LMHC
Dr. James Ruby , LMHC
Therapist in Hawaii
Online therapy - get matched and start messaging.
About James
He views the past as an important influence that does not determine a person’s future, and he helps clients use insight about their history to shape new, healthier patterns. He attends to the full dimensions of a person - cognitive, emotional, physical, and spiritual - and supports clients in accessing the strengths that those dimensions contain. His work often includes brief assessments or exercises between sessions to help clients practice new skills and track progress.
Dr. Ruby emphasizes a nonjudgmental, compassionate environment where shame and guilt are addressed with understanding rather than criticism. He welcomes questions about the therapeutic process and seeks to help each person, couple, or family identify practical steps toward the goals they want to reach.
Approaches That Guide Online Care
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then choose actions that align with what matters most. It is often useful for anxiety, stress, and difficulties with motivation. Client-Centered Therapy focuses on creating a respectful, empathetic space where the person’s own goals and values guide the work; this approach supports self-exploration, relationship challenges, and building self-esteem. Existential Therapy explores questions of meaning, choice, and responsibility, which can be especially helpful for people facing major life changes, grief, or concerns about purpose.
Finding the right approach is part of the therapeutic process, and Dr. Ruby works collaboratively with each person to identify methods that fit their needs, goals, and preferences. Therapists will listen, offer options, and tailor techniques so the work feels practical and relevant.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit sessions into a busy life or connect across distances. These options can increase access to consistent care and let people choose the format that feels most comfortable for starting and continuing therapy.
Frequently asked questions
How much experience does Dr. James Ruby have?
Dr. James Ruby has 22 years of experience.
Is Dr. James Ruby a licensed therapist?
Yes. He holds the credential LMHC, which stands for Licensed Mental Health Counselor. License details are IA LMHC 122890 and HI LMHC MHC-367.
In which languages does Dr. James Ruby provide therapy?
Dr. James Ruby provides therapy in English.
Where is Dr. James Ruby located?
Dr. James Ruby is located in Hawaii.
How can I work with Dr. James Ruby as my therapist?
You can work with Dr. James Ruby through video calls, phone sessions, live chat, or text-based messaging.
Does Dr. James Ruby work with international clients?
Yes, Dr. James Ruby works with international clients.
How much does therapy with Dr. James Ruby 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 with therapy 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.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
22+ years
Licensed
Hawaii, Iowa
Languages
English
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