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RP Portrait of Ruby Preston

Ruby Preston

Calm, practical therapy for everyday challenges

LPC Texas

Experience
18 years in practice
Focus areas
Stress, Anxiety, Addictions, Parenting
Approaches
Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)
Languages
English
Continue with Ruby

About Ruby

Ruby Preston is a licensed professional counselor in Texas who blends practical, skills-based methods with compassionate care.

Background and approach

With 18 years of clinical experience, she emphasizes Cognitive Behavioral Therapy as a core framework, using structured strategies to help clients identify unhelpful thinking patterns and develop concrete coping skills for challenges like anxiety, depression, and stress.

Her work also draws on Dialectical Behavior Therapy techniques to build emotion regulation, distress tolerance, and interpersonal effectiveness for people struggling with intense emotions, relationship conflict, or addictive behaviors. She adapts conversations and treatment plans to each person’s situation, addressing concerns such as parenting difficulties, self-esteem, grief, trauma, anger, bipolar-related challenges, ADHD, compassion fatigue, and life transitions.

Known for treating clients with sensitivity and respect, she prioritizes collaboration and practical steps that fit daily life. She encourages those taking the initial step toward therapy and shapes interventions around individual goals and preferences, aiming to make progress tangible and manageable over time.

CBT and DBT In Online Practice

Ruby Preston uses Cognitive Behavioral Therapy to help clients notice and reframe unhelpful thoughts and to practice new behaviors that reduce symptoms of anxiety, depression, and stress. CBT focuses on clear goals and practical exercises that can be integrated into daily routines to produce measurable change.

She also applies Dialectical Behavior Therapy skills to strengthen emotion regulation, distress tolerance, and interpersonal effectiveness. DBT techniques can be especially useful when strong emotions, relationship conflict, or impulsive behaviors interfere with life functioning.

Choosing the right approach is a collaborative process. The therapist will work with each client to clarify goals, evaluate which methods are most relevant, and adjust strategies as needs evolve, combining CBT and DBT tools where they best fit the client's situation.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing clients to engage from home or other convenient locations. These options make scheduling easier and support ongoing skill practice between sessions, helping clients maintain momentum while balancing work, family, and other commitments.

Frequently asked questions

What concerns does she commonly address?
She works with a wide range of issues including stress, anxiety, depression, addictions, parenting challenges, self-esteem, relationship and family concerns, trauma and abuse, grief, anger, bipolar challenges, ADHD, coping with life changes, and compassion fatigue.
What therapeutic approach does she use?
Her practice emphasizes Cognitive Behavioral Therapy (CBT) and incorporates Dialectical Behavior Therapy (DBT) skills when appropriate to build coping strategies and emotion regulation techniques.
How long has she been practicing?
She brings 18 years of professional experience working with clients in clinical and independent practice settings.
What are her credentials and where is she licensed?
She holds the LPC credential and is licensed in Texas under TX LPC 63302.
Does she work with clients who speak other languages or live abroad?
She provides services in English and is not currently accepting international clients.
Which session formats are available?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are therapy costs handled?
Cost varies by location and therapist availability, and sessions are delivered through a subscription model that can be canceled at any time.
What steps are needed to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsParenting issuesSelf esteemDepression

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefAnger managementBipolar disorderCoping with life changesCompassion fatigueADHD

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)

Experience

18+ years

Licensed

Texas

Languages

English