Tiara Perkins, LPCC

Tiara Perkins is an LPCC practicing in North Dakota who helps people facing stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, and concerns related to LGBT identity. She also supports people dealing with ADHD, low self-esteem, and mood-related issues. Tiara writes plans to fit each person's situation and speaks plainly in sessions so people can make steady progress.

Tiara uses a mix of therapy approaches to match what each person needs. She often draws on acceptance and commitment ideas and cognitive behavioral techniques to help with painful thoughts and difficult moods. She also uses client-centered and mindfulness methods to create a calm, attentive space during conversation.

Her work style is straightforward and respectful. Sessions focus on real problems and practical steps people can try between meetings. Tiara adjusts the pace when someone is overwhelmed and helps break larger goals into small, doable actions.

Tiara has nine years of professional experience as a licensed professional clinical counselor. She tailors therapy to the person rather than using one fixed plan. That means the reason someone came in and their daily life shape what they work on together.

She encourages people to recognize small changes and build on them. Tiara meets people where they are and helps them move toward clearer thinking, steadier moods, and more manageable routines.

Therapeutic approaches and online care that fit your life

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them. It emphasizes values-driven actions so someone can keep moving forward even when emotions are strong. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing practical changes in daily routines to ease symptoms of anxiety and depression. Mindfulness Therapy teaches simple attentional skills to reduce reactivity and improve present-moment focus, which can be useful for stress and mood regulation.

Finding the right approach is part of the work. Tiara will collaborate with each person to decide which methods match their needs, goals, and comfort. Together they try different strategies and adjust the plan based on what helps most in everyday life.

If you are considering online therapy, confirm the session options before booking since formats vary. Online work can make it easier to fit sessions into a busy week, shorten travel time, or allow a quieter check-in during a break. Therapists can use these approaches effectively over distance by assigning brief between-session tasks, practicing skills in real time, and reviewing progress each meeting to keep momentum.