About Nicole
Nicole Roth is a Licensed Professional Counselor - Mental Health with 26 years in counseling. She practices in South Dakota and brings long experience helping people manage stress, anxiety, addiction, mood concerns, and life changes. She uses a person-centered approach that puts the client’s experience first.
Sessions focus on practical steps and steady support. Nicole blends talk therapy with skills training to help people cope better day to day. Her background includes substantial work with people facing trauma, substance use, and co-occurring concerns.
Background and approach
That history shaped a calm, direct style that aims to make progress manageable. She helps people facing eating issues, grief, sleep problems, and identity or intimacy concerns. Nicole draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy to teach coping skills and change unhelpful patterns.
She also uses mindfulness and motivational interviewing to build insight and keep motivation moving forward. Sessions are tailored to each person’s strengths and circumstances. She listens for what matters most and offers tools people can use between visits.
The goal is clearer thinking, steadier mood, and better daily functioning. People come for short-term coaching or longer work on complex problems. Nicole aims to build a respectful, nonjudgmental space where clients feel heard and can try concrete strategies for change.
How evidence-based approaches work online
Client-Centered Therapy is about listening and following the client’s lead. The therapist focuses on understanding your goals and responding with warmth and respect. Cognitive Behavioral Therapy, or CBT, looks at links between thoughts, feelings, and behaviors and teaches practical techniques to change unhelpful patterns. Dialectical Behavior Therapy, or DBT, emphasizes skills for emotion regulation, distress tolerance, and clearer communication to reduce crisis cycles and improve relationships.Deciding which approach fits best is part of the work together. Nicole will talk through your needs, goals, and preferences and suggest options. The choice can change as progress unfolds, and techniques are blended to match your situation in a collaborative way.
Online sessions use video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video lets you see facial cues and do exercises together. Phone sessions can fit a break at work or require less bandwidth. Live chat and text can support short check-ins, skill practice, or ongoing coaching between visits. These options help people keep therapy consistent around busy lives and changing schedules.
Questions people ask
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What this counselor 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