Nicole Roth

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 concerns that include stress, anxiety, addiction, eating issues, ADHD, relationship and family matters, trauma and grief, mood concerns, and life-purpose questions. Nicole’s background includes long experience in behavioral health and work linked to the criminal justice system. She has treated people at multiple levels of care and has a history of addressing co-occurring mental health and substance use concerns. Her practice also includes work with eating disorders, trauma, and internet or gaming-related problems. In sessions she uses practical, person-centered methods. She draws on client-centered ideas and cognitive behavioral strategies to help people notice patterns and try different behaviors. Dialectical behavior ideas and mindfulness practices are part of her approach when emotional regulation and stress tolerance are priorities. Nicole also uses motivational interviewing to support people who want to change difficult habits. She describes treatment that pays attention to how life circumstances, relationships, and physical health interact with mental health. That can mean working on coping skills, communication, sleep, or planning around career and parenting stress. People who choose her often need straightforward, skills-based support for complex problems. The focus is on clear steps and practical tools to manage symptoms and make decisions about next steps in work, relationships, or daily life.

How her approaches translate to online work

Client-centered therapy focuses on listening and reflecting so the client feels heard and can steer the work. It helps when people are unsure what matters next and need someone to help them sort priorities and options.

Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors. It uses practical exercises and skill-building to test unhelpful thinking and try new behaviors, which can help with anxiety, depression, and career or parenting stress.

Dialectical Behavior Therapy (DBT) brings skills for managing intense emotions and improving interpersonal effectiveness. It is useful when stress and emotional regulation get in the way of daily life and relationships.

Finding the right approach is part of the work. The therapist will collaborate with the client to choose which methods to emphasize based on needs, goals, and preferences. That may mean starting with brief CBT techniques, adding DBT skills, or using motivational interviewing to support behavior change.

Confirm the exact online session formats before booking, since they are not specified here. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and reduce travel time. These practical benefits can help therapy feel more manageable while someone sorts decisions about career, parenting, or life purpose.