Tiara Perkins , LPCC

Tiara Perkins is a Licensed Professional Clinical Counselor (LPCC) based in North Dakota with nine years of clinical experience supporting adults facing a range of mental health challenges. She works with people managing stress and anxiety, mood disorders such as bipolar disorder and depression, addictions, ADHD, trauma and abuse, and concerns related to self-esteem and identity, including LGBT and gender dysphoria issues. Tiara combines clinical knowledge with a respectful, sensitive, and compassionate stance, tailoring conversation and treatment plans to the unique needs and goals of each individual.

Her practice draws on evidence-informed approaches to address both acute symptoms and longer-term patterns, and she pays attention to life-stage and contextual factors such as aging, chronic illness, relationship transitions, and isolation. Tiara emphasizes collaborative goal-setting and practical strategies so clients can build skills that fit their everyday lives. Taking the first step toward therapy often requires courage, and Tiara acknowledges that beginning this work is an important move toward clearer direction and greater well-being.

She communicates in English and maintains professional licensure in North Dakota, bringing a focused, person-centered approach to assessment and treatment planning.

Therapeutic Approaches and Online Care

Tiara frequently integrates Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) into her work. ACT focuses on helping people clarify their values and take committed action even in the presence of difficult thoughts or feelings - it can be useful for anxiety, depression, and issues related to life purpose. CBT involves identifying and shifting unhelpful thinking patterns and behaviors, and it often helps with stress, mood disorders, addictions, and ADHD by teaching practical coping skills.

Choosing the right approach is part of the therapeutic process, and Tiara approaches this collaboratively. She works with each person to understand their needs, goals, and preferences, and then tailors techniques and pacing so the treatment plan fits the individual's circumstances and priorities.

Online therapy using video calls, phone sessions, live chat, or text-based messaging can make it easier to access consistent care from home or other convenient locations. These options offer flexibility in scheduling, allow continuity when life demands change, and support multiple ways of communicating so people can pick the format that feels most comfortable while working toward their goals.