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LPCC

Tiara Perkins, LPCC

  • Experience9 years
  • LocationNorth Dakota
  • Focus areasADHD, Stress and Anxiety, and Bipolar
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Client-Centered Therapy
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About Tiara

Tiara Perkins is a licensed professional counselor (LPCC) practicing in North Dakota who brings nine years of clinical experience to her work.

Background and approach

She focuses on concerns such as stress, anxiety, bipolar disorder, depression, addictions, LGBT issues, trauma and abuse, self-esteem, and ADHD, along with a broad range of related challenges including mood disorders, impulsivity, and life purpose. Her approach emphasizes respectful, sensitive care tailored to each person’s individual needs and goals.

Tiara combines evidence-based techniques with a compassionate, collaborative style, shaping conversations and treatment plans around what matters most to the client. She believes taking the first step toward support requires courage and aims to create a welcoming space for people to explore change.

Weekday appointments are available for video, phone, and live chat sessions, while weekend availability is limited to live chat only. Tiara looks forward to helping clients begin the work that matters to them.

Approaches That Translate Well to Online Therapy

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and build actions aligned with those values while learning to accept difficult thoughts and feelings. It is often useful for stress, anxiety, and challenges involving motivation and life direction. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and developing practical skills to change them, making it a common choice for depression, anxiety, and mood-related concerns. Mindfulness Therapy cultivates present-moment awareness and attention skills that can reduce reactivity and support emotional regulation across many problems.

Choosing the best approach is a collaborative process. The therapist will work with each client to consider goals, preferences, and the nature of the difficulties they bring, and then adapt techniques from these methods to fit the person’s needs. That flexibility helps ensure therapy feels relevant and manageable.

Online formats such as video calls, phone sessions, live chat, and text-based messaging provide practical flexibility for scheduling and make it easier to maintain continuity of care when life is busy. These options allow clients to engage in skills practice, process difficult emotions, and receive coaching in ways that fit their daily routines while working with licensed professionals.

Frequently asked questions

What concerns does Tiara commonly help with?
She supports people dealing with stress, anxiety, bipolar disorder, depression, addictions, LGBT-related issues, trauma and abuse, self-esteem struggles, and ADHD, as well as several related mood and behavioral concerns.
What kind of therapeutic style does she use?
Her style is collaborative and client-centered, blending compassion with practical strategies to tailor treatment plans to a person’s specific needs and goals.
How much clinical experience does she have?
Tiara has nine years of professional experience working with a variety of mental health concerns in clinical settings.
Where is Tiara licensed and what are her credentials?
She is licensed in North Dakota as an LPCC with license number ND LPCC 1108-2-1-21-543.
Does she offer services in other languages or to international clients?
Sessions are offered in English, and she is not currently accepting international clients.
Which session formats are available?
Tiara provides video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How are sessions billed and what is the cost structure?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are involved in beginning therapy with her?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on therapist availability.

Areas of expertise

Primary focus

Additional focus areas

Aging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBody imageChronic pain, illness, and disabilityCommunication problemsDivorce and separationForgivenessGender dysphoriaGuilt and shameImpulsivityIsolation / lonelinessLife purposeMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPostpartum depressionPost-traumatic stressPrejudice and discriminationSelf-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

9+ years

Licensed

North Dakota

Languages

English