- Stress and anxiety
- Depression and bipolar
- Mindfulness and ACT
About Tiara
Tiara Perkins is an LPCC - Licensed Professional Clinical Counselor in North Dakota with nine years of clinical experience. She works with adults on common early-adult struggles such as stress and anxiety, depression, bipolar concerns, addiction, trauma and abuse, self-esteem, and ADHD. Tiara also lists LGBT-related matters among her practice areas.
Her approach centers on straightforward conversation and practical strategies. She uses methods like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centered Therapy, and mindfulness practices. Sessions focus on learning skills, noticing patterns, and trying small changes that fit daily life.
Tiara frames therapy as collaborative. She listens to what matters most, then discusses options and steps to try. That can include working through difficult feelings, building routines, or practicing new ways to respond to stress.
She has experience across mood and impulse-related concerns and supports people coping with identity questions and recovery from painful experiences. Tiara explains ideas in plain language and aims for clear, manageable goals rather than technical jargon.
To begin, people complete a short questionnaire and schedule a first session. Cost is handled through a cancellable subscription that varies by location, so clients can review fees before committing. Her practice operates from North Dakota and sessions are offered in English.
Therapeutic approaches and online care
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck, then choose actions that reflect their values. It is often used for anxiety, depression, and questions about purpose. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns. CBT is commonly used for anxiety, mood concerns, and coping with stress.Finding the right approach is usually part of the first few sessions. The therapist will talk with each person about their goals, preferences, and which methods feel most useful. That collaboration helps shape a plan that fits the client's needs rather than forcing a single method.
Please confirm the specific session formats currently offered before booking, since this profile does not list them. Online therapy can make it easier to fit sessions into a busy schedule, support shorter check-ins when needed, and remove commute time around work or school. It can also let people use less bandwidth options or audio-only conversations if that suits them better. Licensed professionals will discuss practical details so sessions work with everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
North Dakota
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, depression, bipolar conditions, addictions, trauma and abuse, self-esteem and ADHD. The profile also lists LGBT-related concerns and other mood or identity issues.
What is her therapy style like?
Tiara uses practical, skills-based approaches such as CBT and DBT alongside Acceptance and Commitment Therapy and client-centered methods. Sessions focus on learning tools and practicing changes that fit daily life.
How much experience does she have?
She has nine years of professional experience working with adults on mood, stress, and related concerns.
What are her credentials and where is she based?
She is an LPCC licensed in North Dakota and practices from that state.
Does she work in other languages or with international clients?
Sessions are offered in English. International clients are not accepted at this time.
What session formats are offered?
The original biography does not list specific ongoing session formats here. Please confirm current session options before booking.
How does payment work and what does it cost?
Cost varies by location and sessions use a subscription that can be canceled at any time. Review the fee details before scheduling.
How do I get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to begin.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.