About Tiara
Tiara Perkins is a licensed professional clinical counselor (LPCC) based in North Dakota with nine years of clinical experience. She helps people manage stress, anxiety, depression, bipolar concerns, substance use issues, trauma, self-esteem struggles, and ADHD. Tiara aims to meet each person with respect, sensitivity, and compassion.
She approaches sessions with straightforward conversation and practical tools. Tiara adapts the pace and focus to fit what each person needs. Sessions mix talk, skill-building, and strategies that you can try between meetings.
Background and approach
Her work often includes mindfulness practices to calm the mind and reduce reactivity. She also uses cognitive behavioral ideas to notice unhelpful thoughts and change patterns. People learn small, doable steps that add up over time.
Tiara also draws on acceptance and commitment ideas to help people clarify values and commit to meaningful action. When emotions run high, she uses skills from dialectical behavior approaches to manage intense feelings and improve coping. She treats questions about gender identity and sexual orientation with care and supports those facing life transitions, chronic illness, or isolation.
Tiara writes treatment plans that reflect individual goals and practical daily realities. Starting therapy is often a brave move and Tiara focuses on making the process understandable. She offers a range of formats so people can choose what fits their schedule and comfort level.
How therapy approaches translate to online care
Acceptance and Commitment Therapy helps people notice painful thoughts and feelings without getting stuck in them, and to take action toward things that matter. It can help when anxiety, depression, or life transitions make it hard to move forward.Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and behaviors and replacing them with more helpful ones. It is useful for stress, anxiety, mood concerns, and managing impulsive patterns.
Finding the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and what feels manageable, then try methods that match those needs. That process is collaborative and can shift over time as goals change.
Online sessions provide several practical benefits. Video calls let people connect face to face from wherever they are and support full-session work. Phone sessions can be simpler when bandwidth is limited or for quick check-ins. Live chat and text-based messaging make it possible to send brief updates, ask questions between sessions, or use short check-ins during a busy day. These options help people fit therapy into real life and keep progress moving forward.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Bipolar disorder
- Depression
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Avoidant personality
- Body image
- Chronic pain, illness, and disability
- Communication problems
- Divorce and separation
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Self esteem
- Self-harm
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- North Dakota
- Languages
- English
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