Tiara Perkins

Tiara Perkins is an LPCC - Licensed Professional Clinical Counselor in North Dakota with nine years of professional experience. She works with people who are coping with stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, low self-esteem, and questions about life purpose. Sessions are conducted in English and she notes experience with LGBT and gender dysphoria concerns as well.

Perkins uses several practical approaches in sessions. She draws on Acceptance and Commitment Therapy to help clients notice what matters to them and take small steps toward those values. She uses Cognitive Behavioral Therapy to identify unhelpful thoughts and test more balanced ideas. Mindfulness and Dialectical Behavior Therapy tools get woven in when managing intense feelings or impulse control is needed.

Her style is straightforward and person-centered. Conversations focus on what is happening now and what changes are realistic for daily life. Clients can expect collaborative planning, skill practice, and check-ins about what is or is not working.

Perkins also lists additional focus areas such as chronic pain and illness, communication problems, divorce and separation, aging concerns, and issues around guilt, shame, and isolation. She names antisocial, avoidant, and attachment-related personality concerns among topics she addresses.

Practical matters are handled up front. She indicates weekday options for live sessions across chat, phone, and video, and weekend live chat as another choice. Prospective clients are asked to use the site workflow to complete a short questionnaire and schedule a first session.

Therapeutic approaches and online sessions

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters most and taking committed steps toward those values despite uncomfortable thoughts or feelings. It can help when someone is unsure what to prioritize after a life change. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behaviors and uses small experiments to test more helpful thinking patterns. It is commonly used for anxiety and depression. Dialectical Behavior Therapy (DBT) provides concrete skills for managing intense emotions and improving interpersonal effectiveness.

Choosing an approach is part of the work. The therapist will collaborate with the client to match approaches to their goals and daily life. That means trying tools, checking what helps, and adjusting plans together rather than committing to one method from the start.

Practical benefits of online sessions include fitting therapy around work or family commitments and using shorter check-ins when a full hour is hard to schedule. The biography lists weekday live chat, phone, and video sessions, with weekend live chat available; confirm current session options before booking. Online meetings can make it easier to practice skills between sessions and bring real-life problems into discussion, while therapists guide the pacing and follow-up work.