About Tiara
Tiara Perkins is a licensed professional clinical counselor (LPCC) in North Dakota with nine years of experience. She helps people facing stress, anxiety, mood disorders, addiction concerns, trauma and abuse, ADHD, and questions around sexual and gender identity. Tiara aims to make the first step feel achievable and meets people with respect and compassion.
Her approach is practical and person-focused. She adapts conversations and plans to fit each person's needs.
How Tiara works
Sessions are geared toward building skills, coping strategies, and clearer decision-making rather than one-size-fits-all techniques. Tiara uses a mix of evidence-based methods to address symptoms and daily challenges. She draws on cognitive behavioral tools to spot unhelpful thinking, mindfulness to reduce reactivity, and acceptance-based ideas to steady difficult emotions.
She also brings client-centered listening to help people feel heard. People commonly work with her on reducing panic and worry, managing depressive symptoms or bipolar mood shifts, addressing addictive behaviors, and improving self-esteem. She also supports those dealing with chronic illness, relationship communication problems, life transitions, and questions of gender identity.
Sessions may use conversation, skill practice, and goal-setting. Tiara encourages a collaborative pace so people can try new strategies and adjust what doesn’t help. She asks about daily routines, stressors, and what a better day would look like when shaping the plan.
Tiara lists 9 ways of working on the entry:
What Tiara works with
The areas below are the ones Tiara selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LPCC |
|---|---|
| Years in practice | 9 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Dakota |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic tools and online care
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and it focuses on taking small steps toward what matters. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior, teaching practical skills to reduce anxiety and lift mood. Mindfulness Therapy uses simple attention practices to reduce reactivity and help manage stress and cravings.Choosing the right approach is a team effort. The therapist will talk with each person about goals, preferences, and what has or hasn’t worked before. Together they will try methods and adjust the plan so it matches day-to-day needs and progress.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video lets people use visual cues and longer discussions, while phone sessions can fit a break at work or require less bandwidth. Live chat and text messaging are useful for brief check-ins, skill coaching between sessions, or when typing feels easier than speaking. These options make it possible to keep therapy consistent around work, school, or caregiving responsibilities.
Start online instead of waiting
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Common questions
What kinds of concerns does Tiara address?
What is her therapeutic style like?
How much clinical experience does she have?
What are her credentials and where is she based?
Which languages are sessions offered in?
What session formats does she use online?
How does payment and cost work?
How do I begin working with her?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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