Tess Brigham


Tess Brigham


Telehealth Available
Professions: Life Coach, Marriage & Family Therapist, Addictions Counselor
License Status: I'm a licensed professional.
Primary Credential: Licensed Marriage and Family Therapist - 52093
Secondary Credential: Board Certified Coach - 3630
Billing and Insurance:

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: Free 30-minute phone consultation
Individual Psychotherapy and Coaching Sessions: $250 per session (50 minutes)
Couples or Family Sessions: $375 per session (90 minutes)
Free Initial Consultation
Evening Availability


582 Market Street
Suite 715
San Francisco, California 94104
1231 Market Street
San Francisco, California 94103

View Accessibility

My Approach to Helping

I don't believe therapy needs to last forever. I provide a hybrid of therapy and coaching which allows you to understand the emotional reasons why you are feeling dissatisfied, disillusioned and confused while simultaneously setting and achieving your goals. Through my blend of therapy and coaching, we'll tackle your anxiety, depression, life transitions, relationships and identity, to just name a few.

Together we will reshape how you see yourself and your world by examining your beliefs, looking at their origins and begin to re-write your story. The goal of our sessions will be to help you:

Get unstuck and reduce depression and shift into consistent healthier habits
Create "momentum" to achieve your career and personal goals
Develop "new techniques and tools" for stress and anxiety management
Set goals for the present and the future

We will help you better understand yourself and the choices you make. With help, you will finally be able to put into practice the permanent changes you want to make. This is your opportunity to create new habits, to identify unhealthy patterns and to cultivate a new way of thinking about yourself and the people around you. My goal is to you help get off my couch (or my chair) and into your own life!

The time for change is now. Schedule your free 12 hour phone consultation. Life can be overwhelming, but you don't have to do this alone. Let me help you through this unique but overwhelming time in your life.

More Info About My Practice

Do you think you may be struggling with the dreaded "quarter-life crisis?"

Your 20s are a time of transitions and many people experience intense personal and social pressures to succeed or make changes. And you thought peer pressure ended in high school? Some of your peers are getting married, having children or buying houses. Some are enjoying unbelievable career success. Some are leaving their careers behind to develop entirely new identities.

No matter the changes you're going through, change can intensify feelings and quickly escalate to crisis. You may find that you're having increasingly negative thoughts. Perhaps you are losing your usual motivation. Maybe feelings of anxiety about the future and the choices you have made are intensifying.

These feelings are your wake up call.

This is where coaching comes in. I specialize in working with Millennials who need inspiration, support and guidance -managing this exciting but overwhelming time.

Together we can help you:

Identify Your Values
Set new goals
Create true meaning in your life
Discover Your Blockers
Leverage your strengths
Create a Plan of Action
Manage life's "curve balls"

This is not your father's mid-life crisis. There are no flashy cars or homes to buy that will make the crisis pass.
This is your "crisis," your time to figure out what is truly important to you.

What I Love about Being a Psychotherapist

Being a therapist is an honor. There is no other profession where a person in pain is willing to put their trust in you and allow you to hold their secrets. I feel privileged that someone would allow me to help them figure what is making them feel stuck in their lives. As corny as it sounds, I do feel like I am making a difference in the world.

Important Factors for Choosing a Therapist

It is important to feel like your therapist is someone you can trust and feel comfortable with. A therapist should challenge you but not make you feel bad about yourself or the choices you have made or are still making. This is a process the two of you are going through together, therefore the person you ultimately choose should make you feel supported and understood.

The Duration and Frequency of Therapy

I don't believe therapy needs to last forever. I provide a hybrid of therapy and coaching. At some point the you need to go out and live your life and put in practice the tools you have learned.

Video Message

Please note: The video above was submitted by Tess Brigham, and any views or opinions expressed are not necessarily shared by GoodTherapy.org. We do our best to ensure videos align with our mission and vision; however, if you find there is inappropriate content, please email us or call 888-563-2112 ext. 2.

Services I Provide

  • Coaching
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Telehealth

Ages I Work With

  • Adults


  • English

Groups I Work With

    I specialize in working with Millennials who need inspiration, support and guidance - managing the exciting but overwhelming time of transition that is common during this time.

Client Concerns I Treat

  • Addictions and Compulsions
  • Adjusting to Change / Life Transitions
  • Anxiety
  • Career Choice
  • Communication Problems
  • Depression
  • Drug and Alcohol Addiction
  • Emotional Overwhelm
  • Family of Origin Issues
  • Family Problems
  • Fear
  • Grief, Loss, and Bereavement
  • Individuation
  • Life Purpose / Meaning / Inner-Guidance
  • Panic
  • Relationships and Marriage
  • Self-Care
  • Self-Confidence
  • Self-Criticism
  • Self-Doubt
  • Self-Esteem
  • Self-Love
  • Shame
  • Stress
  • Trust Issues
  • Women's Issues
  • Workplace Issues
  • Worry
  • Worthlessness
  • Young Adult Issues

Types of Therapy

  • Cognitive Behavioral Therapy (CBT)
  • Solution-Focused Brief Therapy (SFBT)

See other therapists in San Francisco, CA.

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