Tiara Perkins, LPCC

Tiara Perkins is a licensed professional clinical counselor (LPCC) in North Dakota with nine years of experience. She helps people who are coping with stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, LGBT concerns, low self-esteem, and ADHD. Tiara aims to treat each person with respect, sensitivity, and compassion from the first conversation.

She focuses on practical, moment-to-moment strategies that change thoughts and everyday habits. Sessions are shaped around what a person wants to achieve, and Tiara adjusts the pace and tools to fit each situation. Expect straightforward conversations about what is getting in the way and what small steps could be tried next.

Her approach draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centered Therapy, and Mindfulness Therapy. That mix supports work on difficult emotions, unhelpful thought patterns, and improving daily routines. Tiara uses these methods to help people learn new skills for managing mood, impulsivity, or addictive urges.

Tiara also addresses related concerns such as communication problems, body image, chronic illness or pain, isolation, and life purpose. She invites people to be honest about what they need and to collaborate on realistic goals. The focus is on building manageable habits that make everyday life easier.

Starting therapy is a first step, and Tiara encourages people to take it at their own pace. She offers weekday live sessions by chat, phone, and video, and weekend live chat sessions for those who prefer that option.

How therapy approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people notice thoughts without being driven by them and choose actions that match their values. It can be useful for anxiety, depression, and challenges with motivation. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with small behavioral experiments to change feelings and routines. It often helps with mood disorders, anxiety, and building new habits. Dialectical Behavior Therapy (DBT) teaches concrete skills for managing strong emotions and improving impulse control, which can be helpful for mood swings, impulsivity, and stress.

Finding the right approach is part of the work. Tiara collaborates with each person to decide which methods fit their needs, goals, and preferences, and she adjusts strategies as progress is made. The choice evolves through discussion and trial, not a one-size-fits-all prescription.

Confirm the exact online session options before booking because formats are set by the therapist. Tiara offers weekday live sessions by live chat, phone, and video, and weekend live chat sessions only. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and let people choose a quieter time or a lower-bandwidth option like phone or chat when that helps them stay consistent.