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.
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.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Eating disorders
Also listed
- Abandonment
- ADHD
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 26 years
- Licensed
- Wyoming, Minnesota, South Dakota
- Languages
- English
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