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 struggling with stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, ADHD, and LGBTQ-related concerns. Tiara focuses on building a respectful, compassionate space where people can speak honestly about what they are facing.

Her approach is practical and tailored. She listens first, then works with each person to set clear goals and manageable steps. Sessions emphasize skills people can use between meetings, and Tiara adapts tools to fit daily life and routines.

Tiara blends several approaches that help with mood and behavior changes. She draws on cognitive behavior techniques to identify unhelpful thinking patterns. Mindfulness and acceptance strategies help people notice difficult feelings without being overwhelmed by them.

She also uses client-centered methods to keep the conversation focused on the person's priorities. Dialectical behavior therapy skills show up when emotion regulation, impulsivity, or relationships are the main concern. This mix gives room for practical problem solving and emotional support.

People reach out to work on a wide range of issues here, from self-esteem and isolation to chronic illness and life-purpose questions. Tiara aims to meet each person where they are and help them move toward clearer choices and more steady days.

How her approaches work online

Acceptance and Commitment Therapy, or ACT, helps people notice uncomfortable thoughts and feelings without getting stuck in them. It focuses on clarifying personal values and taking actions that match those values, which can help with anxiety, depression, and life-direction issues. Cognitive Behavioral Therapy, or CBT, looks at how thoughts influence feelings and actions and teaches concrete strategies to change unhelpful patterns. It is often used for anxiety, mood problems, and everyday stress. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and increase calm; it pairs well with ACT and CBT when emotion regulation or rumination is a concern.

Deciding which approach to use is a collaborative process. The therapist will discuss goals, preferences, and what has worked or not worked before. Together they will try techniques and adjust the plan so it fits the client's life and needs.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video is useful for in-depth conversations and skill coaching. Phone can work when bandwidth is low or a quick check-in is needed. Live chat and text messaging let people write between sessions and get shorter, focused support. These options make it easier to fit therapy into busy days and to keep building skills consistently.