About Tiara
Tiara Perkins is a licensed professional counselor clinical candidate (LPCC) who helps people facing stress, anxiety, depression, bipolar disorder, addictions, trauma, and self-esteem struggles. She also supports clients navigating ADHD and LGBTQ concerns. Tiara writes plainly and focuses on building a respectful, sensitive space for people to talk through what’s hardest right now.
Her approach is practical and person-centered. She listens first, then works with each person to set simple goals.
Background and approach
Tiara uses evidence-informed tools like cognitive behavioral techniques and mindfulness exercises to break down painful patterns. She also draws on acceptance and commitment ideas to help people live more in line with their values. Sessions tend to be conversational and goal-focused.
Tiara helps people notice thoughts and feelings, test unhelpful assumptions, and practice new ways of coping between visits. She offers skills for managing intense emotions as well as strategies for steadying mood over time. Tiara has nine years of professional experience in behavioral health in North Dakota.
She tailors treatment plans to each person’s background and needs rather than using a one-size-fits-all method. The result is a mix of supportive listening and action steps people can use right away. Beginning therapy with Tiara involves a straightforward first step and clear next actions.
She encourages people to take small steps toward change and provides practical techniques to keep progress moving forward.
How Tiara’s Approaches Work Online
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without fighting them, then taking actions that match personal values. It can help when worry, mood swings, or avoidance keep people from living the life they want. Cognitive Behavioral Therapy (CBT) looks at connections between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns. It is often used for anxiety, depression, and stress-related problems. Mindfulness Therapy uses present-moment awareness and simple practices to reduce reactivity and increase emotional balance, which supports coping with trauma and chronic stress.Choosing the right approach is a collaborative effort. The therapist will talk with each person about their goals, preferences, and daily life. Together they adjust methods over time so sessions match what the person needs most, whether that is skill practice, values work, or emotional regulation.
Online sessions are offered as video calls, phone appointments, live chat, or text messaging to fit different routines. Video is helpful for deeper conversations and visual connection, phone works when bandwidth is limited, live chat can be a shorter check-in, and text messaging supports ongoing reflection between meetings. These options make it easier to fit therapy into work, caregiving, or health schedules while keeping consistent momentum.
Questions people ask
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What this counselor works with
Most often
- Stress, Anxiety
- Bipolar disorder
- Depression
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Avoidant personality
- Body image
- Chronic pain, illness, and disability
- Communication problems
- Divorce and separation
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Self esteem
- Self-harm
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- North Dakota
- Languages
- English