Nemours Children's Health System customized Tess to deliver behavioral health support for adolescents struggling to manage their weight and cope with pre-diabetes symptoms. Through conversations with Tess, patients received motivational interviewing interventions to overcome psychological barriers to therapy adherence and wellness. Additionally, after setting goals with their physician, Tess sent reminders to track progress and provide coaching to promote behavior change. Patients reported positive progress towards goals 81% of the time and found support from Tess to be helpful 96% of the time. Tess kept the adolescents engaged with an average of 198 messages exchanged per patient and offered coaching on more than just their goals. Key themes from conversations revealed that patients sought support from Tess in dealing with feelings of anxiety, depression, and loneliness related to their medical condition.