- CBT methods
- DBT skills
- Mindfulness practice
About Nicole
Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) with 26 years of experience in behavioral health. She practices in South Dakota and works with adults and adolescents on stress, anxiety, addictions, eating concerns, ADHD, trauma and abuse, grief, depression, bipolar symptoms, relationship and intimacy issues, and coping with life changes.
She spent much of her career connected to the criminal justice system, supporting people involved with courts and providing substance-use and dual-diagnosis care. That work included treating people across levels of addiction care and addressing co-occurring mental health and substance use concerns.
Her approach draws on client-centered methods alongside cognitive behavioral work and dialectical behavior ideas. She uses mindfulness exercises and motivational interviewing to support practical changes. Sessions tend to focus on clear skills and steps people can try between visits.
Nicole has experience with complex presentations, including eating disorders, trauma histories, personality patterns, and internet or gaming addiction. She also helps people manage chronic stress, emotional dysregulation, and the strain of major life transitions.
She holds the LPC-MH credential and is also credentialed as an LPC. Her practice blends talk-based methods with structured skills work so people can practice coping strategies in everyday situations.
How her approaches translate to online work
Nicole uses cognitive behavioral techniques and dialectical behavior skills in practical, hands-on ways. CBT focuses on identifying unhelpful thinking patterns and testing small behavioral changes to lower anxiety and manage mood. DBT provides concrete skills for managing strong emotions, tolerating distress, and improving interpersonal effectiveness.She also draws on client-centered principles, which means sessions emphasize listening and collaboration to decide which methods fit best. Finding the right approach is part of the work; the therapist will help the client and clinician decide together which tools and activities to prioritize based on goals and daily life demands.
Confirm the exact session formats before booking, since formats were not listed in the biography. In general, online sessions can make it easier to fit therapy into a busy schedule, allow for shorter check-ins when time is tight, and remove travel time so people can plan visits around work or caregiving. Discussing which formats and rhythms will work best is part of the initial planning with the therapist.
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 concerns does she address?
She works with stress, anxiety, addictions, eating issues, ADHD, trauma and abuse, grief, depression, bipolar symptoms, relationship and intimacy issues, and related concerns.
What is her therapy style like?
Her style combines client-centered listening with practical skills from CBT and DBT, plus mindfulness and motivational interviewing to support everyday changes.
How much experience does she have?
She brings 26 years of experience in behavioral health, including work with court-involved clients and addiction care across levels of treatment.
What credentials and location are on record?
She holds LPC-MH and LPC credentials and practices in South Dakota.
Which languages are supported and can international clients join?
Sessions are offered in English and she does not accept international clients.
What session formats are available?
Please confirm current session options before booking, as formats were not specified in the materials provided.
How is cost handled?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.