Stability in
Motion
A flexible, collaborative therapy approach specializing in ADHD, perinatal/postpartum, and navigating neurodivergent symptom changes amidst life transitions. Available in-person on Bainbridge Island, and through telehealth for Washington state residents.
At Tether & Tide, we find inspiration in the sea otter. To rest without drifting away, otters tether themselves to kelp forests—anchored to something solid while still moving with the natural rhythm of the water. For the neurodivergent brain, stability doesn’t come from perfect stillness; it comes from being securely held while allowing ourselves to flow.
Healing is about discovering your own anchor. We embrace play, curiosity, and the understanding that life transitions bring inevitable changes in how we experience the world. Our goal is to help you stay connected to your core self, even as the tides shift.


Laural Casal
LMHC, ADHD-CCSP
Mom, PNW lover, Star Wars nerd, GF/DF eater, ADHD crafter, and audiobook reader.
My journey to this work was anything but linear. I’ve navigated a winding path through many different roles before finding my home in therapy. This journey informs my work today, fueling my belief that there is no single 'right' way to move through the world. I approach our sessions with an unwavering trust in your capacity for change and a focus on grounding your unique experiences in self-compassion.
My goal is to provide more than just clinical support; I want to create an atmosphere of comfort, curiosity, and possibility. Together, we’ll investigate what stability means for your life, making space for your authentic self to thrive in a world that wasn't always built for us.

Specialized Care for Neurodivergent Adults
My commitment to neuro-affirming care is backed by my certification as an ADHD-Certified Clinical Services Provider (ADHD-CCSP). This specialized training ensures that my practice goes beyond general mental health support to provide evidence-based, neuro-affirming strategies tailored specifically for the ADHD brain.
Being ADHD-CCSP certified means I am trained to look past the surface-level symptoms of executive dysfunction and move toward a deeper understanding of the ADHD experience—including sensory processing, emotional regulation, and the complex intersection of neurodivergence and identity. My goal is to provide a space where your brain is not something to be "managed" or "fixed," but understood, honored, and supported as you navigate your unique path.

My Philosophy
Healing is a collaborative, client-led journey. We move away from prescriptive models to honor your agency and intrinsic wisdom. We recognize that many systems weren't built for neurodivergent bodies, so we create a sanctuary where your unique processing and sensory needs are not just accommodated, but understood. Together, we investigate what stability looks like for you.
Why Choose Our Practice



Safety & Sanctuary
Collaborative Growth
Affirming Accessibility
We prioritize a sensory-safe and trauma-informed environment where your boundaries are respected and your nervous system is honored as a safe harbor.
You are the expert on your own life. We work alongside you to navigate life's tides, centering your agency and inner wisdom through collaborative care.
Our practice is built on radical respect, offering neuro-affirming support that accommodates your unique communication style and processing needs.
RESPECT • CONSENT • INCLUSION • CURIOSITY • AGENCY • AUTHENTICITY • SAFETY • RESPECT • CONSENT • INCLUSION • CURIOSITY • AGENCY • AUTHENTICITY • SAFETY •