Nicole Roth , LPC-MH, LPC

Nicole Roth holds a Master’s degree in Counseling and brings 26 years of clinical experience. She is a Licensed Professional Counselor - Mental Health, LPC-MH, and also holds LPC credentials. Nicole practices from South Dakota and focuses on practical, person-centered care for adults.

Nicole uses plain conversation to help people make sense of hard moments. She listens for what matters most and helps clients set small, doable goals. Sessions are straightforward and focused on concrete steps, not jargon, so people can act between meetings.

Her background includes long work with addiction and co-occurring mental health concerns. That history means she is familiar with trauma, grief, eating concerns, bipolar and mood disorders, and many kinds of stress. She often works with people facing life transitions, problems with sleep, and struggles around intimacy or self-esteem.

Nicole draws on several therapeutic approaches to match the person in front of her. She often uses Client-Centered work to build trust, Cognitive Behavioral Therapy to change unhelpful thoughts and habits, and Dialectical Behavior Therapy skills for emotional regulation. Mindfulness and motivational techniques also appear when they fit the client’s goals.

Her style is warm, direct, and nonjudgmental. Nicole aims to help people feel seen and to develop practical tools they can use day to day. She supports work on relationship problems, parenting stress, career worries, and many women’s issues without promising specific outcomes.

Approach, Skills, and Online Care

Nicole often combines Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) in her online work. Client-Centered Therapy emphasizes listening and building a respectful, nonjudgmental relationship so clients feel understood and can set their own goals. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors to reduce anxiety, depression, and eating-related struggles. Dialectical Behavior Therapy teaches specific skills for managing intense emotions, improving relationships, and handling crises more effectively.

Choosing the right approach is a collaborative process. Nicole will talk with each person about their goals, preferences, and what has or hasn’t worked before. Together they decide which methods to try and adjust the plan as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or when a check-in fits a break at work. Live chat and text messaging are useful for brief updates, skill practice between sessions, or when typing feels easier than speaking. These options make it simpler to fit therapy into a busy life and keep consistent momentum toward goals.