About Nicole
Nicole Roth is a Licensed Professional Counselor–Mental Health (LPC-MH) based in South Dakota with 26 years of practice. She combines long experience with a warm, straightforward manner to help people who are stressed, anxious, dealing with mood issues, or facing addiction and eating concerns. Nicole works with adults who need practical support for day-to-day struggles and longer-term challenges.
Her background includes broad clinical work across behavioral health settings. She has long provided care for people with co-occurring mental health and substance use concerns and has experience with trauma, mood disorders, and eating disorders.
Background and approach
That history shapes an approach that stays focused on what’s immediately useful for a person’s life. Nicole uses clear, evidence-informed methods. She draws on client-centered listening, cognitive behavioral techniques, and dialectical behavior ideas to help people change patterns that cause distress.
She also weaves mindfulness and motivational interviewing into sessions when that fits a person’s goals. In sessions she aims to be direct but nonjudgmental. She helps clients set concrete goals, practice new skills, and track small changes that add up over time.
Conversations are practical and grounded in the realities of home, work, and relationships. Nicole also supports those facing attention-related concerns such as ADHD, sleep disruption, parenting stress, grief, intimacy problems, and career strain. She explains steps clearly, offers tools to manage symptoms, and works collaboratively so clients feel they have a plan to move forward.
Approaches that translate well to online therapy
Client-centered therapy focuses on listening and understanding a person's experience. The therapist follows the client's lead, reflects what matters most, and helps people clarify what they want to change. This approach helps when someone needs space to make sense of stress, grief, or life shifts.Cognitive Behavioral Therapy, or CBT, teaches practical tools to change thinking and behavior. It breaks problems into manageable steps, offers specific skills to reduce anxiety or depressive patterns, and is useful for sleep problems, worry, and habit change. Dialectical Behavior Therapy, or DBT, emphasizes emotion regulation, distress tolerance, and improved communication; it is practical for strong mood swings, impulsive behaviors, and relationship strain.
Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and preferences, and will adjust plans as progress is made. Clients are invited to ask questions and try strategies together to see what helps.
Online therapy offers flexibility that many people need. Video calls allow face-to-face conversation for skill practice and feedback, phone sessions work when bandwidth is limited, and live chat or text messaging can be used for shorter check-ins or ongoing coaching. These options make it easier to fit therapy into a busy schedule and keep momentum between sessions.
Questions people ask
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What credentials and location are listed?
Which languages are supported and are international clients accepted?
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What this therapist works with
Most often
- 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
Therapeutic approaches
- Experience
- 26 years
- Licensed
- Wyoming, Minnesota, South Dakota
- Languages
- English
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