- Client-centered approach
- CBT and DBT methods
- Focus on real-life skills
About Nicole
Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) based in South Dakota with 26 years of clinical experience. She holds the LPC credential and works from a person-centered stance that values practical care and clear communication.
She helps people who face stress, anxiety, depression, bipolar concerns, addiction, and eating issues. She also supports those coping with life changes, grief, relationship troubles, and sleep or intimacy-related problems. Nicole has long experience addressing co-occurring mental health and substance use concerns and working with complex presentations.
Nicole draws on Cognitive Behavioral Therapy, Dialectical Behavior Therapy, mindfulness approaches, Motivational Interviewing, and client-centered methods to shape sessions. She favors straightforward strategies that people can use between meetings, such as skills practice, goal setting, and short coaching-style check-ins.
Her background includes work across behavioral health settings and the criminal justice system, with familiarity in dual-diagnosis care and a history of treating internet and gaming-related problems. That experience informs a pragmatic approach to relapse prevention, emotional regulation, and life transitions.
People describe the room as warm and nonjudgmental, with emphasis on practical next steps. Nicole aims to help each person build on their strengths and manage the immediate problems that interfere with everyday life. If coping with natural or human-caused disaster is part of what you are facing, she includes practical supports to address stress and recovery needs.
Online approaches and how they fit your needs
Client-Centered Therapy focuses on listening and building a supportive relationship so people feel heard and can set meaningful goals. It helps when someone needs a steady, nonjudgmental space to talk through life stressors. Cognitive Behavioral Therapy, or CBT, targets unhelpful thinking and behavior by teaching practical skills and exercises to reduce anxiety, depression, and compulsive patterns. CBT is useful for symptom-focused work like sleep problems, panic, or mood shifts. Dialectical Behavior Therapy, DBT, teaches emotional regulation, distress tolerance, and clearer communication skills; it often helps people who struggle with strong emotions or repeated crises.Finding the right approach is a collaborative process. The therapist will discuss goals and preferences, try different strategies, and adjust the plan based on what helps most. Clients and the therapist make decisions together about pace and focus.
Confirm current session formats before booking so you know how sessions are delivered. Online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and remove travel time. It can also let people use video or phone options depending on technology and comfort. Ask about the available scheduling options when you complete the intake questionnaire.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
26+ years
Credentials
Wyoming, Minnesota, South Dakota
Languages
English
Frequently asked questions
What concerns does Nicole work with?
She helps people with stress, anxiety, depression, bipolar challenges, addictions, eating issues, grief, and relationship or intimacy problems. She also supports parenting strain, career stress, sleep problems, and coping with natural or human-caused disaster.
What is her therapeutic style like?
Sessions are grounded in a person-centered style with practical tools. Expect straightforward skill-building, goal setting, and a collaborative tone.
How much experience does she have?
Nicole brings 26 years of clinical experience working across behavioral health settings. Her background includes significant work with co-occurring mental health and substance use concerns.
What credentials and region are listed?
She holds LPC-MH and LPC credentials and practices in South Dakota.
Which languages are supported and can international clients join?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
Confirm current session options before booking to learn which formats are offered for appointments.
How does cost work for sessions?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.