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NR Portrait of Nicole Roth

Nicole Roth

Compassionate, experienced counselor using practical strategies

LPC-MH, LPC South Dakota

Experience
26 years in practice
Focus areas
Stress, Anxiety, Addictions, Eating
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Nicole

About Nicole

Nicole Roth is a licensed counselor with 26 years of clinical experience who draws on a broad background in behavioral health to support adults and adolescents.

Background and approach

She holds LPC-MH and LPC credentials and has extensive work history with co-occurring mental health and substance use concerns, criminal justice populations, and multiple levels of addiction care. Her training includes approaches such as cognitive behavioral therapy, dialectical behavior therapy, EMDR-informed techniques, mindfulness practices, and targeted work with eating and internet-related addictions.

Her style centers on a person-centered, holistic view that respects the whole person - mind, body, and environment - while using practical, evidence-informed strategies to address stress, anxiety, mood disorders, trauma, relationship and intimacy issues, and life transitions.

She aims to offer a warm, nonjudgmental space where clients can explore coping skills, emotional regulation, and recovery from substance use or behavioral addictions. Nicole integrates motivation-focused interventions and trauma-aware practices to tailor care to each individual's needs and goals.

Integrating proven approaches through online care

Nicole often uses cognitive behavioral therapy to help clients identify unhelpful thinking patterns and develop concrete coping strategies for anxiety, depression, stress, and behavioral concerns. She also draws on dialectical behavior therapy to teach emotion regulation, distress tolerance, and interpersonal effectiveness skills useful for intense emotions and relationship strain.

Choosing the right approach is collaborative; she works with each person to determine which combination of CBT, DBT, mindfulness, and motivational techniques fits their goals and preferences. This process involves reviewing symptoms, strengths, and what the client hopes to change so treatment can be adjusted over time.

Online therapy with her is offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These formats make it possible to continue care around work, school, or family obligations and to practice skills between meetings, while allowing the therapist and client to collaborate consistently on progress and next steps.

Frequently asked questions

What concerns does she commonly address?
Nicole works with a wide range of issues including stress, anxiety, addictions, eating concerns, trauma and abuse, grief, mood disorders such as bipolar and depression, and challenges like ADHD and relationship difficulties.
What is her general therapeutic approach and style?
Her work is grounded in a person-centered, holistic philosophy that blends practical cognitive behavioral techniques with DBT skills, mindfulness, and motivational interviewing to foster emotional regulation and meaningful change.
How long has she practiced and what is her background?
She brings 26 years of clinical experience, including extensive work with co-occurring mental health and substance use conditions and roles connected to the criminal justice system and ASAM levels of care.
What credentials and licensure does she hold and where is she located?
She is credentialed as LPC-MH and LPC and practices in South Dakota as indicated by those licensure listings.
Does she offer services in other languages or accept international clients?
Therapy is offered in English and she is not accepting international clients at this time.
Which session formats are available for working together?
Sessions can be scheduled as video calls, phone sessions, live chat, or through text-based messaging to accommodate different needs and preferences.
How does pricing and scheduling work for sessions?
Cost varies with location and therapist availability, and sessions are billed through a subscription model that can be canceled at any time.
What are the first steps to begin therapy with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule appointments according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsEating disordersCoping with life changesADHD

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderDepressionCoaching

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersNarcissismPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSmoking / vaping cessationSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

26+ years

Licensed

Wyoming, Minnesota, South Dakota

Languages

English