Our Providers

Our Providers

MFA, MA, LCMHC, NBCC

Meet Tyler

Hello! I’m Tyler

Licensed Clinical Mental Health Clinician serving individuals and groups in North Carolina

Consulting, workshops and visiting speaker/lectures offered nationwide

I was born and raised in Boone, NC running around the Appalachian Mountains with big dogs and horses most of my life. I have had the privilege of going to college in Missoula, Montana and graduate school for art in New York. I occupied many other PNW towns while I pinged back and forth across the country before settling back into the Appalachian Mountains to teach at ASU in the art department. I gained my MA in Clinical Mental Health Counseling while teaching across campus with a focus on medical trauma, chronic illness, grief and the intersection of arts-based therapy, which means I support individuals and family members coping with cancer, chronic and terminal illness, traumatic births and grief through various therapeutic methods including the use of art and expressive arts therapy. The healing process emerges through both verbal and nonverbal work within an ethical and confidential space.

I believe in the value of holistic, integrated care with mental health support coming alongside an individual or loved one's support team. The authentic connection created within a therapeutic relationship supports individuals in accessing their inherent strength, wisdom, and resilience in order to take natural steps in the direction of healing. I trust in your ability to heal, recover from serious setbacks, challenges and make meaning in your life.

My approach emphasizes the strength of the therapeutic relationship in order to facilitate trust in the process. Existential Psychotherapy, Narrative Therapy and Strengths-based therapy along with use of the expressive therapies such as art making, visual journaling, painting, pottery and ecotherapy are used to capture the full experience you are bringing to sessions. Attention to attachment wounds, trauma, and neuropsychology as well as attending to the mind/body connection are all naturally part of how I approach my work with clients. I may encourage you to engage with some form of mindfulness or bodywork to foster rebuilding the connection within our bodies that can get lost in the sea of medical trauma, illness and child birth. I may also direct you to specific tools or references when it is clinically appropriate or when it suits you.

You do not have to be an artist – only the willingness to be open to the possibilities.

Learn about my services

  • I offer a free 15 min phone consultation to discover if we would be a good fit or if one of our group offerings is a good fit. In our conversation, we will determine together if we think you may benefit from working with me or in an upcoming support group. If needed, I can assist you with an appropriate referral. I work both in person and telehealth. Telehealth can be much more convenient with the myriad of doctor’s appointments or not being able to leave a loved one alone if you are a caregiver or parent. I use a HIPAA-compliant platform that sends you a link to remind you of the appointment with easy one-click access by a smartphone, tablet, or computer.

    In our sessions together, I will encourage you to ask questions throughout, take risks, be curious, and engage in expressive arts therapy to see what your brain will do with it! I may also ask you to "press pause" during certain discussions to slow down and watch what is happening in a different way. The overwhelming majority of clients I work with notice changes in their thoughts, emotions, reactions, and behaviors within a few sessions.

    I offer hope, a break from the monotony of the ways you generally interact with others, as well as a dose of authentic connection - as I realize you might be pretty darn tired of fighting so hard to be present, get through recovery, or "get back to normal" ways of being. This is completely exhausting and leaves you feeling unseen and isolated. I am direct, swift, and gentle in helping you name the thoughts, sensations, and behaviors that have hijacked your life - as well as the thoughts and feelings you would rather be having instead.

  • Expressive Arts Therapy is a clinical field that draws on the interactive and integrated nature of the arts for healing and multimodal approaches. It is about reclaiming our innate capacity as human beings for the creative expression of our individual and collective human experience in artistic form. It is also about experiencing the natural capacity of creative expression and creative community for healing.

    I believe busy hands open hearts. Craft fosters the ability to share and learn skills to cope with life’s events by developing a visual external resource and fostering the internal resource of belonging. Engaging in craft alongside other individuals assists in exploring what can not be verbalised at times and supports us in building community within our community. Having active hands allows one to engage in building relationships within a space of shared experience that is held by a trained provider.

    Visual Narrative Medicine (VNM) is a process I define by which an individual processes traumatic events that alter the way they feel within and about their bodies and lives through the use of all five senses in visual form. VNM engages all senses in telling one's story through imagery, song lyrics, sheet music, textures and fibers, scents and colors, and mixed media. Everything but the kitchen sink goes into the visual journals individuals create and craft through the duration of their processing and beyond. These books become the visual narratives of our lives and a resource for coping with difficult times outside of sessions or following our work together. Visual Narrative Medicine documents one's resilience and recovery from life-altering moments such as a cancer diagnosis, a traumatic birth or the death of a loved one. VNM is a therapeutic craft that creates busy hands and open hearts when engaging in a shared space housed by the shared struggle that is the human experience.

  • Have you ever wondered why there are not more places to go for support when you have a chronic illness, are diagnosed with cancer, have moved into survivorship, or are continuing to deal with chronic illness or pain besides your medical doctor's office? Are you feeling like there is this big elephant in the room but it seems like you are the only one who can still see it? Do you feel like you are alone carrying the weight of trying to "get back to normal" after you are deemed cancer-free or following your surgery or once you finally discover the source of your pain? Or the weariness and feeling like a broken record when coping with “symptom management”?

    In my practice, I strive to create a place for individuals and loved ones to come and process what the heck is going on with their mind and body in response to illness, injury, disease, upcoming procedures, or following surgeries and physical therapy. I believe this is a place where your experience can be validated and you can work with someone in safety to acknowledge how this, whatever this may be, has affected your entire life. It is an environment where you get to call the shots and determine what you want your story to look like. In this space, you can explore how you can even get to that point when you are living with pain and maintenance that can strip away the pleasure from activities, things, and people that used to fill your life with joy.

  • In my practice, I strive to create a place for individuals to come and process what the hell is going on with their mind and body in response to traumatic births, unexpected complications, NICU stays, miscarriages, and recurrent losses. All of these experiences and many others not listed here fall under Perinatal Trauma. This includes working with folxs who are experiencing a pregnancy following a traumatic birth and looking to have an improved experience this time around while coping with the fear of what happened before.

    This is a place where your experience can be validated and you can work with someone in safety to acknowledge how this, whatever this may be, has affected your entire world including the way you feel in your own body. It is an environment where you get to call the shots and determine what you want your story to look like and how we can work to get there.

    In this space, you can explore how you can even get to that point when the pleasure from activities, things, and people that used to fill your life with joy feels stripped away during a time “that should be the happiest days”.

  • How does one describe grief? The crushing weight of the loss, the unmoored feeling of having less gravity, less that holds you to this world? The frustration at the brain fog where trying to complete basic tasks feels like trying to think through pea soup.

    Grief work is a slowing down process. It is not about rushing you to make sorrow easier to tolerate or for those around you to feel more comfortable in your presence.

    Sometimes it is bearing witness to the outpouring of words that detail the story of how you lost your loved one, processing the trauma of witnessing medical interventions and/or traumatic deaths. There are days it is working with art materials because the words have stopped flowing and turning inward has begun. At times, it is a dialogue with anger, troubled relationships and adaptations that feel too much and too soon. Often it can be support and resources for the details of planning a service or learning to perform tasks your loved one used to do. It is learning how to carry your love forward without feeling shame for knowing you can not make a home in this place.

    I have experienced significant loss in my life. For some individuals it can be beneficial to know if I have experienced a similar loss to yourself to feel like I could truly support you on this path. That is a valid question and I am happy to discuss my experiences with loss upon request.

    In closing, the best way I have found to describe grief work was written by the poet Ullie-Kaye

    Nothing at All

    I want you to know that I will never try to take your grief and make it into something small. Neither will I tell you that the sun will come and shine again and spill itself upon your wall. I will not tell you that the better place that they are in should soften how you fall. Nor bring the mountains into view and say, “see, they’re not so tall”. I hope that on that dreary day when your life comes to a crawl, I search my heart, I hug you close and say nothing at all.

If any of this rings true to you and you would like a partner in working towards understanding how you want to shape your life moving forward then you are in the right place. 

FAQs

  • All new appointments require a phone consultation which is best booked via email tylerdealcouseling@gmail.com

    Phone calls only no text, please.

    828-767-9942

  • No, we are by appointment only.

  • Counseling sessions are 55 minutes and are $150-$200 per session, payable at the time of service. I utilize a HIPPA compliant online program to access all of the introductory paperwork and to store insurance and payment information. I believe this is helpful so that we may spend all of our time during sessions focusing on what is most important.

    I accept credit, debt, and HSA cards. I also offer limited sliding scale options.

  • I accept Blue Cross and Blue Shield, United, and Aetna health insurance. With your permission, I will file on your behalf. Please contact your insurance provider prior to our first session so you know what your benefits are for in-person or telehealth and what your copay will be. If you do not know your benefits by the time we first meet, I will charge the full fee and reimburse you when your insurance company finalizes the claim.

    Alternatively, I can supply you with a "superbill" that you can submit to your insurance company so that you may be reimbursed. If you opt for a superbill, please contact your insurance company to see if you have out-of-network benefits so you will know what to expect.

  • Great Question!

    Just as in life there are no guarantees. But what I can tell you is that I will do my best to assist you in your journey and tailor my services to make best use of your time. I would be more than willing to spend some time with you on the phone to discuss your concerns and see if we are a good fit. If we are not, I will be honest with you and can refer you to another therapist.

  • We find a time that works with your schedule and you will fill out some brief paperwork online. We meet to discuss your concerns, consider how you want your life to look when things are "better", and set some reasonable goals together. We may agree on some "homework" for you to work on between sessions. We will continue to assess your progress together and may make some shifts in goals along the way.

  • Trauma can be understood on a spectrum - on one end there is the big "T" trauma (life-threatening) and on the other end, what is known as "small t" trauma (something that happened in your life that was scary that you may think about frequently but did not get mortally injured, although it sure felt like it!). Both "big T" and "small T" trauma can massively impact how we think about, respond to, and move around in the world.

    We have all had traumas in our life - a significant relationship break up, a life-altering event, or near-death experience. Or maybe you struggle in social settings, have an unexplained fear of driving or doing new things. Chances are that you have experienced a multitude of traumas in your life and they do not currently affect you. For whatever reason, some of us experience an event and our mind-body struggles with it. It has nothing to do with who you are but more to do with how your brain "uploaded" the information.

    We can work on that!

  • EMDR (Eye Movement Desensitization and Reprocessing) is a way to reduce the emotional intensity of a specific memory or series of memories. EMDR widens the pathways of the brain that have been constricted with a series of tapping or eye movements to help us tell our story in a way that works/feels better for us, shift how it is stored in our body, and have a different thought pattern & emotional reaction to the event. The event itself does not change, but the way we think about it and the meaning we made from it shifts over time. Often, our mind-body does this on its own, however, though sometimes an event can get stuck and we get stuck along with it. EMDR is not hypnosis, nor is it a complete erasure of the event like the film "Eternal Sunshine of the Spotless Mind." Instead, what actually happens is that EMDR, along with the guidance of a skilled clinician, helps get us unstuck and we get to move on with our lives.

Cancellation policy

Please allow 24-hour notification if you are not able to make your appointment, if no notice is given, you will be charged for the full session.

Contact Tyler Today

Contact Tyler Today

HERE ARE MORE WAYS we can work together

Massage by Kway

Kway believes in the body's ability to heal itself when we listen to it, he utilizes his knowledge and expertise to the best of his abilities to assist in this process.

Workshops

Our workshops are a space where you can explore, express, connect, and transform. Guided by experienced and compassionate providers. 

Contact

We would love to connect with you. Please fill out our contact form and we will be in touch as soon as possible.