Nicole Roth
Experienced counselor for complex behavioral health
- Credentials
- LPC-MH, LPC
- Experience
- 26 years
- Licensed in
- Wyoming, Minnesota, South Dakota
- Languages
- English
- Format
- Online sessions
About Nicole
Nicole Roth is a Licensed Professional Counselor - Mental Health (LPC-MH) practicing in South Dakota with 26 years of experience. She earned a master’s degree in counseling and holds multiple state licenses, including LPC credentials in Wyoming and other clinical certifications. Nicole brings long experience working with adults and adolescents facing complex behavioral health concerns.
Her work is practical and straightforward. She listens first, then helps people set clear goals.
Background and approach
Sessions focus on tools that patients can use between meetings, such as coping skills, communication strategies, and step-by-step plans for behavior change. Nicole adapts her approach to each person rather than following a single program. Nicole combines client-centered care with evidence-based methods like cognitive behavioral therapy and dialectical behavior therapy.
She also uses mindfulness practices and motivational interviewing to support change and emotional regulation. This mix lets her address issues such as anxiety, depression, addictions, eating problems, trauma, and parenting stress. Her background includes long-term work with youth and adults connected to the criminal justice system and experience across different levels of care for co-occurring mental health and substance use conditions.
She has additional training in trauma-informed care, eating disorder assessment and treatment, and internet/process addiction interventions. Nicole aims to create a respectful, nonjudgmental space where people can talk openly and try new ways of coping. She focuses on what helps in daily life and partners with each person to build practical steps toward their goals.
How Nicole’s Approaches Work Online
Client-centered therapy emphasizes listening and working at the client’s pace. The therapist follows the person’s lead, focusing on their priorities and building a respectful therapeutic relationship that supports change.Cognitive behavioral therapy, or CBT, focuses on identifying unhelpful thoughts and behaviors and replacing them with more helpful ones. It is useful for anxiety, depression, stress, and many day-to-day problems where practical skills and homework make a difference.
Dialectical behavior therapy, DBT, teaches skills for managing strong emotions and improving relationships. It offers concrete strategies for distress tolerance, emotional regulation, and clearer communication.
Finding the right approach is part of the work. Nicole will help clients choose and try methods that fit their goals and preferences, and she adjusts strategies based on how well they’re working. This collaborative process helps tailor care to each person’s needs.
Online sessions can take place by video call, phone, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules and to maintain continuity when travel or life changes make in-person visits difficult. The variety of formats also allows people to choose the way of communicating that feels safest and most helpful for them.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Eating disorders
Also works with
- 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
Next step
Talk to Nicole
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point