Mary Ruhland
LISW, CSW-PIP
Trauma-focused, steady clinical support
About Mary
She works with people dealing with anxiety, depression, grief, and trauma and abuse. She also supports those facing addiction, panic attacks, anger, and compassion fatigue. Mary pays attention to how isolation, attachment wounds, and abandonment shape current struggles.
In session she focuses on clear, practical steps people can use between meetings. That may include learning skills for managing intense feelings, changing unhelpful thoughts, or practicing new ways to connect with others. Sessions are aimed at building coping tools and increasing emotional safety over time.
Mary emphasizes respectful collaboration. She helps clients set realistic goals and checks in about what is or is not working. The work is paced to fit each person’s needs and life circumstances.
Her background includes extensive clinical experience over three decades. She holds the LISW credential and the CSW-PIP credential. People often seek her when they want steady support through life transitions, relationship strain, or recovery from traumatic events.
How trauma-informed and skills-based work translates online
Mary draws on Trauma-Focused Therapy and Cognitive Behavioral Therapy to guide online work. Trauma-Focused Therapy helps people process and reduce the hold of past traumatic events so they can feel more present and in control. Cognitive Behavioral Therapy focuses on changing patterns of thinking and behavior that keep symptoms like anxiety and depression active.Finding the right approach is part of the process. Mary collaborates with each person to decide which methods fit their needs, goals, and comfort level. She regularly checks how approaches are working and adjusts the plan together with the client.
If you are interested in online sessions, confirm the specific session options before booking. Online work can make it easier to fit therapy into a busy life, reduce travel time, and allow more consistent weekly check-ins. It also makes short skills practice or brief check-ins simpler when needed. Licensed professionals can adapt Trauma-Focused Therapy and CBT techniques for remote sessions while helping clients build strategies they can use between meetings.
These summaries are based on the profile information listed on BetterHelp. Listing trauma-focused therapy does not mean a therapist holds a specific certification such as TF-CBT, EMDR or CPT.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Credentials
Iowa, South Dakota
Languages
English
Licenses listed
- LISW, Iowa01284
- CSW-PIP, South Dakota3229
- NPI1326030545
As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.
Frequently asked questions
What concerns does Mary commonly address?
She helps people with stress, anxiety, trauma and abuse, grief, self-esteem, depression, addictions, intimacy-related issues, eating problems, anger, and compassion fatigue.
What is Mary’s therapy style like?
Her style is collaborative and compassionate, combining Trauma-Focused Therapy with client-centered work to focus on practical skills and emotional processing.
How long has she been practising?
She brings 30 years of clinical experience working with a wide range of emotional and life concerns.
What credentials and location are listed?
She holds the LISW and CSW-PIP credentials and provides services based in Iowa.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with Mary?
She is not currently accepting international clients.
How are sessions paid for and what do they cost?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin therapy with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
Therapists on BetterHelp do not prescribe medication; a doctor can talk with you about medical options. This directory is not a crisis service. If you are in immediate danger, call 911. If you are thinking about suicide, call or text 988.