NR Portrait of Nicole Roth

Nicole Roth, LPC-MH, LPC

Practical, steady counseling for life’s challenges

26 years in practice · based in South Dakota · sessions in English · online sessions

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About Nicole

Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) working from South Dakota with 26 years of experience. She uses a practical, down-to-earth approach to help people manage stress, anxiety, addictions, eating concerns, and other difficult life patterns. Nicole focuses on clear steps and steady progress instead of jargon or long lectures.

She draws on client-centered methods to make sessions feel respectful and collaborative. Cognitive Behavioral Therapy ideas are woven into conversations to spot unhelpful thoughts and test new behaviors.

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Background and approach

Dialectical Behavior Therapy skills and mindfulness tools are added when people need help with emotional regulation and staying present. Nicole has long experience helping people with trauma, grief, bipolar disorder, depression, ADHD, and relationship or intimacy worries. She also works with parenting stress, sleep problems, career concerns, and body image issues.

Phobias are included among the concerns she lists, and she approaches them by breaking fears into small, manageable steps. Her background includes many years supporting people with co-occurring substance use and mental health issues. That work often involved coordinating care across levels of treatment and working with people in and out of court systems.

This gives her practical insight into navigating complex needs and services. In sessions she aims to create a calm, nonjudgmental space. Nicole helps people set realistic goals, practice concrete skills, and track small gains.

She works with each person’s strengths and life context to build plans that can fit everyday routines.

Therapeutic approaches and online care

Nicole commonly uses Client-Centered Therapy to build a trusting, respectful relationship where the person’s goals guide the work. This approach focuses on listening, reflecting, and helping people feel understood so they can choose changes that matter to them.

She also draws on Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and actions connect. CBT helps people test unhelpful beliefs and try small behavioral experiments to reduce anxiety, manage mood, or address phobias.

Dialectical Behavior Therapy skills are offered when emotional regulation and distress tolerance are priorities. DBT techniques teach specific tools for managing intense emotions, improving relationships, and reducing self-destructive patterns.

Navigating which approach fits best is part of the beginning of therapy. The therapist will work together with each person to identify goals, try methods that match those goals, and adjust the plan based on what helps. That collaborative process makes changes more practical and relevant.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging to provide flexible ways to connect. Video calls allow for face-to-face conversation and visual cues, phone sessions can fit into a busy day or when bandwidth is limited, and messaging lets people check in between sessions or use brief coaching-style contact. These choices help make ongoing care easier to fit into daily life.
Book with Nicole Now Review online therapy options and next steps.

Questions people ask

What concerns does Nicole help with?
Nicole works with stress, anxiety, addictions, eating concerns, trauma, grief, depression, bipolar disorder, ADHD, relationship and intimacy issues, parenting strain, sleeping problems, and phobias, among other areas.
What is her therapy style like?
Her style is warm and client-centered with a focus on practical skills. Sessions emphasize clear steps, coping strategies, and collaborative goal-setting.
How much experience does she have?
She brings 26 years of clinical experience working across behavioral health settings, including work with co-occurring mental health and substance use needs.
What credentials and location are listed?
She holds LPC-MH and LPC credentials and practices from South Dakota.
Which languages are supported and are international clients accepted?
Sessions are offered in English and international clients are not currently accepted.
What formats are available for sessions?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How does cost work for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

What this therapist works with

Most often

Experience
26 years
Licensed
Wyoming, Minnesota, South Dakota
Languages
English

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