- Years in practice
- 26
- Credentials
- LPC-MH, LPC
- Licensed in
- Wyoming, Minnesota, South Dakota
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Addictions
- Focus
- Eating disorders
About Nicole
Nicole Roth is a Licensed Professional Counselor–Mental Health (LPC-MH) with 26 years of experience in behavioral health. She practices in South Dakota and brings a long history of working with adults on stress, anxiety, addiction, mood disorders, and parenting concerns. Nicole uses a direct, warm manner to help people find practical ways forward.
She approaches care in a person-centered way that focuses on each client's needs and goals. Sessions usually include talking through problems, learning day-to-day coping skills, and trying small changes that fit a person's life.
Background and approach
Nicole blends cognitive-behavioral strategies with mindfulness tools and motivational interviewing to support progress. Her background includes extensive work with people who have co-occurring substance use and mental health concerns, trauma histories, and eating-related issues. That experience informs how she structures treatment plans and safety strategies.
She also has experience supporting people through grief, relationship strain, life transitions, and career stress. Nicole aims for practical, understandable steps rather than jargon. She helps clients build routines that improve sleep, manage overwhelming emotions, and reduce unhelpful behaviors.
Parents will find a focus on real-world strategies that can fit into busy family life. Therapeutic work with her is collaborative. She listens for strengths and barriers, adjusts the pace of work, and uses clear tools clients can use between sessions.
Her goal is to help people feel more capable, make choices they can live with, and handle the next challenge with more confidence.
What Nicole works with
Everything Nicole lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Nicole helps people with.
- 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 Nicole lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches translate to online care
Client-centered therapy emphasizes understanding each person's experience and priorities. Online sessions using this approach focus on listening, reflecting back what matters, and tailoring goals to daily life. This helps when someone needs practical solutions that match their routine.Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and actions. In online sessions CBT often means learning specific exercises, trying small behavior changes, and reviewing how those changes worked between meetings. It is useful for anxiety, depression, sleep problems, and managing unhelpful habits.
Dialectical Behavior Therapy, or DBT, offers concrete skills for handling intense emotions and improving communication. When used online DBT can teach short grounding practices, emotion regulation techniques, and step-by-step ways to reduce impulsive actions.
Finding the right approach is a collaborative process. The therapist will talk with the client about goals, try methods that fit their life, and adjust as needed. Clients are invited to give feedback about what helps and what doesn’t so the plan evolves together.
Online therapy provides flexibility for different needs. Video calls allow face-to-face interaction for skill work and deeper conversation. Phone sessions work well when bandwidth is limited or a check-in is needed during a busy day. Live chat and text-based messaging can support quick coping reminders, brief coaching, or ongoing reflection between sessions. These options make it easier to fit therapy into work, school, and parenting schedules.
Questions people ask about Nicole
What concerns does she address?
Nicole focuses on a wide range of concerns including stress, anxiety, addiction, eating issues, trauma, depression, bipolar symptoms, parenting, sleep problems, and relationship struggles.
What is her therapeutic style?
She uses a person-centered approach combined with cognitive-behavioral techniques, dialectical behavior ideas, mindfulness, and motivational interviewing to build practical skills and short-term goals.
How much experience does she have?
Nicole has 26 years of clinical experience working with adults across behavioral health settings, including care for co-occurring mental health and substance use conditions.
Where is she licensed and based?
She is licensed in South Dakota as a Licensed Professional Counselor–Mental Health (LPC-MH) and practices from South Dakota.
Which languages are supported?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
She meets with clients through video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How does payment work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.
More therapists for parents in South Dakota
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Ian Charnley
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Nicole Weron
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