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LPCC

Tiara Perkins, LPCC

  • Experience9 years
  • LocationNorth Dakota
  • Focus areasStress and Anxiety, Bipolar, and Depression
  • Therapy approachesInternal Family Systems and Acceptance and Commitment Therapy (ACT)
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About Tiara

Tiara Perkins is a licensed professional clinical counselor (LPCC) practicing in North Dakota who focuses on helping people navigate stress, anxiety, mood disorders such as bipolar and depression, addictions, trauma and abuse, and concerns related to identity including LGBT issues and gender dysphoria.

Background and approach

She draws on nine years of clinical experience to tailor conversations and treatment plans to each person’s unique needs, emphasizing respect, sensitivity, and compassion while supporting growth and symptom relief. Her work also includes attention to ADHD, self-esteem, chronic pain and illness, communication problems, and life-purpose questions, among other areas.

Tiara adapts her therapeutic style to the client, combining evidence-based methods with client-centered listening so interventions fit daily life and goals. She offers weekday availability for live sessions by video, phone, and live chat, and weekend availability for live chat appointments.

The practice encourages taking that first step and frames beginning therapy as a courageous move toward change.

How therapeutic approaches translate to online care

Internal Family Systems (IFS) frames distress as arising from different internal parts, helping clients notice and work with those parts to reduce inner conflict and build self-leadership; it can be useful for trauma, identity concerns, and persistent emotional patterns. Acceptance and Commitment Therapy (ACT) focuses on clarifying values, accepting difficult thoughts and feelings, and taking committed action toward meaningful goals, which often helps with anxiety, depression, and motivation struggles. Client-Centered Therapy prioritizes a warm, nonjudgmental therapeutic relationship and attentive listening so clients feel understood and can explore change at their own pace.

Determining the right approach is a collaborative process. The therapist will work with each person to assess needs, goals, and preferences, then combine methods in ways that fit the individual rather than following a one-size-fits-all plan. This collaborative stance helps ensure interventions feel relevant and manageable.

Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to increase flexibility and accessibility. These formats make it easier to fit therapy into busy schedules, maintain continuity of care across distances within the region, and choose a communication style that matches comfort level and logistical needs.

Frequently asked questions

What concerns does this therapist commonly address?
Areas of focus include stress, anxiety, bipolar disorder, depression, addictions, trauma and abuse, LGBT and gender dysphoria concerns, ADHD, and self-esteem among other mood and life issues.
How would you describe the therapeutic style and approach?
The approach blends client-centered listening with evidence-based techniques such as ACT, CBT, DBT, mindfulness, and motivational interviewing to tailor intervention to each person’s needs.
What is the clinician's background and experience?
The clinician has nine years of professional experience working with a range of mental health and behavioral concerns and emphasizes individualized treatment plans.
What are the therapist's credentials and practice location?
Tiara Perkins holds the LPCC credential with license number ND LPCC 1108-2-1-21-543 and practices in North Dakota.
Are sessions offered in other languages or to international clients?
Sessions are provided in English only, and international clients are not currently accepted.
What formats are available for appointments?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different preferences and needs.
How is cost and payment handled for sessions?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule a session according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyBipolar disorderDepression

Also works with

AddictionsLGBTTrauma and abuseSelf esteemADHD

Additional focus areas

Aging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBody imageChronic pain, illness, and disabilityCommunication problemsDivorce and separationForgivenessGender dysphoriaGuilt and shameImpulsivityIsolation / lonelinessLife purposeMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPostpartum depressionPost-traumatic stressPrejudice and discriminationSelf-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

9+ years

Licensed

North Dakota

Languages

English