- ACT methods
- CBT skills
- Mindfulness practice
About Tiara
Tiara Perkins is an LPCC - Licensed Professional Clinical Counselor in North Dakota with nine years of clinical experience. She works with common concerns such as stress, anxiety, bipolar disorder, depression, addictions, LGBT issues, trauma and abuse, self-esteem, and ADHD. Tiara names guilt and shame among the areas she addresses and focuses on life challenges that leave people stuck or isolated.
She tends to use practical talk and clear steps rather than technical language. Sessions involve listening, reflecting, and trying out small changes that feel doable. She draws on approaches like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and mindfulness to help people notice patterns and respond differently.
Her work often addresses how beliefs about oneself or past actions keep people from moving forward. Tiara helps people clarify values, practice acceptance of difficult feelings, and test new behaviors. Conversations are direct and focused on what a person wants to change or understand.
Tiara also uses client-centered and dialectical strategies to hold contrasting feelings at once and to build everyday coping skills. She will help people break problems into manageable steps and rehearse new ways of handling triggers and hard moments.
People who contact her typically start by describing a current stressor, a pattern of mood or anxiety, or a persistent sense of shame or guilt. From there she and the person map out short-term goals, practical tools to try between sessions, and ways to track progress over time.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking small committed actions toward them while accepting difficult thoughts and feelings. It can help when guilt or shame gets in the way of what matters most. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions interact and teaches specific skills to test and change unhelpful thinking and behavior patterns. That approach often targets anxiety, low mood, and repetitive self-critical thinking.Finding the right approach is part of the work. Tiara collaborates with each person to choose methods that fit their goals, preferences, and day-to-day life. She combines acceptance, cognitive skills, and mindfulness practices and adjusts the mix based on what helps the person make small, practical changes.
The practical benefits of online sessions include fitting therapy into busy days and reducing travel time. Because the specific session formats were not listed in the biography, confirm the current session options before booking. Many people find online meetings let them keep therapy consistent while managing work, family, and appointments.
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 kinds of problems does she work with?
She works with stress, anxiety, bipolar disorder, depression, addictions, LGBT concerns, trauma and abuse, self-esteem, ADHD, and related mood issues including guilt and shame.
How does she approach guilt or shame in sessions?
She uses practical conversation, acceptance strategies, and behavioral experiments to help people notice and respond differently to shame or guilt.
How much clinical experience does she have?
She has nine years of professional experience working with mood, anxiety, trauma, and related concerns.
What credential does she hold and where is she based?
She is an LPCC - Licensed Professional Clinical Counselor - practicing in North Dakota.
Does she offer sessions in languages other than English?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions paid for and how much do they cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What are the steps to begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.