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LMHC

Dr. James Ruby, LMHC

  • Experience22 years
  • LocationHawaii
  • Focus areasADHD, Relationship, and Family
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Client-Centered Therapy
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About James

Dr. James Ruby is a Licensed Mental Health Counselor (LMHC) who brings 22 years of clinical experience to his work in Hawaii.

Background and approach

He integrates insight-oriented perspectives with practical strategies, drawing on approaches such as Acceptance and Commitment Therapy, client-centered methods, and psychodynamic ideas to help clients clarify values, shift unhelpful thinking patterns, and build skills for everyday life. Dr.

Ruby emphasizes that past experiences inform but do not determine present choices, and he guides people toward writing new chapters that better reflect their goals and values.

His practice focuses on a wide range of concerns including relationship and family challenges, grief and coping with life changes, stress and compassion fatigue, anxiety and depression, addictions, intimacy-related issues, and ADHD. He also addresses caregiver stress, communication problems, fatherhood and parenting topics, end-of-life and hospice concerns, work-related difficulties, and questions about identity and life purpose.

Sessions may include experiential exercises, reflective exploration of life narratives, and brief between-session tasks to support steady progress. Dr.

Ruby aims to create a nonjudgmental space where clients can reconnect with internal strengths and move toward goals with clarity and compassion. He accepts international clients and conducts sessions in English.

Integrating therapeutic approaches with flexible online care



Acceptance and Commitment Therapy (ACT) helps clients clarify their values and take meaningful action even when difficult thoughts or feelings are present; it is often useful for stress, anxiety, depression, and life transitions. Client-Centered Therapy emphasizes a respectful, nonjudgmental stance where the therapist offers empathy and support so the client can explore choices and build self-directed change. Psychodynamic Therapy explores recurring patterns and how past experiences influence present relationships and feelings, which can help with deeper personality and relational issues.

Deciding which approach fits best is a collaborative process. The therapist will work with each client to identify priorities, test strategies, and adjust methods over time so the work aligns with personal goals and preferences. That collaborative stance helps clients stay engaged and tailor the work to their needs.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, providing flexible ways to access care from different locations and schedules. These formats make it easier to maintain continuity through busy periods and to choose the communication style that feels most comfortable for ongoing progress.

Frequently asked questions

What kinds of concerns does this practice address?
The practice covers relationship and family issues, grief, coping with life changes, stress, anxiety, depression, addictions, ADHD, intimacy-related issues, and LGBT concerns, among other topics.
What is the therapist's general approach to therapy?
Treatment blends acceptance and commitment principles with client-centered and psychodynamic perspectives to explore values, patterns, and practical steps for change.
How much clinical experience does the therapist have?
The clinician has 22 years of experience working with individuals, couples, and families since beginning practice in 1998.
What credentials and location are on record?
The therapist holds the LMHC credential with licences IA LMHC 122890 and HI LMHC MHC-367 and practices in Hawaii.
Are sessions available in other languages or for international clients?
Sessions are offered in English, and the therapist does accept international clients.
Which session formats are offered for online work?
Clients may connect through video calls, phone sessions, live chat, or text-based messaging depending on preference and availability.
How are costs and subscriptions handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Relationship issuesFamily conflictsGriefCoping with life changesCompassion fatigue

Also works with

Stress, AnxietyAddictionsLGBTTrauma and abuseIntimacy-related issuesParenting issuesSelf esteemCareer difficultiesDepressionADHD

Additional focus areas

Caregiver issues and stressCommunication problemsDivorce and separationFamily of origin issuesFamily problemsFatherhood issuesForgivenessHospice and end-of-life counselingIsolation / lonelinessLife purposeMen's issuesSelf-loveWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyExistential TherapyMotivational InterviewingPsychodynamic Therapy

Experience

22+ years

Licensed

Hawaii, Iowa

Languages

English

What James can help with

Dr. James Ruby works with clients on relationship issues, family conflicts, grief, coping with life changes, and compassion fatigue.

How James approaches therapy

James's clinical approaches include Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Existential Therapy, Motivational Interviewing, and Psychodynamic Therapy.

Experience and training

James is a Licensed Mental Health Counselor practicing in Hawaii, with 22 years of clinical experience.

Therapy style

James aims to help you reach your goals.