Nicole Roth, LPC-MH, LPC

Nicole Roth holds a Master’s Degree in Counseling and brings 26 years of clinical experience. She practices in South Dakota and uses a compassionate, person-centered style that helps people work through stress, anxiety, addiction, grief, and midlife transitions. Her approach is straightforward and focused on practical steps clients can use between sessions.

Roth has spent much of her career supporting people involved with the criminal justice system and working across addiction and mental health settings. She has experience with co-occurring conditions, eating disorders, trauma, and behavioral addictions. That background informs how she assesses risk and tailors care to each person’s situation.

In sessions she blends client-centered care with cognitive-behavioral and mindfulness tools. She also uses dialectical behavior therapy skills and motivational interviewing to help clients change patterns and build coping skills. The work is collaborative and paced to the client’s goals.

Nicole commonly helps people facing life changes, relationship or intimacy concerns, parenting stress, sleep problems, ADHD challenges, and career strain. She also supports people dealing with mood disorders such as depression and bipolar symptoms, and with complex trauma histories.

Her style is warm and nonjudgmental. She focuses on practical strategies, clear goals, and building strengths that fit a person’s daily life. People who want a direct, skill-oriented approach with space to process emotions may find her a good fit.

How therapeutic approaches shape online care

Client-Centered Therapy focuses on listening and understanding where a person is right now. The therapist follows the client’s lead and helps them set goals that feel meaningful. Cognitive Behavioral Therapy (CBT) looks at patterns of thought and behavior and teaches practical skills to change unhelpful habits and ease symptoms like anxiety or low mood. Dialectical Behavior Therapy (DBT) emphasizes emotion regulation, distress tolerance, and interpersonal skills to manage intense feelings and relationship strain.

Choosing the right approach is part of the work together. The therapist will discuss goals, preferences, and past experiences and then suggest approaches to try. The decision is collaborative and can be adjusted over time based on what helps most.

Confirm session formats before booking, as specific online options are not listed here. Online work can make it easier to fit therapy into a busy life by reducing travel time and allowing for shorter check-ins when needed. It can also allow consistent access during life transitions, support the use of tools and worksheets between meetings, and make scheduling more flexible for people balancing work, parenting, or health concerns.