Nicole Roth, LPC-MH, LPC

Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) with 26 years of experience. She practices from South Dakota and brings a long history of helping people who face stress, anxiety, addiction, grief, depression, and relationship or intimacy concerns.

She works with adults on a broad range of issues including trauma and abuse, eating concerns, attention differences such as ADHD, and struggles with mood like bipolar disorder. Nicole also supports people dealing with life transitions, parenting strain, sleeping problems, and career-related stress. Her background includes substantial work in criminal justice settings and treatment for co-occurring substance use and mental health concerns.

Nicole uses a person-centered style. Sessions tend to focus on what matters most to the client, with practical skills and steps people can try between meetings. She integrates cognitive behavioral techniques to address unhelpful thinking and behavior patterns, and mindfulness practices to build present-moment awareness.

Dialectical behavior therapy ideas are used to help with emotional regulation and improving interpersonal effectiveness. Motivational interviewing is part of how she supports changes related to addiction or health behaviors. Nicole frames therapy as a collaborative process where clients set goals and choose the pace.

Her approach is direct and warm, aimed at helping people feel understood while learning skills to manage day-to-day challenges. Sessions are tailored to each person’s strengths and circumstances, with attention to practical solutions that can fit into busy lives.

Therapeutic approaches you can use online

Client-centered therapy focuses on listening and supporting the person as they make choices. The therapist offers empathy and reflection so clients can identify their own strengths and goals. This approach helps when someone needs a calm space to sort priorities and decide on next steps.

Cognitive behavioral therapy, or CBT, looks at how thoughts, feelings, and behaviors interact. It breaks problems into concrete parts and teaches skills to change unhelpful patterns. CBT can be useful for anxiety, depression, stress, and some relationship concerns.

Dialectical behavior therapy, or DBT, provides tools for managing intense emotions and improving relationships. It emphasizes emotional regulation, distress tolerance, and clearer communication. These skills are often helpful for people coping with emotional dysregulation or repeated crises.

Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to decide which methods fit their needs and preferences, adjusting the plan as progress is made. Clients are encouraged to share what feels helpful so sessions stay focused and practical.

Online therapy arrangements vary. Ask about the session options and scheduling details before booking, and explain what you need to participate comfortably. Agreeing on practical details can help you decide whether the proposed way of working fits your routine and preferences.