Ruby Howes

  • Tacoma, Washington
  • Washington In-Person

Accepting New Patients

  • Individual Therapy
  • Serves Ages 18 to 70

Primary Specialties

  • Trauma
  • LGBTQ Specialized
  • Attachment Issues
  • Suicidal Ideation
Also Experienced With
  • ACT (Acceptance and Commitment Therapy)
  • Anxiety
  • Attachment Therapy
  • Autism Spectrum Disorders
  • CBT (Cognitive Behavioral Therapy)
  • DBT (Dialectical Behavioral Therapy)
  • Depression
  • Grief/Loss
  • Mindfulness
  • Mood Disorders
  • Narrative Therapy
  • Stress


Hi! My name is Ruby I graduated from the University of Wyoming with my MSW in 2021. I am a associate licensed clinicial social worker. I have a background working in residential treatment and community mental health. From this background I have learned how to better see clients as part of a whole picture and practice with an understanding of the impact of larger systems we all have to navigate. I have learned to tailor my clinicial approach to meet the needs of the individual client.

I provide trauma-informed care to help clients identify how their past still affects them and help gain the skills and knowledge necessary to move beyond their past, maintain healthy relationships, and free yourself from feelings of shame and anger. I best serve clients with PTSD and trauma, attachment issues, in life transitions, anxiety, depression, and mood disorders. I also have a special interest in LGBTQAI2S+ clients and helping clients access gender affirming care.

Insurances Accepted

  • Aetna
  • Cigna
  • Cigna EAP
  • Kaiser Permanente
  • Kaiser Permanente Northwest
  • Premera Blue Cross
  • Regence
  • United Healthcare
  • United Healthcare EAP