Tiara Perkins

Tiara Perkins is a licensed professional clinical counselor (LPCC) in North Dakota who helps people facing stress, anxiety, bipolar disorder, depression, addictions, and issues around identity and trauma. She offers a respectful, sensitive approach and adapts conversations to each person's needs. Her style is direct but warm, and she encourages people to take a first step when they feel ready.

She has nine years of professional experience and uses several evidence-informed approaches to structure sessions. Tiara often blends cognitive behavioral techniques with mindfulness and acceptance work to help people notice difficult thoughts and take practical steps forward. She also draws on client-centered and dialectical skills to support emotion regulation and coping.

In sessions she focuses on clear goals and concrete skills. Clients can expect practical exercises, strategies for managing mood and urges, and attention to how daily habits affect wellbeing. She pays attention to body image, self-esteem, and the ways trauma or identity stress can affect daily life.

Tiara works with concerns across the lifespan such as aging and geriatric issues, chronic illness and pain, and the challenges of isolation or life transitions. She also addresses relationship and communication problems, forgiveness, and finding purpose.

She conducts weekday live sessions and offers live chat sessions on weekends; please review current session options before booking. To begin, complete the platform questionnaire and pick a time that fits your schedule.

How her approaches guide online work

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them, then commit to actions that match their values. This approach can help with depression, anxiety, and motivation struggles. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and changing behavior patterns. It offers concrete tools for mood, anxiety, and eating-related behaviors. Client-Centered Therapy emphasizes a nonjudgmental relationship where the therapist listens, reflects, and supports the person's own problem solving.

Finding the right approach is part of the work together. Tiara will talk with each person about goals and preferences, then tailor methods so they fit the situation. This is a collaborative process and the plan can change as needs evolve.

Confirm current session options before booking, since formats may vary. Weekday live sessions are offered, and live chat sessions are available on weekends; please check the platform for the latest schedule. Online sessions can make it easier to fit visits into a busy week, allow shorter check-ins when needed, and reduce travel time. Many people find it simpler to practice skills between sessions when therapy fits more easily into daily life.