“I was nervous before the first visit. Nobody rushed me, and I left knowing what the next step could be.”
Portland · In person and by video
Therapy for adults and couples in Portland
Four licensed clinicians meet with adults and couples in person in Portland, or by video if you are in Oregon. Your first session is a conversation about what you want from therapy.

Therapy at Tide is a working relationship. Your clinician listens first, explains the method before using it and checks with you on how it is going.
Listening first
Every session starts with what you want to talk about.
A named method
Your clinician names the approach they suggest and explains it before you decide.
Your pace
How often and how long is set with you, and can change.

Our Services
Therapy tailored to you

Individual Therapy
One-on-one sessions for adults, at a pace you set with your clinician.
CBT
Mindfulness-based skills

Couples Counseling
Sessions for partners who want to slow arguments down and say what they need.
Communication
Repeating patterns

Anxiety & Stress
Practical skills for worry, panic and a body that stays on alert.
Worry
Panic
Stress

Trauma-Informed Therapy
Safety and choice first; you decide how much to share and when.
Pacing
Grounding

Life Transitions
A steady place to think through a move, a job, a loss or a change.
Work
Relationships

Grief and Loss
Room for a death, an ending or a change that has no name yet.
Loss
Support
What to expect
Your first session
A first session is a conversation, not a test. It lasts 50 minutes.

Before you come
You get your fee in writing, and a link to our intake forms on our own portal. Please do not send medical details through this website.
Intake forms on our portal
The first conversation
We talk about what you want from therapy, what pace feels right and what you want to leave alone for now. You do not have to tell your story.

How we would work
Your clinician explains the method, what it asks of you and what it can stir up, and then you decide.

Before you leave
We agree on a next step and answer questions about fees and cancellation. You can ask to meet a different clinician if the fit is not right.
Testimonials
What clients say
“They explained what they do and why before they did it. That made it easier to feel at ease in the room.”
“My partner and I each felt heard. The sessions had a pace we could keep up with.”
Sample reviews.
FAQ
Common Questions
How long is a session?
A session is 50 minutes. Couples sessions run 80 minutes.
Is what I share private?
We keep your records private and share them only as the law allows. Your clinician explains the limits in your first session, and you can ask about them before you book.
Do you take my insurance?
Some of our clinicians are in network with some plans. Fees, receipts for reimbursement and the Good Faith Estimate are on the How fees work page.
Do you offer video sessions?
Yes, for clients who are in Oregon, where our clinicians are licensed. Many people start in person and switch, or the other way around.
What happens in a first session?
We talk about what you want from therapy and what pace feels right. You do not have to tell your story. Your clinician explains how they would work, and you decide.
Get In Touch
Tell us how to reach you. We read messages on weekdays and reply during office hours.
- Monday – FridayToday
- 9 a.m. – 7 p.m.
- SaturdayToday
- 9 a.m. – 1 p.m.
- SundayToday
- Closed