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- ACT and psychodynamic methods
- Grief and caregiver stress
- Parenting and fatherhood issues
About James
Dr. James Ruby is an LMHC (Licensed Mental Health Counselor) based in Hawaii with 22 years of clinical experience. He works with adults on relationship and family concerns, grief, stress and anxiety, addictions, LGBT issues, trauma and intimacy-related problems. Sessions also address parenting, career concerns, ADHD, depression, and self-esteem.
He uses Acceptance and Commitment Therapy, Client-Centered Therapy, Existential approaches, Motivational Interviewing, and Psychodynamic ideas to shape sessions. He tends to look at how past experiences influence present patterns while focusing on practical steps people can take now. He may suggest brief exercises or reading between visits to support progress.
In sessions he pays attention to thinking, feeling, bodily responses, and meaning. He helps people name the thoughts that get in the way and practice different choices. He also supports those facing life transitions such as divorce, caregiving stress, hospice and end-of-life concerns, or career shifts.
Communication difficulties, fatherhood issues, family of origin patterns, and workplace problems are common topics he addresses. He can help people managing compassion fatigue, isolation, or struggles with intimacy and forgiveness. He works in straightforward language and aims to make counseling a practical part of daily life.
To begin, people are asked to complete a short matching questionnaire and schedule an initial session. Sessions use a subscription that can be canceled at any time, and international clients are accepted. Please confirm current session options before booking.
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How his approaches work in remote sessions
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and commit to actions that match their values. It is often used for stress, anxiety, grief, and life transitions. Client-Centered Therapy centers the person's experience and priorities, using listening and reflection to help people find their own solutions. Existential Therapy looks at meaning, choice, and responsibility, and it can help when people face major life questions or feelings of isolation.Choosing the best approach is a collaborative process. He will work with each person to identify what fits their goals and preferences, and may blend methods over time. The initial sessions are used to see how approaches feel in practice and to decide next steps together.
The biography does not list specific remote formats, so confirm current session options before booking. Online sessions can make it easier to fit counseling into a busy week, allow shorter check-ins when needed, and remove travel time. They also let people keep continuity of care when living or working in different places, including international arrangements. Licensed professionals adapt exercises and homework for use between sessions to keep momentum.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
22+ years
Listed in
Hawaii, Iowa
Languages
English
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Frequently asked questions
What concerns does he address?
He works with relationship and family concerns, grief, stress, anxiety, addictions, trauma, intimacy issues, parenting, career concerns, depression, and ADHD. Additional focuses include caregiver stress, communication problems, divorce, and fatherhood issues.
What therapy approaches does he use?
He draws on Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Existential Therapy, Motivational Interviewing, and Psychodynamic Therapy. Sessions mix these approaches to match the client's needs and goals.
How long has he been practicing?
He has 22 years of clinical experience working with individuals, couples, and families. That experience covers a wide range of relationship and life-transition issues.
Where is he located and what are his credentials?
He practices in Hawaii and holds the LMHC credential. The listing shows licensure as IA LMHC and HI LMHC.
Which languages are supported?
Sessions are offered in English. He also accepts international clients.
What session formats are offered?
The original biography does not list explicit session formats. Please confirm current session options with the provider before booking.
How much do sessions cost?
Cost varies with location. Sessions use a subscription model that can be canceled at any time.
How do I get started?
Begin by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session. That process helps match needs and plan the initial visit.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.