About Nicole
Nicole Roth holds a Master’s Degree in Counseling and brings 26 years of clinical experience. She is credentialed as LPC-MH and LPC. Nicole practices from South Dakota and works with adults on a wide range of concerns.
Nicole’s work focuses on practical steps that help people feel steadier. She listens first and builds goals with each person. Sessions often combine talking with hands-on exercises tailored to daily life.
The tone is warm and straightforward.
How Nicole works
Her background includes long experience in behavioral health and addiction care. Nicole has provided services across different levels of care and has worked with people involved with the courts. This has shaped her approach to complex needs like co-occurring mental health and substance use challenges.
Therapy draws on client-centered methods alongside cognitive behavioral techniques and dialectical behavior strategies. Nicole also uses mindfulness and motivational interviewing tools when helpful. She adapts methods to what makes sense for a person’s situation and goals.
People turn to her for help with stress, anxiety, depression, bipolar concerns, ADHD, addictions, eating problems, grief, trauma and abuse, and parenting strain. She also supports work on intimacy, self-esteem, sleep, and career stress. Nicole helps people facing life transitions and emotional dysregulation.
Her style is nonjudgmental and collaborative. She aims to help clients build skills they can use between sessions. Nicole focuses on small, achievable changes that add up over time.
Nicole lists 9 ways of working on the entry:
What Nicole works with
The areas below are the ones Nicole selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Registers | LPC-MH, LPC |
|---|---|
| Years in practice | 26 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | South Dakota |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches shape online care
Client-centered therapy focuses on listening and building goals chosen by the person. It helps people feel understood and guides what comes next in sessions. Cognitive behavioral therapy, or CBT, looks at thoughts and behaviors and teaches practical skills to change unhelpful patterns; it is often used for anxiety, depression, and sleep problems. Dialectical behavior therapy, or DBT, adds specific skills for managing strong emotions, improving distress tolerance, and handling relationship or impulse challenges.Finding the right approach is a shared process. The therapist will talk with the person about needs, preferences, and goals, then try methods that fit. Sessions can shift over time as progress and priorities change, and the plan is adjusted together rather than fixed in advance.
Online therapy with this practice is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video works well for in-depth conversations and exercises that use facial cues. Phone sessions can fit a short break at work or require less data. Live chat and messaging are useful for quick check-ins, skill practice, or when writing feels easier than speaking. These options help people fit therapy into busy lives and keep work going between sessions.
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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