About Tiara
Tiara Perkins is a licensed professional clinical counselor with nine years of experience working in North Dakota. She focuses on anxiety, stress, mood concerns, addictions, trauma, and issues related to self-esteem and identity. She speaks plainly and aims to create a respectful, compassionate space where people can begin to talk about what feels hard.
Her sessions are tailored to each person. Tiara listens first, then helps set small, practical goals.
Background and approach
She draws on techniques that teach skills for managing intense emotions, changing unhelpful thoughts, and building daily habits that support mental health. Tiara uses a mix of approaches depending on what a person needs. She blends cognitive behavioral techniques with acceptance-based and mindfulness practices to help people respond differently to painful thoughts and feelings.
She also uses client-centered methods to keep the work focused on each person’s values and priorities. People often seek her help for anxiety, depression, bipolar mood patterns, and challenges around identity and relationships. She also supports those coping with chronic health issues, addiction struggles, and difficulties with impulse control or isolation.
Tiara works to make therapy feel practical and manageable for everyday life. Her style is direct but warm. Tiara aims to teach skills you can use between sessions and to adapt plans when life changes.
She encourages small steps and celebrates steady progress.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy, or ACT, helps people notice painful thoughts and feelings without getting stuck in them and then take actions that match their values. It is useful for anxiety, mood challenges, and finding meaning when things feel uncertain. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce symptoms and improve daily functioning. It works well for anxiety, depression, and habit change. Mindfulness Therapy centers attention on the present moment and teaches skills for calming the body and mind; it can help with stress, emotional reactivity, and chronic worry.Choosing the right approach is a collaborative process. The therapist will talk with the person about goals, try methods that fit those goals, and adjust the plan as progress is made. The aim is to find practical tools a person can use between sessions and to match techniques to each person’s preferences.
Online sessions offer flexibility in how therapy happens. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or for short check-ins. Live chat or text-based messaging can suit quick check-ins, journaling between sessions, or when writing feels more comfortable than speaking. These options make it easier to fit therapy into busy days and to access licensed professionals from different locations.
Questions people ask
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What this therapist works with
Most often
- 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
Therapeutic approaches
- Experience
- 9 years
- Licensed
- North Dakota
- Languages
- English
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