Nicole Roth, LPC-MH, LPC

Nicole Roth is a Licensed Professional Counselor-Mental Health who brings 26 years of experience to her work. She holds the LPC-MH and LPC credentials and practices from South Dakota. Her style is warm and straightforward, and she aims to help people manage stress, anxiety, addiction concerns, and other difficult life problems.

She helps people who are coping with grief, trauma and abuse, and mood concerns such as depression and bipolar disorder. Nicole also supports those dealing with eating concerns, sleep problems, ADHD, and the day-to-day strain of parenting and career pressures. She uses clear, practical steps so clients know what to try between sessions.

Nicole blends several therapeutic approaches to match each person’s needs. Cognitive Behavioral Therapy (CBT) is a frequent part of her work, along with client-centered and mindfulness-based techniques. She also draws on Dialectical Behavior Therapy (DBT) and motivational interviewing to help people build skills for emotion regulation and behavior change.

Her background includes long experience with substance use and co-occurring mental health issues, and work across multiple levels of care. That experience informs a pragmatic approach to safety, coping skills, and relapse prevention when those needs arise.

Sessions are intended to be collaborative. Nicole watches how a person responds to different tools and then adjusts the plan. The goal is steady progress toward clearer thinking, calmer responses, and more manageable daily life.

How therapeutic approaches adapt to online care

Nicole often uses Cognitive Behavioral Therapy to help people identify unhelpful thinking and test new behaviors. CBT focuses on small, practical experiments and homework that translate well to online sessions. Client-Centered Therapy emphasizes listening and empathy, making space for people to talk through what matters most to them and feel heard during a video or phone meeting. Dialectical Behavior Therapy teaches concrete skills for managing strong emotions and improving relationships, which can be practiced and reviewed during live sessions or via messaging.

Finding the right mix of approaches is a collaborative process. The therapist and client will talk about goals, try different techniques, and adjust the plan based on what helps most. That team approach makes it easier to match methods to symptoms like anxiety, trauma reactions, or addictive behaviors.

Online sessions offer practical flexibility. Video calls let therapists observe verbal and nonverbal cues, phone sessions use less bandwidth and work well for shorter check-ins, and live chat or text messaging can support quick coping reminders or between-session coaching. These formats make it simpler to fit therapy into busy days and maintain continuity when schedule changes occur.