- 26 years experience
- Person-centered approach
- Focus on addiction
About Nicole
Nicole Roth is a Licensed Professional Counselor–Mental Health (LPC-MH) with a Master’s Degree in Counseling and 26 years of experience. She practices in South Dakota and brings decades of work with people facing addiction, trauma, mood concerns, and life transitions. Nicole uses a straightforward, compassionate style to help people manage stress and take practical steps forward.
Her background includes extensive work in behavioral health and the criminal justice system, supporting youth and adults involved with the courts. She has long experience with co-occurring mental health and substance use challenges and has worked across a range of levels of care. This practical history shapes how she plans treatment and coordinates supports.
Nicole draws on a person-centered approach and blends Cognitive Behavioral Therapy and Dialectical Behavior Therapy with mindfulness practices and motivational interviewing. She also has focused training in eating disorder assessment and in treating internet and process addictions. Her work addresses symptoms like anxiety, depression, bipolar mood swings, ADHD, sleep problems, and struggles with self-esteem and relationships.
Sessions focus on clear goals, skill-building, and steady progress. Nicole emphasizes real-world coping tools for parenting stress, career strain, grief, and intimacy concerns while helping people work through trauma, domestic violence histories, or separation. The aim is to help clients feel more capable and make sustainable changes.
People who want a direct, skills-based collaborator may find her approach helpful. She asks questions, listens closely, and tailors plans to each person’s situation so therapy fits daily life and personal values.
How her approaches translate to online care
Nicole frequently uses Cognitive Behavioral Therapy, which helps people notice thoughts and behaviors that get in the way and then practice small changes to improve mood or decision making. CBT can be useful for anxiety, depression, sleep issues, and practical problems like managing urges or routines.She also uses Dialectical Behavior Therapy techniques that teach emotion regulation, distress tolerance, and clearer communication. DBT skills are practical and often helpful for people struggling with intense emotions, relationship conflict, or addictive behaviors.
Finding the best approach is a team effort. She works with each person to identify goals and then tries methods that fit those goals and preferences. If an approach isn’t working, she adjusts the plan together with the client rather than sticking to one method.
Before booking, confirm which session formats are offered since the biography does not list specific options. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow quicker check-ins when life gets hectic. Phone or video sessions may be chosen for shorter check-ins, less bandwidth needs, or when seeing facial cues is helpful. Many people find these practical benefits make it easier to keep therapy consistent while managing day-to-day responsibilities.
Areas of focus
Frequently asked questions
What concerns does she address related to money or finances?
Nicole works with people on stress, addiction, anxiety, career strain, and relationship problems that often affect financial decision making and day-to-day money management.
How would you describe her therapeutic style?
She uses a person-centered, practical style that combines skill teaching with collaborative problem solving. Sessions focus on clear goals and tools people can try between meetings.
What kind of background does she bring to therapy?
She has 26 years of experience in behavioral health, including work connected to the criminal justice system and many years treating co-occurring mental health and substance use concerns.
Which credentials and location are listed for this therapist?
She holds LPC-MH and LPC credentials and practices in South Dakota.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English and she does not accept international clients at this time.
What session formats are available?
Please confirm current session options before booking, as the biography does not specify which formats are offered.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.