About Nicole
Nicole Roth is a Licensed Professional Counselor - Mental Health (LPC-MH) practicing in South Dakota with 26 years of experience. She works with people facing stress, anxiety, addiction, mood concerns, and life transitions. Her manner is warm and direct, aimed at helping people find manageable steps forward.
She uses a person-centered approach that starts by listening to each person’s story. Sessions focus on practical skills and honest conversation. Nicole draws on techniques from cognitive behavioral therapy to help reframe unhelpful thoughts and from dialectical behavior therapy to teach emotion regulation and distress tolerance.
Background and approach
Nicole has worked in many settings, including courts and specialty addiction services, and has treated people with co-occurring mental health and substance use concerns. That background informs how she helps people navigate complicated problems like eating issues, trauma, or bipolar and depressive symptoms. In sessions she emphasizes collaboration and clear goals.
People can expect to set small, reachable steps and to practice skills between meetings. She also brings a broader wellness perspective, acknowledging how sleep, routine, and daily habits affect mood and coping. Therapy with her often blends skill-building, motivational conversation, and mindful awareness.
The aim is to reduce overwhelming symptoms and increase practical coping. Nicole supports people as they sort through grief, relationship stress, parenting strain, career questions, and identity or self-esteem concerns.
Online approaches that focus on skills and coping
Nicole uses cognitive behavioral therapy to help people identify and change unhelpful thought patterns and behaviors. CBT often involves tracking thoughts, testing assumptions, and practicing new skills to reduce anxiety and depression.She also applies dialectical behavior therapy techniques for emotion regulation and distress tolerance. DBT skills teach ways to manage intense emotions, improve interpersonal effectiveness, and tolerate crises without making things worse.
Finding the right approach is part of the work together. Nicole will discuss options, try methods that fit your goals, and adapt strategies as progress and needs evolve. The process is collaborative and paced to what feels useful for each person.
Online therapy offers flexible ways to meet. Video calls allow face-to-face interaction for deeper skill teaching and coached exercises. Phone sessions can be a simpler option when bandwidth or camera use is limited. Live chat and text-based messaging work well for short check-ins, step-by-step coaching, or reminders between sessions. These formats help fit therapy into busy schedules and make it easier to practice skills in daily life.
Questions people ask
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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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