- CBT methods
- DBT skills
- Mindfulness practice
About Nicole
Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) in South Dakota with 26 years of experience. She holds LPC credentials and brings long experience working with stress, anxiety, addiction, eating concerns, ADHD, relationship and family challenges, trauma and abuse, grief, depression, bipolar disorder, sleeping problems, and coaching for life transitions.
She has worked with people involved in the criminal justice system and across levels of addiction care. Much of her practice has included dual-diagnosis cases and trauma-related concerns. That background means she often sees complicated situations where substance use and mental health intersect.
Nicole uses client-centered methods alongside cognitive behavioral and dialectical behavior strategies. She also draws on mindfulness and motivational interviewing to help people notice patterns, try different reactions, and build clear steps forward. Sessions aim to identify what keeps guilt or shame active and to practice manageable changes.
Her work includes assessment and treatment for eating disorders and interventions for internet and gaming-related problems. She also supports clients coping with abandonment, attachment issues, codependency, body image, caregiver stress, communication and control issues, and the fallout of divorce or domestic violence.
Nicole describes her approach as straightforward and practical. She helps people name difficult thoughts and feelings, test new behaviors in small steps, and track what changes. People who want direct tools plus reflective conversation tend to fit her style.
How Nicole uses therapeutic approaches online
Nicole often blends client-centered work with cognitive behavioral therapy and dialectical behavior therapy. Client-centered work focuses on listening and reflecting so people can articulate what matters to them and what keeps guilt or shame active. Cognitive behavioral therapy looks at the thoughts and behaviors that reinforce distress, and then teaches practical exercises to test new ways of responding. Dialectical behavior therapy emphasizes skills for managing strong emotions and improving distress tolerance and interpersonal effectiveness.Choosing the right mix of methods is part of the work together. The therapist will collaborate with the client to decide which approaches fit the client’s goals, needs, and preferences. That plan can shift as sessions reveal what helps most in day-to-day life.
Please confirm available session formats before booking, as the profile does not specify which formats are offered. Online sessions can make it easier to fit appointments around work, caregiving, or travel. They also allow shorter check-ins when a full session is not needed, or sessions without a camera when bandwidth is limited. These practical options aim to help therapy fit into a person’s routine while focusing on the approaches described above.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
26+ years
Listed in
Wyoming, Minnesota, South Dakota
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, addictions, eating issues, ADHD, trauma and abuse, grief, depression, bipolar disorder, sleep problems, parenting strain, relationship and intimacy-related issues, and related concerns like body image and codependency.
How does she approach feelings of guilt or shame?
She uses client-centered conversation plus CBT and DBT techniques to help people notice unhelpful thoughts and practice different responses. The focus is on concrete skills and small behavioral changes.
What is her clinical background and experience?
She has 26 years of experience working across behavioral health settings, including work with the criminal justice system and with people who have co-occurring mental health and substance use concerns.
Which credentials and region are listed?
She holds LPC-MH and LPC credentials and is located in South Dakota.
In which language are sessions offered?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
Please confirm current session options before booking, as the profile does not list specific formats.
How is cost handled?
Cost varies by location and sessions use a subscription model that can be canceled at any time.
How do I begin if I want to try a session?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.