Tiara PerkinsLPCC

Tiara Perkins is a licensed professional clinical counselor (LPCC) based in North Dakota. She focuses on common pregnancy and childbirth concerns alongside stress, anxiety, bipolar disorder, depression, addictions, LGBT-related issues, trauma and abuse, self-esteem, and ADHD. Her tone is warm and respectful, and she emphasizes practical steps a parent can take when life feels overwhelming.

She frames work in straightforward terms. Conversations and therapeutic tasks are tailored to each person’s situation. Tiara aims to listen first, then help set small, achievable goals that fit daily life during pregnancy, postpartum, or parenting transitions.

Her approach blends practical skills with attention to values and habits. She uses methods that teach coping strategies, emotion regulation, and clearer thinking. Sessions often include short exercises and takeaways people can use between meetings.

Tiara brings nine years of professional experience to her practice. She describes therapy as a collaborative effort and adjusts pace and focus as needs change. That means checking in about what’s working and shifting plans if something doesn’t feel helpful.

She wants people to know that starting therapy is a courageous step. The initial meetings focus on understanding current struggles and making a plan that feels manageable. Follow-up visits focus on skills practice, problem solving, and tracking progress toward goals.

Approaches that translate to online care

Acceptance and Commitment Therapy focuses on noticing thoughts and choosing actions that reflect what matters most. It can help people clarify priorities during pregnancy and early parenting and reduce the hold of unhelpful thoughts. Cognitive Behavioral Therapy looks at the links between thoughts, feelings, and actions and teaches practical tools to change patterns that worsen mood or anxiety. It works well for panic, low mood, and persistent worry. Mindfulness Therapy brings attention to the present moment through short practices that lower reactivity and help with stress management during busy or uncertain times.

Finding the best approach is part of the work together. The therapist will talk with each person about their goals, preferences, and daily routines, then try methods that fit. That collaborative process helps identify which tools feel useful and which can be adjusted or dropped.

Session formats are not listed in the biography, so please confirm current options before booking. Many people find online sessions helpful because they reduce travel time, make it easier to schedule around appointments or childcare, and allow shorter check-ins when needed. Others use sessions to practice skills between visits and to keep momentum while balancing prenatal care and family needs.