Ruth MacBain, LCPC, LCMHC

Ruth MacBain is a licensed counselor who brings 11 years of clinical experience to her work in New Hampshire. She holds a Master’s level certificate in Substance Use Disorders and carries the Maine LCPC and New Hampshire LCMHC credentials. Ruth focuses on helping people manage stress, anxiety, addiction, and depression with clear, practical steps.

Her approach is collaborative and straightforward. She uses Cognitive Behavioral Therapy (CBT) alongside Motivational Interviewing and Dialectical Behavior Therapy (DBT) to help people change unhelpful thoughts and habits. Sessions are aimed at skills people can use between meetings to cope with cravings, strong emotions, or low mood.

Ruth has experience in residential treatment and integrated care for co-occurring disorders, so she understands how substance use and mental health interact. She also has training working with anxiety, trauma-related responses, and diverse neurodevelopmental and intellectual needs.

Outside of work she volunteers with adaptive sports and supports people with autism and disability-related challenges. She enjoys hiking, biking, and swimming in her free time.

Ruth's style is direct but warm. She helps people set realistic goals, practices new skills in session, and adapts techniques to each person's situation. The work tends to be practical, paced to the client's needs, and focused on what helps day to day.

Approach-driven care you can access online

Ruth commonly uses Cognitive Behavioral Therapy to help people spot and change unhelpful thoughts and behaviors; this approach is useful for anxiety, depression, and many day-to-day problems. Client-Centered Therapy is another part of her work, which focuses on listening, respect, and shaping goals around what matters most to the person. She also draws on Dialectical Behavior Therapy for teaching emotion regulation, distress tolerance, and interpersonal skills useful in high-intensity situations.

Choosing the right approach is a team effort. Ruth will work with each person to decide which methods fit best, combining techniques as needed and adjusting the plan based on progress and goals. The process is collaborative and paced to what the client finds helpful.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which make it easier to fit sessions into a busy life. Video works well for longer sessions and skills coaching, phone can be a good choice when bandwidth is limited, and chat or messaging lets people check in or handle shorter updates between meetings. These formats aim to make care flexible and manageable while keeping the focus on practical skills and steady progress.