Tiara Perkins provides support for people facing stress, anxiety, mood disorders, substance concerns, trauma, low self-esteem, ADHD, and LGBT-related issues.
01About Tiara
Tiara Perkins provides support for people facing stress, anxiety, mood disorders, substance concerns, trauma, low self-esteem, ADHD, and LGBT-related issues. She works with a wide range of life challenges including chronic illness, body image, isolation, and questions about meaning. Tiara opens sessions with kindness and direct conversation so people feel heard from the first visit.
Tiara is a licensed professional clinical counselor, LPCC, practicing in North Dakota with nine years of experience.
Background and approach
She adapts conversations and goals to fit each person's needs rather than using a one-size-fits-all plan. She encourages small, concrete steps that build toward bigger changes over time. Her approach blends practical tools and reflective work.
That can mean learning coping skills for anxiety, practicing new ways to notice thoughts, or building routines that support mood stability. Tiara also uses mindfulness and acceptance exercises to help people respond differently to painful feelings. Sessions are collaborative and paced to what the person needs that week.
Tiara invites questions and checks in about progress as therapy continues. She stresses respect, sensitivity, and compassion in every session. For people juggling work, caregiving, or health issues, she aims to make therapy fit life.
Tiara helps clients clarify goals, practice new skills between sessions, and track what is changing so progress is visible.
02Credentials
- LPCC (North Dakota)
- License 1108-2-1-21-543 · expires February 2027
- NPI
- 1669977252 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Tiara lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Bipolar disorder
- Depression
- Addictions
- LGBT
- Trauma and abuse
- Self esteem
- 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
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Postpartum depression
- Post-traumatic stress
- Prejudice and discrimination
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Methods Tiara names
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
These are the methods Tiara names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
Approaches that fit your life, offered online
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It can be useful for anxiety, depression, and when life feels unmotivated or stuck. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thought and behavior that keep problems going and teaching practical skills to change them, which often helps with anxiety, mood issues, and addictive behaviors. Mindfulness Therapy emphasizes simple attention practices to reduce reactivity and improve awareness of feelings and body sensations, supporting stress management and emotional regulation.Finding the best approach is part of the work. The therapist will talk with each person about goals, preferences, and what has helped in the past. Together they choose techniques and adjust them over time so the plan stays useful and realistic.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video sessions allow face-to-face conversation, phone sessions can be easier when bandwidth is low, live chat fits quick check-ins, and messaging supports ongoing reflection between meetings. These options make it simpler to fit therapy around work, caregiving, or health needs while keeping treatment consistent and accessible.
05Questions people ask
What concerns does Tiara commonly address?
She helps people with stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, self-esteem, ADHD, and LGBT-related issues, along with related mood and life concerns.
What is her general therapy style?
Tiara uses a practical, conversational style focused on clear goals and small steps. Sessions mix skill-building, reflection, and mindfulness exercises tailored to each person.
What experience does she bring?
She has nine years of professional experience working with a variety of mental health and life challenges in clinical settings.
Where is she licensed and based?
Tiara is licensed in North Dakota with the credential LPCC and provides services from that state.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are offered?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different schedules and preferences.
How does pricing and payment work?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Tap the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.
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