Therapy clients generally come on a weekly basis for 50-minute sessions. However, sometimes life gets tricky and there is a need to increase the amount of sessions or expand the time-frame. I discuss this option with clients and together a schedule is created to support their individual needs. Alternatively, some clients may only need an occasional check-in. These sessions generally occur on a regular, but less frequent basis.

Assessment and referral clients may meet once to several times for 50-minute sessions. Once the full assessment is complete, a follow up meeting is not required, but can sometimes be beneficial to ensure things stay on track.


I offer a free, 20-minute phone or Zoom consultations so that you can assess whether the fit is right before agreeing to schedule a session.


Please contact me directly about fees. Understanding that psychotherapy is a real investment, I offer a sliding scale according to need. Assessment and referral sessions are charged at the same rate as psychotherapy.


I do not take insurance, but can provide documentation to submit to your insurance provider. To determine if you have mental health coverage through your insurance carrier, you should first call them to see if you can use an out-of-network provider.


All ages, backgrounds, cultures and lifestyles are welcome.


Cash, personal checks, Venmo/PayPal and all major credit cards accepted for payment at the time of service.


If you have any questions for me or about therapy/coaching, please feel free to reach me at or you can leave a voicemail at 415.999.7277.

Copyright 2020 Ruth Krumbhaar. Marriage and Family Therapist MFC53637.