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LPC-MH, LPC

Nicole Roth, LPC-MH, LPC

  • Experience26 years
  • LocationSouth Dakota
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Nicole

Nicole Roth is a Licensed Professional Counselor with 26 years of experience who practices in South Dakota and holds the credentials LPC-MH and LPC.

Background and approach

She trained at the master's level in counseling and has spent much of her career working with people facing complex behavioral health challenges, including co-occurring substance use and mental health concerns. Her background includes work across levels of care and close involvement with the criminal justice system, bringing practical experience in trauma-informed and dual-diagnosis treatment.

Her therapeutic stance emphasizes a holistic, person-centered approach that blends evidence-based methods such as cognitive behavioral therapy and dialectical behavior therapy with mindfulness and motivational strategies. Clients encounter a warm, open, and nonjudgmental presence aimed at helping them build coping skills, manage stress and anxiety, address addictions or eating concerns, and navigate life transitions.

Nicole also brings specific experience with trauma, personality-related challenges, and internet or process addictions, and she adapts her work to each person’s strengths and circumstances. In sessions she focuses on collaboration and practical problem solving while honoring the connection between mind, body, and environment.

Her practice supports people seeking help for a wide range of issues including ADHD, grief, depression, bipolar disorder, relationship or intimacy concerns, and career or self-esteem challenges.

Integrating evidence-based approaches in online care



Cognitive behavioral therapy (CBT) focuses on identifying unhelpful thought patterns and testing new ways of thinking and behaving to reduce symptoms of anxiety, depression, and stress. It is practical and skills-oriented, often useful for addressing sleep problems, mood concerns, and many everyday challenges. Dialectical behavior therapy (DBT) emphasizes emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness; it helps people manage intense emotions and improve relationships while building concrete coping skills.

Finding the right approach is part of the therapeutic process, and the therapist works collaboratively with each person to determine which methods best match their needs, goals, and preferences. Sessions often blend elements from different models so care can be tailored over time rather than relying on a single technique from the start.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for busy schedules or those who prefer remote care. These formats make it easier to maintain continuity of treatment, access support from different locations within the therapist's service area, and use a mix of synchronous and asynchronous communication to fit day-to-day life.

Frequently asked questions

What kinds of concerns does this therapist address?
Nicole works with a broad range of issues including stress, anxiety, addictions, eating concerns, trauma and abuse, grief, depression, bipolar disorder, ADHD, relationship and intimacy-related problems, and career or self-esteem challenges.
How would you describe the therapeutic style and approach?
The approach is person-centered and collaborative, drawing on cognitive behavioral therapy, dialectical behavior therapy, mindfulness techniques, and motivational interviewing to build practical skills and support meaningful change.
What is the clinician's professional background?
The therapist has 26 years of experience working across behavioral health settings, including extensive work with co-occurring mental health and substance use issues and involvement with the criminal justice system.
Which credentials and location are listed for this provider?
She holds the credentials LPC-MH and LPC and practices in South Dakota.
Are sessions offered in other languages or to international clients?
Sessions are provided in English only and the therapist is not currently accepting international clients.
What session formats are available for online work?
Appointments can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and needs.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
Prospective clients select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's 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

What Nicole can help with

Nicole Roth works with clients on stress and anxiety, addictions, eating disorders, coping with life changes, and ADHD.

Nicole works with adolescents and adults.

Nicole works with youth and adults involved in the courts.

How Nicole approaches therapy

Nicole's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Motivational Interviewing, Narrative Therapy, Solution-Focused Therapy, and Somatic Therapy.

Nicole uses CBT and DBT.

Experience and training

Nicole is an LPC-MH practicing in South Dakota, with 26 years of clinical experience.