Tiara Perkins

Tiara Perkins, LPCC, helps people facing stress, anxiety, depression, bipolar disorder, addictions, and trauma and abuse. She meets people with struggles around self-esteem, ADHD, and LGBT concerns and offers a respectful, sensitive approach. Tiara emphasizes a practical, person-centered way of working that aims to make each session useful from the start.

She draws on Trauma-Focused Therapy, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Client-Centered Therapy. That means she blends skills practice, values work, and focused talking to address symptoms and everyday problems. Sessions often include breathing and grounding techniques, behavioral experiments, and exploring what matters most to the client.

Tiara adapts the pace and plan to each person. She says the first step is often the hardest and focuses on creating clear, manageable goals together. Progress is measured by changes in daily functioning and how well new tools fit into life.

She has nine years of professional experience and holds an LPCC, which stands for Licensed Professional Clinical Counselor. Tiara practices in North Dakota and conducts sessions in English. Her tone is straightforward and encouraging, aimed at people who need practical help with mood, mood swings, trauma-related reactions, and addictive behaviors.

Her style is compassionate and pragmatic. She will work with clients to build skills, try small experiments between sessions, and adjust the plan as needs change. The goal is better day-to-day coping and clearer direction for moving forward.

How therapeutic approaches guide online care

Trauma-Focused Therapy centers on processing and reducing the impact of traumatic experiences through focused conversation and skills to manage strong emotions. It helps people who notice persistent distress after difficult events and want tools to feel more in control. Acceptance and Commitment Therapy (ACT) helps people clarify their values and take small, meaningful steps toward them while learning to live with difficult thoughts and feelings. It often includes mindful noticing and practical values-based actions. Client-Centered Therapy emphasizes a nonjudgmental, empathetic space where the client sets the pace and priorities; the therapist listens closely and reflects what matters most to the person.

Choosing the right approach is a collaborative process. The therapist will work with each client to identify which methods fit their goals, preferences, and current concerns, and will adjust the plan as therapy progresses. Clients are encouraged to speak up about what feels helpful and what does not so the work can be tailored over time.

Practical benefits of online therapy include easier fitting of sessions into busy schedules, fewer travel demands, and flexible options for shorter check-ins or longer sessions depending on need. The biography indicates weekday live chat, phone, and video sessions, and weekend live chat availability; please confirm current session formats and times when booking. Online work can focus on skills practice, values exercises, and processing trauma-related reactions through conversation and guided techniques.