- Client-Centered Therapy
- Cognitive Behavioral Therapy
- Dialectical Behavior Therapy
About Nicole
Nicole Roth is a Licensed Professional Counselor–Mental Health (LPC-MH) in South Dakota with 26 years of clinical experience. She holds LPC credentials and works with adults on stress, anxiety, addictions, eating concerns, ADHD, relationship and family matters, trauma and abuse, grief, mood disorders, and related issues. Sessions are geared toward practical problem solving and clearer daily functioning.
Roth’s background includes long-term work with people involved in the criminal justice system and across levels of addiction care. She has experience addressing co-occurring mental health and substance use concerns. She also has training in trauma-focused work and eating disorder assessment and treatment.
Her approach draws on client-centered methods and cognitive behavioral ideas to identify patterns that keep problems going. She uses dialectical behavior strategies and mindfulness exercises to build skills for emotional regulation and distress tolerance. Motivational interviewing is part of her work when change feels difficult.
In sessions she focuses on concrete steps clients can try between meetings. She helps people map triggers, practice new responses, and set manageable goals. Conversations are straight-forward and aimed at improving day-to-day functioning, sleep, and relationships within blended households.
Nicole supports people dealing with relationship stress, parenting strain, blended family issues, and life transitions. She also works with those facing identity and attachment struggles, body-image concerns, and recovery from trauma. Prospective clients should confirm current session options before booking.
Therapeutic approaches and how they work online
Client-centered therapy focuses on the person’s experience. It emphasizes listening and reflecting back what matters to the individual, helping them name their priorities and make choices that fit their life. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors that keep problems in place and teaches specific exercises to change them, which can help with anxiety, sleeping, and mood issues. Dialectical Behavior Therapy (DBT) provides practical skills for emotion regulation, distress tolerance, and clearer communication during conflict.Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to decide which methods match their goals and preferences. That choice can change over time as needs shift, and sessions will be adjusted to focus on skills, coping strategies, or problem-solving as required.
Confirm the available session formats before booking since the profile does not list them. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and reduce travel time. They also let people practice skills in real-life routines and bring specific daily problems into sessions for troubleshooting without promising a particular platform or format.
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 kinds of problems does she help with?
She works with stress, anxiety, addiction concerns, eating issues, trauma, mood disorders, relationship and family topics, and related challenges.
What is her general therapy style?
Her style is direct and practical, using client-centered discussion, cognitive behavioral techniques, DBT skills, mindfulness, and motivational interviewing.
How long has she worked in this field?
Nicole has 26 years of experience, including work with people involved in the criminal justice system and across addiction care levels.
What credentials does she hold and where is she based?
She is listed as LPC-MH and LPC and practices from South Dakota.
Can I see her if I live outside the United States?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are offered?
Confirm current session options before booking, as formats are not specified in the profile.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete a short matching questionnaire, and schedule an initial session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.