Tiara Perkins, LPCC

Tiara Perkins is a Licensed Professional Clinical Counselor (LPCC) who helps people work through stress, anxiety, bipolar disorder, depression, addictions, trauma, self-esteem struggles, ADHD, and LGBT-related concerns. She also focuses on aging and geriatric issues and other areas like chronic illness, communication problems, and life purpose. Tiara writes that starting therapy takes courage and she acknowledges that first step.

Tiara uses a flexible, person-centered style. She listens first and then tailors sessions to each person's needs. Conversations are practical and down-to-earth, with tools to try between meetings. She aims to be respectful and compassionate in every interaction.

Her approach draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, mindfulness, and client-centered techniques. That mix means sessions can include values work, skill-building, emotion regulation, and present-moment awareness depending on what helps most. She adapts methods to a person’s goals rather than applying one fixed method.

Tiara has nine years of experience and is licensed in North Dakota. She emphasizes collaborative planning, so people leave sessions with clear next steps. The tone is supportive but practical, geared toward problem solving and steadier daily routines.

People who want straightforward, compassionate care may find her style matches their needs. She encourages those who feel ready to reach out and see what a tailored plan could look like for them.

How therapy approaches guide online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most and take small steps that match their values. It often focuses on noticing thoughts and moving toward meaningful actions even when feelings are hard. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches practical skills to shift unhelpful patterns. It can help with anxiety, depression, and mood regulation. Mindfulness Therapy adds simple attention and breathing practices to reduce reactivity and increase present-moment awareness.

Finding the right approach is part of the process. The therapist will talk with each person about their goals and preferences. Together they decide which methods to try and adjust the plan as therapy continues. That makes sessions collaborative rather than one-size-fits-all.

Confirm the available session options before booking, as formats are not specified here. Online therapy can make it easier to fit sessions into a busy life by saving travel time, allowing short check-ins during a workday, or letting people use audio-only when bandwidth is limited. Licensed professionals can also use practical worksheets, mindfulness exercises, and homework that translate well to remote sessions. If you want to explore whether online care will work for you, ask about specific session formats when you schedule.