Ruth MacBain, LCPC, LCMHC

Experienced clinician for trauma and addictions

CBT and DBT informed
Substance use specialization
Outdoor activities enthusiast

About Ruth MacBain

Ruth MacBain is a clinician licensed to practice in community mental health settings in Maine and New Hampshire who brings more than a decade of hands-on experience to her work. She holds a master's-level certificate in Substance Use Disorders and draws on a background in residential treatment as well as integrated treatment for co-occurring disorders to help clients navigate complex challenges. Ruth works collaboratively with clients, blending Motivational Interviewing, Cognitive Behavioral Therapy and Dialectical Behavior Therapy alongside trauma-informed group approaches such as Seeking Safety and CBT integration for substance use when teaching groups.

She has experience and additional training supporting people across a range of needs, including LGBTQ concerns, anxiety, depression, PTSD, autism, and people with intellectual disabilities. Outside of clinical work she volunteers with adaptive sports programs, supports individuals with autism, and assists people facing challenges related to disabilities. An avid outdoor enthusiast, she enjoys hiking, biking, and swimming when not working with clients.

Areas of Expertise

Primary Focus

Stress, Anxiety Addictions Self esteem DepressionCompassion fatigue

Also Specializes In

Family conflictsTrauma and abuse GriefIntimacy-related issuesEating disordersCoping with life changes

Additional Focus Areas

AbandonmentAttachment issuesDivorce and separationDrug and alcohol addictionPrejudice and discrimination

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Jungian Therapy Motivational Interviewing Narrative Therapy

Frequently Asked Questions

How much experience does Ruth MacBain have?

Ruth MacBain has 11 years of experience.

Is Ruth MacBain a licensed therapist?

Yes. She holds the credentials LCPC and LCMHC. License details are ME LCPC CC7025 and NH LCMHC 2331, indicating licensure to provide clinical counseling in Maine and New Hampshire.

In which languages does Ruth MacBain provide therapy?

Ruth MacBain provides therapy in English.

Where is Ruth MacBain located?

Ruth MacBain is located in New Hampshire.

How can I work with Ruth MacBain as my therapist?

You can work with Ruth MacBain through video calls, phone sessions, live chat, or text-based messaging.

Does Ruth MacBain work with international clients?

Ruth MacBain does not currently work with international clients.

How much does therapy with Ruth MacBain cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic approaches for online counseling

Ruth MacBain combines several evidence-based approaches to meet clients where they are. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and developing practical skills to manage anxiety, depression, and stress-related problems. Motivational Interviewing is a collaborative, goal-oriented method that helps people explore and strengthen their own motivation to change, which is especially useful for substance use and ambivalence about recovery. Dialectical Behavior Therapy (DBT) teaches emotional regulation, distress tolerance, and interpersonal effectiveness skills that support people coping with intense emotions and relationship difficulties.

Finding the right approach is part of the therapeutic process, and Ruth works collaboratively with each person to tailor methods to their needs, goals, and preferences. She helps clients experiment with techniques and adjust the plan over time so the work stays practical and relevant.

Online sessions - whether by video call, phone, live chat, or text-based messaging - offer flexibility for people balancing work, family, or mobility concerns. These options make it easier to maintain consistency in therapy, access licensed professionals from a distance, and use the format that best fits a client's day-to-day life.

Ready to start therapy with Ruth MacBain?

Take the first step toward a better you.

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