honoring each person's story and values.
She supports people dealing with compassion fatigue and those recovering from trauma and abuse. Outside of clinical work she volunteers with adaptive sports and supports people with autism and disabilities. She enjoys hiking, biking, and swimming, and brings that same steady, grounded energy into her work with clients.
02Credentials
- LCMHC (New Hampshire)
- License 2331 · expires March 2027
- LCPC (Maine)
- License CC7025 · expires July 2027
- NPI
- 1558915751 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Ruth lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Addictions
- Self esteem
- Depression
- Compassion fatigue
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Eating disorders
- Coping with life changes
- Abandonment
- Attachment issues
- Divorce and separation
- Drug and alcohol addiction
- Prejudice and discrimination
Methods Ruth names
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Jungian Therapy
- Motivational Interviewing
- Narrative Therapy
These are the methods Ruth names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
Therapeutic approaches that work well online
Ruth uses Cognitive Behavioral Therapy and Motivational Interviewing as core methods. Cognitive Behavioral Therapy helps people identify patterns of thought that increase anxiety or low mood and then practice new ways of responding. Motivational Interviewing focuses on a person's own reasons for change and helps move through ambivalence into action.She also integrates Dialectical Behavior Therapy skills when clients need tools for regulating strong emotions and tolerating distress. DBT skills teach practical techniques for managing feelings, improving relationships, and staying grounded during crisis moments. Choosing which approach to focus on is a collaborative process; Ruth works with each person to match methods to their goals, needs, and preferences rather than prescribing a single path.
Online sessions can be scheduled as video calls, phone sessions, live chat, or text messaging to fit varied routines. Video is useful for deeper conversation and visual cues, phone works well when bandwidth is limited, live chat or text messaging can support brief check-ins or ongoing coaching, and a mix of formats lets people keep therapy going around work, school, or caregiving responsibilities. These options make it easier to maintain consistency and practice new skills between sessions.
05Questions people ask
What concerns does Ruth address?
She helps people with stress, anxiety, depression, addictions, grief, trauma and abuse, self-esteem, compassion fatigue, intimacy challenges, eating issues, and coping with life changes.
What is her therapeutic style like?
Ruth practices in a collaborative, practical manner that focuses on skill building and clear steps for change. Sessions combine listening with concrete tools to use between meetings.
How much clinical experience does she have?
Ruth has eleven years of experience, including work in residential treatment and integrated care for co-occurring disorders.
What credentials and region apply to her practice?
She holds ME LCPC and NH LCMHC credentials and is based in New Hampshire.
Which languages are supported and can she work internationally?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available online?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and schedules.
How are costs handled for sessions?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist's availability.
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