Therapy, Tailored to You!

A flexible, collaborative therapy approach specializing in ADHD, perinatal/postpartum, and navigating ND symptom changes amidst life transitions. Available in-person on Bainbridge Island, and through telehealth for Washington state residents.
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Offers Telehealth
Appointments
Accepting New
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About

Who are we?

Well, Tether & Tide counseling is owned and operated by me... Laural Casal, LMHCA. I am a mom, a PNW lover, a Star wars nerd, a GF/DF eater, an ADHD crafter, and an audiobook reader. Similar to many other ADHD brains, the path to my career as a therapist was not a direct one. My winding path gave me learning experiences in food service, temp work, massage therapy, customer service work in a credit union, nannying, to name a few. All in all, my life lead to the best career where I get to spend time with people as we work together to find their own unique way towards a better life. Thinking outside the box and questioning the 'norm' are pillars of my work, as serve my clients well. Many of you reading this may feel like this season of your life is out of control or beyond your capacity. Let me come alongside you and while we discover together what stability might feel like for you, and it is my goal to help you find a way towards that. I see you as being the only one who can say if something is working in your life or not. You get to take the lead in where we focus our time together. I believe all my clients have the capacity to make lasting changes in their life towards whatever goals of health and wellness they have. I see it as my job to set an atmosphere of comfort and potential. You are valued and needed in our community. If you struggle to believe this, let me help you find that belief again. I am here, just waiting to support you and hear you. You are a unique person with your own story and opinion. I can't wait to get to know you and witness your growth. Let our work together be a progression towards healing and stability where you need me less and less.
Laural Casal
Licensed Mental Health Counselor, Associate

Services

  • Anxiety
  • Depression
  • Trauma
  • ADD/ADHD
  • Adjustment Disorder
  • Burnout
  • Coping Skills
  • Life Transitions
  • Mindfulness
  • Peer Relationships
  • Postpartum Depression
  • Premenstrual Syndrome (PMS)
  • Pregnancy, Prenatal, Postpartum
  • Self Esteem
  • Social Anxiety
  • Stress
  • Women's Health
  • Women's Issues
  • Work Stress
  • LGBTQIA+

Approaches

  • Cognitive Behavioral Therapy (CBT)
  • Narrative
  • Eclectic
  • Acceptance and Commitment (ACT)
  • Humanistic Therapy
  • Mindfulness-Based Cognitive Therapy (MBCT)
  • Cognitive Processing Therapy (CPT)
  • Compassion Focused
  • Group Therapy
  • Integrative Therapy
  • Mindfulness-Based Stress Reduction (MBSR)
  • Person-Centered
  • Positive Psychology
  • Solution Focused Brief (SFBT)
  • Therapeutic Journaling
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