Tiara Perkins, LPCC

Tiara Perkins is a Licensed Professional Clinical Counselor (LPCC) practicing in North Dakota with nine years of professional experience. As an LPCC she holds a clinical counseling credential that supports work with people facing mood and thought-related challenges. Her background includes helping individuals manage stress and anxiety, as well as supporting those living with bipolar disorder, schizophrenia, and depression. She approaches each person with respect, sensitivity, and compassion, shaping conversations and treatment plans to fit the unique needs and circumstances of the individual.

Perkins emphasizes a collaborative process that meets clients where they are, acknowledging that beginning therapy takes courage and marking that first step as something to be acknowledged and respected. She offers a range of live session formats during weekdays, including live chat, phone, and video appointments, and on weekends she accepts clients for live chat sessions only. Her practice is built around responsive, tailored care designed to fit both clinical goals and practical scheduling needs, and she looks forward to meeting new clients and beginning work together.

Therapeutic Approaches and Online Care Options

Acceptance and Commitment Therapy, or ACT, helps people clarify what matters most to them and take committed steps toward those values while learning to accept difficult thoughts and feelings. It can be useful for stress, anxiety, and persistent mood challenges where avoidance has made life harder.

Client-Centered Therapy focuses on creating a warm, nonjudgmental relationship in which the therapist listens deeply and supports the client in finding their own solutions. This approach is often helpful for building self-esteem, processing life transitions, and addressing relational concerns.

Cognitive Behavioral Therapy, or CBT, offers practical strategies to identify and change unhelpful thinking and behavior patterns. It is commonly applied to anxiety, depression, and mood management, and can be paired with other methods for specific concerns such as bipolar symptoms or addictive behaviors.

Finding the right approach is part of the therapeutic process, and Tiara Perkins works collaboratively with each person to choose and adapt methods based on their needs, goals, and preferences. She aims to tailor interventions rather than applying a one-size-fits-all model.

Online therapy with Perkins is offered through video calls, phone sessions, live chat, and text-based messaging to increase flexibility and access. Weekday appointments are available for live chat, phone, and video, and weekend availability is focused on live chat sessions. These options make it easier to fit therapy into varied schedules while maintaining ongoing, consistent work with a licensed professional.