01
Understand the scope
Psychotherapy, consultation, and coaching for individuals, couples, and professional concerns—grounded in the areas publicly listed by the practice.
San Francisco · California LMFT 38189
A considered first step into therapy.
Karina von Middendorf, Ph.D., LMFT offers psychotherapy, consultation, and coaching from a San Francisco practice.
Original identity, carried forward
A more human view of the practice.
First-party identity and environment cues are treated as trust evidence—not decoration.
View the business’s original source ↗
Before you reach out
A clear path, without asking for your story.
02
Consider the approach
A collaborative process may draw from behavioral, attachment, systems, and trauma-informed perspectives. The right approach is discussed directly, not selected by an online quiz.
03
Make first contact
Start with a general scheduling question by phone, email, or the current practice request page. Keep sensitive health and financial information out of online messages.
Practice focus
Areas named by the practice.
These are service areas, not a diagnosis tool or a promise that any specific approach is appropriate for you.
- Relationship and marital therapy
- Stress, anxiety, and life transitions
- Trauma recovery and attachment
- Addiction recovery and sobriety support
- Executive coaching and professional development
- Cross-cultural and expatriate concerns
Private-by-design orientation
Choose the question closest to yours.
This guide stays in your browser, stores nothing, and is not a clinical assessment.
Select one option to see a non-clinical next step.
04
A low-detail first step
Begin with a general appointment question.
Use phone or email for scheduling logistics only. Please don’t include symptoms, diagnoses, treatment history, payment details, or other private health information.