Tiara Perkins
Compassionate, skills-focused counseling for mood and stress
LPCC North Dakota
- Experience
- 9 years in practice
- Focus areas
- Stress, Anxiety, Bipolar, Depression
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English
About Tiara
Tiara Perkins is a licensed professional counselor (LPCC) based in North Dakota who brings nine years of clinical experience to her work.
Background and approach
She focuses on a range of mood and behavioral concerns including stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, ADHD, and issues related to self-esteem and LGBT identity. Her practice also addresses related areas such as chronic pain and illness, body image, communication problems, and life purpose.
Perkins emphasizes respectful, sensitive, and compassionate care, shaping conversations and treatment plans to match each person’s specific needs. She uses evidence-informed approaches including cognitive behavioral therapy, acceptance and commitment therapy, dialectical behavior therapy, client-centered techniques, and mindfulness practices to help clients develop practical skills and new perspectives.
Clients can expect a collaborative process where goals are discussed and therapy strategies are tailored over time. Appointments are offered through multiple live session formats during weekdays, with live chat available on weekends.
Prospective clients are encouraged to take the first step by beginning the intake process and scheduling according to availability.
Therapeutic approaches adapted for online care
Tiara Perkins often uses cognitive behavioral therapy to help clients identify unhelpful thinking patterns and build practical skills for managing symptoms like anxiety, low mood, and impulsivity. Acceptance and commitment therapy is another component of her work, which focuses on clarifying personal values and developing psychological flexibility to respond differently to difficult thoughts and feelings. Client-centered techniques are woven in to ensure sessions remain empathetic and attuned to each person’s experience, creating space for clients to guide the pace and focus.Choosing the right approach is treated as a collaborative process. The therapist will discuss goals, preferences, and what feels most useful, adjusting methods along the way so the therapy fits the client rather than forcing a single model.
Online therapy with Perkins is offered via video calls, phone sessions, live chat, and text-based messaging, providing flexibility for different schedules and comfort levels. These formats make it possible to access consistent therapeutic support without travel, allowing skills practice, check-ins, and deeper work to continue from wherever the client is located within the region of practice.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Licensed
North Dakota
Languages
English