Nicole Roth, LPC-MH, LPC - Therapist in South Dakota

26 years experience
CBT and DBT approaches
Person-centered style

About Nicole

Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) based in South Dakota with 26 years of experience. She holds a Master’s Degree in Counseling and also maintains LPC credentials. Nicole focuses on practical help for everyday distress and sleeping problems so people can feel more able to manage day-to-day life.

She works in a person-centered way and keeps sessions straightforward and goal oriented. Nicole draws on cognitive behavioral tools to change unhelpful thinking and behavior. She also uses dialectical behavior ideas and mindfulness practices to help with emotional regulation and stress management.

Her background includes long experience with addiction, trauma, eating concerns, and co-occurring mental health conditions. Nicole has worked across a range of care settings and with people navigating life changes, grief, and relationship or parenting stress. That breadth helps her match strategies to each person’s situation.

Nicole aims to create a warm, open, and nonjudgmental environment. She focuses on small, practical steps clients can try between sessions and helps people track what works. Sleep and rest issues are one of the areas she includes in her work when they affect daily functioning.

Therapy with Nicole is collaborative. She helps people set clear goals, test new coping skills, and adjust plans as progress is made. The tone is direct but supportive, with attention to a person’s strengths and real-life constraints.

Therapeutic approaches and how they work online

Nicole uses cognitive behavioral therapy to help people notice and change unhelpful thinking and behavior. CBT is useful for anxiety, depression, sleep problems, and many everyday stressors because it breaks issues into concrete steps and experiments.

She also uses dialectical behavior therapy skills to teach emotion regulation, distress tolerance, and interpersonal effectiveness. DBT ideas can help when feelings feel overwhelming or when relationships and boundaries are a struggle.

Finding the right mix of approaches is part of the work. Nicole will collaborate with each person to choose methods that fit their goals, needs, and preferences. That collaborative process includes adjusting techniques if something isn’t helping.

Session format options were not specified in the provided biography, so confirm current session types before booking. Online therapy can make it easier to fit sessions into a busy life by removing travel time, allowing shorter check-ins when needed, and reducing the need to be on camera for every meeting. Licensed professionals can use these practical benefits to keep therapy consistent while working around school, work, and caregiving demands.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsEating disordersCoping with life changesADHD

Also works with

Relationship issuesFamily conflictsTrauma and abuse GriefIntimacy-related issuesSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderDepressionCoaching

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purpose Midlife crisisMoney and financial issuesMood disordersNarcissismPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSmoking / vaping cessationSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

26+ years

Credentials

Wyoming, Minnesota, South Dakota

Languages

English

Frequently asked questions

What concerns does Nicole help address?

Nicole works with many common concerns including stress, anxiety, depression, addiction, eating issues, trauma, grief, relationship and intimacy problems, and sleeping difficulties.

How would you describe her therapy style?

Her approach is person-centered and practical. Sessions focus on clear goals, skill practice, and steps that clients can use between meetings.

What is her professional background?

She has 26 years of counseling experience and has worked across behavioral health settings, including care for co-occurring mental health and substance use issues.

What credentials and region are listed?

Nicole's listed credentials include LPC-MH and LPC, and she practices in South Dakota.

Which languages are sessions offered in?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted.

How are sessions scheduled and paid for?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with Nicole?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.