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Dr. James Ruby

Dr. James Ruby, LMHC

Therapist in Hawaii

Compassionate counselor for clearer self worth

Continue with James

Review online therapy options on BetterHelp.

22 years of experience listed

LMHC professional credentials

English languages

  • Values-based work
  • Practical exercises
  • Relationship focus

About James

Dr. James Ruby is a Licensed Mental Health Counselor (LMHC) who focuses on helping people strengthen relationships and build healthier self esteem. He leads sessions with a calm, direct style and encourages practical changes clients can use in daily life. He practices from Hawaii and brings over two decades of experience to common struggles like anxiety, depression, grief, and career stress.

He uses several approaches that aim to help people notice what matters most and move toward it. He often asks simple questions about values and patterns, and he sometimes assigns brief exercises between sessions. These tasks are meant to turn insights into small, steady steps forward rather than quick fixes.

Dr. Ruby describes human problems as multi-sided, so he pays attention to feelings, thoughts, body signals, and meaning. He works with people around relationship problems, parenting stresses, addiction concerns, trauma and abuse, and life transitions such as divorce or caregiving. He also offers support for men’s issues, workplace stress, and questions about identity and intimacy.

With 22 years of clinical experience, he draws on both present-focused and deeper, longer-term perspectives to help people clarify goals. He encourages honest conversation without judgment and helps clients rewrite unhelpful stories they may have carried from their past. He welcomes questions and supports people who want practical ways to feel more confident and connected.

Prospective clients start by using the continue button on this profile, completing a short matching questionnaire, and scheduling based on the therapist’s availability. Sessions are held in English and international clients are accepted.

How these approaches translate to online therapy

Acceptance and Commitment Therapy helps people notice their thoughts and choose actions that match their values. It is useful for anxiety, depression, and getting unstuck from old patterns. Client-Centered Therapy emphasizes listening and empathy, giving people space to describe their experiences and find their own solutions. It often benefits those who need a nonjudgmental place to work through feelings. Existential Therapy focuses on meaning, choice, and responsibility, helping people facing life transitions, grief, or questions about purpose.

Finding the right approach is part of the work together. The therapist will discuss your goals and preferences and suggest which methods to try first. That decision is collaborative and can change as you learn what helps you most.

The biography does not specify which online formats are used, so please confirm current session options before booking. In general, online sessions can make it easier to fit therapy around work, caregiving, or travel. They also allow brief check-ins when time is limited and avoid commute time so you can spend more of your day on care. If you prefer to focus on values-based exercises, short between-session tasks translate well to remote work, and longer reflective conversations adapt readily to an online setting.

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

Credentials

Hawaii, Iowa

Languages

English

Frequently asked questions

What kinds of concerns can be addressed here?

Issues include relationship and intimacy challenges, grief, stress, anxiety, depression, self esteem, addictions, and career or workplace difficulties. The therapist also lists caregiver stress, fatherhood issues, and hospice or end-of-life counseling among areas he helps people with.

How would you describe the therapy style?

Therapy blends acceptance and values work with person-centered listening and longer-term exploration of life patterns. Sessions often include conversational work plus occasional worksheets or short homework exercises.

What experience does the therapist bring?

He has 22 years of clinical experience and has worked with individuals, couples, and families since 1998. That background informs both short-term and deeper work with clients.

What credentials and location should I know about?

The therapist is a Licensed Mental Health Counselor (LMHC) practicing from Hawaii. The credentials shown include IA LMHC and HI LMHC.

Which languages are supported and are international clients welcome?

Sessions are offered in English and international clients are accepted.

What session formats are used?

The original biography does not list specific session formats. Please confirm current session options before booking so you know whether phone or video sessions are available.

How is cost handled for sessions?

Cost varies with location and the therapist’s availability; sessions use a subscription that can be canceled at any time.

How do I begin working with this therapist?

Start by clicking the continue button on this profile, completing a short matching questionnaire, and then scheduling according to the therapist’s availability.

Dr. James RubyContinue with James