- Stress and anxiety
- Bipolar and depression
- Life purpose work
About Tiara
Tiara Perkins is an LPCC - Licensed Professional Clinical Counselor in North Dakota with nine years of clinical experience. She works with adults facing stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, self-esteem concerns, ADHD and LGBT-related issues. Tiara also lists life purpose among her focus areas and helps people who feel unsure what comes next after a major change.
She uses several practical therapy approaches to guide conversations. Sessions involve straightforward talk, learning coping skills, and practicing small behavioral changes between meetings. Tiara draws on cognitive behavioral ideas to identify and shift unhelpful thinking patterns. She uses acceptance and commitment techniques to help people clarify what matters most and take values-based steps.
Mindfulness practices are used to build present-moment awareness and reduce reactivity. Dialectical behavior strategies are offered for stronger emotion regulation and distress tolerance. Client-centered methods keep the focus on each person’s own goals and pace.
In session, she helps people break large problems into manageable steps. Expect clear explanations of tools and simple exercises that can be used at home or at work. Conversations are practical and paced to what a person can try between meetings.
Tiara has spent nearly a decade supporting adults through mood and behavioral challenges. Her background in multiple approaches means she can shift methods as needs change. For those questioning career direction, relationships, or meaning after health changes, she can help clarify options and plan next steps.
Therapeutic approaches and how online sessions work
Acceptance and Commitment Therapy (ACT) helps people identify personal values and take committed steps toward them. It combines acceptance of difficult thoughts with practical actions to move toward what matters. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and testing new behaviors to change mood and functioning. CB T is useful for anxiety, depression, and stress that come from repetitive thinking patterns.Finding the right approach is part of the work. Tiara will discuss different methods and collaborate with each person to choose what fits their goals and preferences. That collaborative process may include trying a technique for several sessions and adjusting based on what helps.
The original biography mentioned live chat, phone and video sessions on weekdays and live chat on weekends, but session options can change, so confirm current formats before booking. Online sessions can make it easier to fit meetings into a busy week, allow shorter check-ins when needed, and remove travel time. They also let people practice skills in their everyday environment and bring real-life examples into the session for immediate problem solving.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
North Dakota
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, self-esteem concerns, ADHD and LGBT-related issues. Life purpose and questions about what comes next are also listed as focus areas.
How does she approach someone who feels stuck?
She uses practical methods like cognitive behavioral techniques and acceptance and commitment strategies. Sessions focus on clarifying values, learning coping skills, and testing small changes between meetings.
How much experience does she have?
She has nine years of professional work experience supporting adults with mood, behavioral and adjustment concerns.
What are her credentials and where is she based?
She is an LPCC - Licensed Professional Clinical Counselor based in North Dakota.
Which languages are supported?
Sessions are offered in English only.
Can people outside the U.S. work with her?
International clients are not currently accepted.
What formats are available for sessions?
The original biography described live chat, phone and video sessions on weekdays and live chat on weekends, but session formats can change; confirm current session options before booking.
How are fees handled and how do I start?
Cost varies with location and sessions use a subscription that can be canceled at any time. To begin, select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.