Nicole Roth, LPC-MH, LPC
Experienced counselor focused on practical change
Details
| Name | Nicole Roth |
|---|---|
| Credentials | LPC-MH, LPC |
| Based in | South Dakota |
| Licensed in | Wyoming, Minnesota, South Dakota |
| Session format | Online |
| Languages | English |
| Years in practice | 26 |
About Nicole
Nicole Roth holds a Master’s Degree in Counseling and brings 26 years of clinical experience. She practices as an LPC-MH and LPC in South Dakota and offers straightforward, practical care. Her work is direct and person-focused, aimed at helping people manage stress, anxiety, addictions, mood concerns, and life changes.
Nicole keeps sessions simple and clear. She listens first, then helps people tell their stories and find patterns that get in the way.
Background and approach
She uses tools from Narrative Therapy, Client-Centered Therapy, CBT, DBT, and mindfulness to help people change unhelpful habits and manage strong emotions. Her background includes extensive work in behavioral health settings and with clients who have co-occurring mental health and addiction concerns. That experience shaped a calm, steady approach to supporting people through grief, trauma, and complicated life transitions.
Nicole also has focused work addressing eating concerns, sleep problems, and relationship or intimacy issues. In sessions she emphasizes practical coping skills alongside narrative work that helps people reframe difficult experiences. She encourages realistic goals and concrete steps people can practice between meetings.
She also supports parents dealing with caregiver stress and people facing career pressure or identity concerns. Nicole aims to create a nonjudgmental, respectful space where people can talk freely and experiment with new ways of coping. She works with adults and adolescents to build clearer routines, stronger self-esteem, and better emotional regulation.
The focus is on steady progress and practical change.
What this therapist works with
Her listing names Stress, Anxiety, Addictions, Eating disorders among the things Nicole works with, alongside the areas below.
- Stress, Anxiety
- Addictions
- Eating disorders
- Coping with life changes
- ADHD
- Relationship issues
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Self esteem
- Career difficulties
- Bipolar disorder
- Depression
- Coaching
- Abandonment
- Antisocial personality
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Smoking / vaping cessation
- Social anxiety and phobia
- Women's issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Client-Centered Therapy: Listed by Nicole among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Nicole among the ways she works.
- Dialectical Behavior Therapy (DBT): Listed by Nicole among the ways she works.
- Mindfulness Therapy: Listed by Nicole among the ways she works.
- Motivational Interviewing: Listed by Nicole among the ways she works.
- Solution-Focused Therapy: Listed by Nicole among the ways she works.
- Somatic Therapy: Listed by Nicole among the ways she works.
- Trauma-Focused Therapy: Listed by Nicole among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Nicole directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Nicole directly how she uses it and what a session usually looks like.
Online session options
How narrative work and skills-based therapies fit online
Nicole draws on Narrative Therapy to help people reframe personal stories and separate themselves from problem patterns. This approach focuses on identifying unhelpful stories and creating new, more empowering ones to guide daily choices.She also uses Client-Centered Therapy, which centers the conversation on the person's priorities and pace, and Cognitive Behavioral Therapy, which focuses on changing thoughts and behaviors through concrete exercises. CBT is useful for anxiety, depression, sleep problems, and many everyday challenges.
Finding the right combination of approaches is a collaborative process. She will talk with each person about their goals, try strategies that fit those goals, and adjust based on what helps most. Clients shape the pace and focus while the therapist offers feedback and practical techniques.
Online therapy offers flexibility in how sessions happen. Video calls allow face-to-face conversations, phone sessions can be easier when bandwidth is low, live chat supports shorter check-ins, and text messaging lets people use regular written check-ins between meetings. These options make it easier to fit therapy into work, school, or caregiving schedules and to practice skills in real life between sessions.
Common questions about this listing
What concerns does Nicole commonly address?
She helps with stress, anxiety, depression, bipolar symptoms, addictions, eating issues, ADHD, trauma and grief. Relationship and intimacy problems, sleep struggles, parenting strain, and career stress are also part of her work.
What is her therapeutic style like?
Her style is person-centered and practical. She listens for your story, then uses narrative work and skills-based tools to help you test new ways of coping.
How much experience does she have?
She has 26 years of experience in behavioral health settings, including work with co-occurring mental health and addiction concerns and court-involved populations.
What credentials and location are listed?
Nicole lists LPC-MH and LPC credentials and practices in South Dakota.
Are sessions offered in other languages or internationally?
Sessions are offered in English. She does not accept international clients.
Which session formats does she use?
Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging.
How is cost handled for therapy?
Cost varies by location and therapist availability and uses a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
Contacting this therapist
Sessions with Nicole are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Nicole where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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