James Seishas
Licensed Marriage & Family Therapist, MS, LMFT 117135 (CA); LMFT 0002416 (CO)Online Therapy
Grief and loss are a part of the human condition. Grief is typically considered to be brought on by the death of a loved one, but can also be triggered by any significant life-altering loss (such as a divorce or the loss of a job). Grief is a natural response to loss, but that doesn’t make it easy to deal with. Symptoms of grief may include sadness, loneliness, anger, denial, depression and a myriad of other thoughts and feelings. There is no “normal” amount of time for grief to pass, but if you find that your grief is not improving over time or that it is interfering with your everyday life, you may want to consider seeking professional help. A qualified grief counselor can help you to cope with the physical, emotional, social, spiritual, and cognitive responses to loss. Reach out to one of TherapyDen’s grief experts today.
I work with adults, teens, couples, and polycules. I have in-depth knowledge of the LGBTQIA2-S+ communities, neurodiversion, anxiety, depression, perfectionism, trauma, life transitions, grief, gender exploration/affirmation, health at every size, kink, and relationship anarchy/polyamory/open relationships.
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Whether you’ve been in therapy before or it’s your first time, it’s hard to be vulnerable and to give voice to that which brings us discomfort, pain or shame. And, therapy can be incredibly rewarding. Creating meaning out of our experiences is a powerful and transformative process, one I am honored to walk through with my clients.
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Welcome! I’m Terra, a Registered Associate Marriage and Family Therapist. I help couples improve communication, rebuild connection, and better understand each other in a warm, judgment-free space.
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I specialize in working with queer and trans youth and adults who want to increase their sense of rootedness and agency in order to live vibrantly. I commit to providing an affirming space for your full self to show up so we can partner in the important work of healing.
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I help people who feel anxiety and stress in relationships to feel less anxious. I know that the worry, frustration and confusion that we feel with those we care most about can feel overwhelming and can make thriving or just getting through the day much more difficult. It can also lead to unhelpful patterns with ourselves and others. Anxiety in relationships can be a real burden and I don't want you to suffer. Together we will work to get your satisfaction in relationships back.
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I particularly enjoy working with people who are navigating difficult interpersonal relationships (with family members, partners, spouses, etc.) or are in the midst of healing from heartbreak, grief or loss. I also have extensive personal and professional experience with chronic pain/illness and have deep regard for the experiencers and caregivers dealing with the challenges that accompany. I also love working with clients who are looking to decrease symptoms of anxiety or panic.
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You get home from work and had every intention to cook dinner and go for a walk but you're exhausted so you end up on the couch scrolling. And then you stay up too late, trying to gain back some precious hours for yourself, you've been giving to everyone else all day, you deserve it! But then, it all starts over again. Exhausted in the morning. Over committed, saying yes to things you don't want to do, not feeling nourished by your relationships. You're ready for a change.
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Most of us experience anxiety at some point in our lives. It becomes a problem when we get so stuck in this feeling we have a hard time seeing things for what they really are. Maybe you are feeling anxiety physically, or you are noticing it by where your mind trails off to. On paper, you may look like you are doing well, but underneath it all, things are falling apart. With anxiety and any other emotional concern you may have, I like to look deeper at what’s going on underneath it.
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Anxiety is something you’ve struggled with for a long time. While you appear to be holding it together, inside you’re dealing with feelings of dread, catastrophic thoughts that you can’t seem to stop, and constantly feeling like you need to plan for what might go wrong. The good news is that there are methods that research shows can really help. You and I will work together to identify ways to tackle anxiety and live a more full life.
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My clients tend to be individuals who struggle to advocate for themselves in relationships- whether they be work, romantic, familial or friendly. They tend to put other people's feelings before their own. They may struggle with anxiety, depression, or both. I work with a lot of people who experienced emotional neglect in childhood, and/or self centered parents, and/or very oppressive home environments.
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I am invested in supporting clients to reach a better understanding of themselves and others through promoting awareness of their emotions, identity, cultural influences, and relationships. I have found enjoyment in working with people navigating changes that intersect with a multitude of cultural and environmental factors. I love to work with individuals and relationships open to the therapeutic experience and learning more about themselves and others.
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Have you found yourself locked in a pattern of relating that leads again and again to the same negative, frustrating or unsatisfying outcomes? I help couples or individuals identify and alter these patterns, often with insight into how they developed in the first place, leading to happier and more fulfilling relationships and lives.
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One thing that a lot of my clients have in common is a harsh inner critic. This critic can affect your self-esteem, cause anxiety or depression or both, or hold you back from pursuing your dreams. I look at the inner critic is as a part of you. I want to make space for other parts of you that aren't as dominant so that you can thrive. I also connect well with people who have experienced childhood emotional neglect, meaning that it was difficult to form a solid trusting bond with your caregivers.
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90% of my couples clients share these traits: They are VERY DIFFERENT from each other: mixed-race, interracial, mixed-cultural background, earning capacity varies; One or more is neuro-divergent; High-conflict; Multiple partners involved; ENM; Open relationship/marriage. The rest of my 10% is court-related: Court-referred reunification family therapy; Court-referred co-parenting counseling/child custody mediation; Self-referred co-parenting counseling/child custody mediation.
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Are you feeling stuck in patterns that no longer serve you? I offer a supportive, non-judgmental space to explore your goals and rediscover your power. I work with individuals navigating concerns like queer and trans issues, anxiety, depression, trauma, substance use, PnP/chemsex, relationships, attachment, disability, and neurodivergence. I take an intersectional approach, recognizing how oppression and stigma shape mental health and fostering resilience to drive meaningful change.
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We provide psychotherapy services to clients in California, Colorado, Florida, Indiana, Iowa, Kansas, Pennsylvania, Rhode Island, South Dakota, Washington, and Wisconsin. (Clients outside of the San Francisco area are seen via teletherapy only at this time.) If you are interested in the possibility of working with us, and you live in another state not listed, please feel free to contact us for information about potential services. You can read more about us at https://www.sfcounselors.com
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Do you find yourself constantly giving to others—whether at work or home—while your own well-being takes a back seat? Maybe stress, burnout, or relationship struggles leave you feeling disconnected. I work with individuals navigating life’s challenges, helping you build insight, resilience, and a sense of calm. Together, we’ll uncover patterns, develop practical tools, and create a path toward greater ease and fulfillment.
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It is my passion and a privilege to help people struggling with anxiety, depression, self-esteem, trauma, grief, family dynamics, relationship issues, career stress, life transitions, existential angst, and finding meaning and purpose. I welcome people of all types and backgrounds into my practice. I see you as a unique individual and I look forward to getting to know you on a deep level. I am here to support you every step of the way on your journey of self-discovery and transformation.
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