Ways We Can Help
Choose care shaped around your life

Individual Therapy
A private, collaborative space to understand recurring patterns, work through hard experiences and practice new ways of responding. Your clinician names the method, such as cognitive behavioral therapy, and explains it before using it. This is not emergency care. Fees are in how fees work.
CBT
Mindfulness-based skills

Couples Counseling
Support for partners who want to interrupt painful cycles and say what they need without blame. Each partner meets the clinician alone once early on. Sessions run 80 minutes. Your clinician sets the pace with you.
Communication
Repeating patterns

Anxiety & Stress
Practical skills for worry, panic, perfectionism and burnout. Your clinician explains each skill and why, and you choose what to practice between sessions. We can say when it is worth seeing a physician too.
Worry
Panic
Stress

Trauma-Informed Therapy
Therapy that prioritizes safety, choice and steadiness before any difficult material. Nothing starts until you say so, and you can pause or stop at any time. Your clinician explains what a method can stir up before you decide.
Pacing
Grounding

Life Transitions
A steady place to think through a move, a new job, a change in a relationship or a stage of life that does not feel like yours yet. Sessions are a conversation, not a test.
Work
Relationships

Grief and Loss
Room for a death, an ending or a change that has no name yet. There is no schedule for grief, and your clinician does not set one for you.
Loss
Support
Getting Started
Finding the right place to start
01Tell us what is bringing you in
Write to us, and tell us what you would like help with and how to reach you. A few words are enough. We will suggest a clinician.
02Meet the right clinician
We suggest a clinician whose training, style and schedule fit what you wrote. If the fit is not right, you can ask to meet someone else.
03Agree on how to start
Together you choose goals and a method that fits your pace, and your clinician explains it before you start.
04Check in as you go
Your clinician asks how it is working and changes the method, the rhythm or the goals when your needs change.
Before You Book
Questions about choosing a service
01How do I know which service is right for me?
Write to us and say what you would like help with. We suggest a clinician and a place to start, and many people begin with individual sessions and add couples work later.
02Can I switch between services?
Yes. As your needs change, you and your clinician can change the plan. Many people start with individual therapy and later add couples sessions.
03What if I need more support than weekly sessions?
Tell your clinician. They can meet more often when that helps, and they will say when it is worth seeing a psychiatrist or physician as well.
04Can we meet by video?
Yes, for clients who are in Oregon, where our clinicians are licensed. We will confirm your location when we schedule.
05How often will I come?
Most people begin weekly so there is some continuity. You and your clinician can move to every other week or another rhythm. Your clinician sets the pace with you.
06What if the first clinician is not the right fit?
Tell us. A good fit matters, and we can introduce you to another Tide clinician or suggest someone outside the practice.
Not sure which service fits?
You do not need to diagnose yourself before reaching out. Tell us what is happening and we will help you choose a thoughtful starting point.