Nicole Roth

Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) in South Dakota with 26 years of counseling experience. She holds a Master’s degree in counseling and uses a practical, straightforward style to help people manage stress, anxiety, addiction, and trauma. Nicole centers conversations on what matters most to each person and makes room for honest, calm problem solving.

Her background includes long work with adolescents and adults across behavioral health settings, including involvement with the criminal justice system and court-involved clients. She has extensive experience addressing co-occurring mental health and substance use concerns and has worked across multiple levels of addiction care. This history shapes a focus on real-world coping skills and relapse prevention planning.

Nicole blends Trauma-Focused Therapy with client-centered methods and cognitive-behavioral tools. She also brings elements of dialectical behavior therapy and mindfulness into sessions to teach emotional regulation and distress tolerance. Her approach is practical and paced to each person’s needs.

People who come to Nicole often want help with eating concerns, grief, relationship and intimacy issues, ADHD, sleep problems, and life transitions. She also supports those facing personality-related challenges, substance use, and behavioral addictions. Nicole tends to work collaboratively, helping people set clear goals and small steps they can use between sessions.

Her style is warm and nonjudgmental while remaining direct when needed. Nicole aims to honor each person’s strengths and the wider context of their life, including caregiver stress, blended family issues, and work or career pressures.

How trauma-informed and skills-based approaches work online

Trauma-Focused Therapy helps people name and make sense of distressing experiences so they stop shaping daily life in unhelpful ways. It often includes paced processing and building safety and coping skills before digging deeper.

Client-Centered Therapy focuses on listening and meeting each person where they are. The therapist prioritizes understanding, empathy, and collaboration so the person feels heard while deciding goals and next steps.

Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches concrete strategies to reduce unhelpful patterns. It is often used for anxiety, depression, sleep problems, and many life stressors.

Choosing an approach is a shared process. Nicole will work with each person to decide what methods fit their goals, comfort level, and daily life. She adjusts pace and techniques as progress is made and new needs arise.

Confirm the available online session formats before booking, since this profile does not list them. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and let people join without traveling. These practical benefits often help people maintain steady progress while trying different strategies.