Nicole Roth

Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) based in South Dakota with 26 years of clinical experience. She holds a Master’s degree in Counseling and uses a person-centered approach to help people navigate stress, anxiety, addiction, eating concerns, mood disorders, and major life changes.

Her work blends practical strategies with mindfulness techniques and collaborative problem solving. Sessions focus on clear goals, skill building, and understanding how thoughts and behaviors interact. She draws on cognitive behavioral tools and dialectical skills to help people manage strong emotions and regain control over daily routines.

Nicole has extensive experience with co-occurring mental health and substance use concerns. Much of her background involves working with people connected to the criminal justice system and across levels of addiction care, giving her a broad perspective on recovery and relapse prevention.

She also offers support for trauma, eating disorders, internet and gaming-related problems, grief, and relationship or intimacy challenges. Nicole adapts care to each person, matching interventions to strengths and circumstances rather than using a one-size-fits-all plan.

People who choose her typically want a straightforward, respectful therapist who blends clinical techniques with mindfulness and practical life skills. She helps clients set manageable steps, practice new behaviors, and track progress toward clearer daily functioning and improved coping.

How mindfulness and skills translate to online care

Nicole commonly uses mindfulness practices to help people notice thoughts and physical sensations without judgment. These simple attention exercises can reduce reactivity and support calmer decision making when stress or cravings arise.

She also draws on client-centered principles, which means sessions focus on the person’s priorities and move at a collaborative pace. This approach helps shape goals that feel relevant and realistic for daily life. Cognitive Behavioral Therapy (CBT) is another tool she uses to identify unhelpful thinking patterns and test new behaviors that change outcomes over time.

Finding the right mix of approaches is part of the work. Nicole will help figure out what fits your needs, goals, and preferences through early check-ins and ongoing conversation. That collaborative process makes it easier to adjust techniques as life changes.

If you prefer online care, confirm the current session options before booking so you know which formats she offers. Online sessions can make therapy easier to fit into a busy schedule, allow shorter focused check-ins, or remove travel time from a day. Discussing practical needs during the first session helps shape a plan that fits everyday life.