Tiara Perkins, LPCC

Tiara Perkins is a Licensed Professional Clinical Counselor (LPCC) in North Dakota with nine years of experience. She focuses on common and complex concerns like stress, anxiety, mood disorders, addictions, trauma, LGBT issues, and attention difficulties. Tiara meets people with respect and sensitivity and aims to create a calm, steady space to talk through what feels hard right now.

Her approach is practical and collaborative. She uses Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy and client-centered methods. These tools help people notice unhelpful thoughts, experiment with small behavior changes, and clarify what matters to them.

Sessions are shaped around each person's needs and goals. Tiara listens first, then offers strategies that fit daily life. She also draws on mindfulness and Dialectical Behavior Therapy skills when emotions feel intense or overwhelming.

Tiara has worked in clinical settings over nearly a decade, which contributes to a steady, experienced manner in session. She supports people dealing with depression, bipolar mood concerns, self-esteem struggles, and the fallout of trauma and abuse.

People can expect direct, clear guidance and concrete homework between visits when it fits their goals. Tiara helps break larger problems into smaller steps so progress feels achievable. She offers services in English and practices across several online formats.

How Tiara’s approaches translate to online care

Tiara draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy alongside client-centered work. CBT focuses on identifying unhelpful thoughts and testing small behavior changes to reduce symptoms like anxiety and low mood. ACT emphasizes values and committed action, helping people move toward what matters despite difficult feelings. Client-centered therapy centers on listening and reflecting so people feel heard and can explore goals at their own pace.

Finding the right approach is a collaborative process. Tiara will discuss goals, preferences, and what has or hasn’t helped before deciding which methods to try. She adjusts techniques as progress is made so the work fits the person rather than forcing a single method.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions are useful for face-to-face conversation and practicing skills together. Phone sessions can fit a busy schedule or work better when bandwidth is limited. Live chat or text messaging are helpful for brief check-ins, coping skill coaching, or people who prefer typed communication. These options make therapy more flexible and easier to fit into daily life.