Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
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Photo of Laural Casal, Counselor, LMHC

Laural Casal

Counselor, LMHC (she, her)

Verified by Psychology Today Verified by Psychology Today
Call Me
Let's Connect (206) 429-8397
Photo of Laural Casal, Counselor, LMHC
Available both in-person and online
785 Ericksen Avenue Northeast Suite 118 Bainbridge Island, WA 98110
At this point in your life, you may feel mentally overextended—carrying too many threads at once while also feeling overstimulated or depleted by the pace of daily life. You might know what you want to change, yet feel unsure where to begin, especially when urgency and exhaustion coexist. Therapy can be a place to slow things down, make sense of the noise, and find steadier footing without pressure to push through or perform. For many neurodivergent people, life feels like a constant pull between needing something solid to hold onto and needing space to move with change. Tether & Tide Counseling is built around holding both.
I see clients in-person & online, using an integrative bio/psycho/social/spiritual approach informed by context, lived experience, and respect for diverse identities, relationships, & family structures. You remain at the helm, navigating your direction; my role is to offer safe harbor for perspective & support as you plot your course in changing conditions.
My approach is helpful when these "changing conditions" include a life transition—when new roles / new seasons shift what you’re used to and make it harder to see where to go. A free consultation can be a pause in safe harbor: a chance to reflect together, clarify next steps, and decide whether this is a place to dig deeper or a launching point to elsewhere.
Call or Laural Casal now for a free 15 minute consultation - (206) 429-8397

My Practice at a Glance

Available both in-person and online

785 Ericksen Avenue Northeast

Suite 118

Bainbridge Island, WA 98110 map

(206) 429-8397
My website
Cozy up in a quiet office on Bainbridge Island not far from ferry. Available Mon Wed Fri, with Wed evenings. (telehealth also)
I specialize in ADHD, Pregnancy, Prenatal, Postpartum and Life Transitions 
$150 Per Session, I accept insurance 
I see individuals and groups  
Let's Connect (206) 429-8397
Photo of Laural Casal, Counselor, LMHC

My Practice at a Glance

Available both in-person and online

785 Ericksen Avenue Northeast

Suite 118

Bainbridge Island, WA 98110 map

(206) 429-8397
My website
Cozy up in a quiet office on Bainbridge Island not far from ferry. Available Mon Wed Fri, with Wed evenings. (telehealth also)
I specialize in ADHD, Pregnancy, Prenatal, Postpartum and Life Transitions 
$150 Per Session, I accept insurance 
I see individuals and groups  

Finances

Fees

  • Individual Sessions $150
  • Sliding scale: apply if you may be eligible

Payment Methods

ACH Bank transfer, American Express, Discover, Health Savings Account, Mastercard, Visa

Insurance

  • BlueCross and BlueShield
  • LifeWise
  • Premera Blue Cross
  • Out of Network
"
Currently I can bill Premera, Lifewise and some Blue Cross Blue Shield plans, and can make Superbills for any clients who need it for other insurance plans. With full licensure now here for me, I will hopefully add more insurance options by Fall. Sliding scale options are also available
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call or for a free 15 minute consultation now - (206) 429-8397
"
Currently I can bill Premera, Lifewise and some Blue Cross Blue Shield plans, and can make Superbills for any clients who need it for other insurance plans. With full licensure now here for me, I will hopefully add more insurance options by Fall. Sliding scale options are also available
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call or for a free 15 minute consultation now - (206) 429-8397

Qualifications

  • Verified by Psychology Today Licensed by State of Washington / MHC.LH.70095780 Laural Casal
  • Education and Years In Practice

  • In Practice for 3 years
  • Attended Colorado Christian University, Masters in the Arts Clinical Mental Health Counseling, Graduated 2023
"
Now that I have my full LMHC license i will be tracking down my ADHD-CCSP certification and CIMHP Certification!
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call or for a free 15 minute consultation now - (206) 429-8397
"
Now that I have my full LMHC license i will be tracking down my ADHD-CCSP certification and CIMHP Certification!
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call or for a free 15 minute consultation now - (206) 429-8397

Specialties and Expertise

Top Specialties

  • ADHD
  • Pregnancy, Prenatal, Postpartum
  • Life Transitions

Expertise

  • Addiction
  • Anxiety
  • Autism
  • Bisexual
  • Chronic Impulsivity
  • Codependency
  • Coping Skills
  • Depression
  • Divorce
  • Grief
  • Health at every size (HAES)
  • Lesbian
  • LGBTQ+
  • Mood Disorders
  • Neurodivergence
  • Parenting
  • Spirituality
  • Stress
  • Substance Use
  • Suicidal Ideation
  • Trauma and PTSD
  • Women's Issues
"
I work with adults navigating ADHD, life transitions, and pregnancy, perinatal, and postpartum experiences using a neurodiversity-affirming approach. This means we focus on understanding how your brain works, reducing shame, and building support that fits you—rather than trying to force change through willpower or "fix" who you are.
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call or for a free 15 minute consultation now - (206) 429-8397
"
I work with adults navigating ADHD, life transitions, and pregnancy, perinatal, and postpartum experiences using a neurodiversity-affirming approach. This means we focus on understanding how your brain works, reducing shame, and building support that fits you—rather than trying to force change through willpower or "fix" who you are.
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call or for a free 15 minute consultation now - (206) 429-8397

Client Focus

Age

Preteen
Teen
Adults
Elders (65+)

Participants

Individuals
Group

Communities

Bisexual Allied
Gay Allied
HIV / AIDS Allied
Intersex Allied
Lesbian Allied
Little Person Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Single Parent
Transgender Allied

Age

Preteen
Teen
Adults
Elders (65+)

Participants

Individuals
Group

Communities

Bisexual Allied
Gay Allied
HIV / AIDS Allied
Intersex Allied
Lesbian Allied
Little Person Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Single Parent
Transgender Allied

Treatment Approach

Types of Therapy

  • Acceptance and Commitment (ACT)
  • Cognitive Behavioral (CBT)
  • Eclectic
  • Emotionally Focused
  • Feminist
  • Humanistic
  • Integrative
  • Mindfulness-Based (MBCT)
  • Narrative
  • Person-Centered
  • Positive Psychology
  • Rational Emotive Behavior (REBT)
  • Relational
  • Solution Focused Brief (SFBT)
  • Strength-Based
"
Therapy often begins with practical support: self-care tools and coping skills to steady daily life. Then we use an eclectic mix of approaches, chosen together, to untangle what is piling up and build perspective. Laughter and small moments of relief are welcome too, easing tension and supporting clearer thinking and sustainable change.
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call or for a free 15 minute consultation now - (206) 429-8397
"
Therapy often begins with practical support: self-care tools and coping skills to steady daily life. Then we use an eclectic mix of approaches, chosen together, to untangle what is piling up and build perspective. Laughter and small moments of relief are welcome too, easing tension and supporting clearer thinking and sustainable change.
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call or for a free 15 minute consultation now - (206) 429-8397

Groups


Location

Primary Location

785 Ericksen Avenue Northeast

Suite 118

Bainbridge Island, WA 98110

(206) 429-8397
"
Cozy up in a quiet office on Bainbridge Island not far from ferry. Available Mon Wed Fri, with Wed evenings. (telehealth also)
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call for a free consultation now - (206) 429-8397
"
Cozy up in a quiet office on Bainbridge Island not far from ferry. Available Mon Wed Fri, with Wed evenings. (telehealth also)
Photo of Laural Casal, Counselor, LMHC
Laural Casal
Counselor, LMHC
Call for a free consultation now - (206) 429-8397