01 · Who Dr. works with

Dr. works with relationship issues, family conflicts and grief

Dr. lists 15 specialisms and 14 further focus areas. Specialisms are the subjects Dr. chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Dr.'s own words

What Dr. says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hello! I am James Ruby and I am grateful that you have taken a few minutes to look at my profile. I hope we have the opportunity to work together to help you reach your goals!

I am a Licensed Mental Health Counselor (LMHC) and a Nationally Certified Counselor (NCC). I did my MA at Northeastern IL University in Chicago, IL and my PhD at Loyola University in Chicago. I have been working with individuals, couples, and families since 1998.

I would imagine that you might want to know a bit about how I work, what I believe about the counseling process, etc. Let me try and give you some information that will help you make the best decision for you, you and your partner, or you and your family...

I believe that our past is important, but it doesn't define us. We are shaped by our past and we can learn from it, but we are the authors of our own lives. So, we can write a new chapter for ourselves that will better enable us to reach our goals. Sometimes, our ways of thinking can get in our way. We might have learned some things early in life that no longer seem to work for us. These thoughts and beliefs can feel like "the truth," but they really are only thoughts and beliefs. They can change. We can change. We can grow. We can thrive!

I also believe that we humans are complex beings, with multiple dimensions to our lives - the cognitive, emotional, physical, and spiritual, to name a few. All of those dimensions can work for us, or against us, so I like to help my counseling clients look at all of those dimensions. Within each of us is a wealth of knowledge and strength that our problems can make us forget. I like to help my clients tap into that knowledge and activate those strengths. So, I occasionally ask my clients to complete questionnaires or do some "homework" between sessions that helps them move in the direction they would like to go. I would be privileged to have the opportunity to help you reach your goals. I know what it feels like to have the weight of sadness, anxiety, or frustration keep you down. I work in a judgment free atmosphere, so there is no need to feel excessive guilt or shame. In fact, those things can get in our way. I have helped many people get through their most difficult days and come out on the other side, ready to live the life they deserve. I'd love to have the chance to do the same for you.

If you have any questions for me, I welcome them. I want you to find the best match for you and your counseling needs.

Dr. James Ruby, on the BetterHelp listing · read 8 Nov 2026

03 · How Dr. works

The 4 approaches Dr. lists, in plain English

These are the clinical methods Dr. lists. The descriptions are Maker Therapy's, not Dr.'s - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Dr. runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

Also listed

• Existential Therapy

04 · What happens next

From this page to a first session

Dr. practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Dr.'s own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Dr. at this point.

2. Naming Dr. specifically

   BetterHelp matches algorithmically by default, so asking for Dr. is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Dr..

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Dr.

Built from what Dr. actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Dr.'s - Dr. has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 22 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

Hawaii

Licence

HI LMHC MHC-367, IA LMHC 122890

Licence number

MHC-367

Licence expires

30 Jun 2029

NPI

1104441880

Years in practice

22

Gender

Male

Languages

English

International clients

Accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Dr.'s name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 8 Nov 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Dr.. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

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