- CBT techniques
- DBT skills
- Mindfulness practice
About Nicole
Nicole Roth is a Licensed Professional Counselor–Mental Health (LPC-MH) with 26 years of clinical work based in South Dakota. She works with adults on concerns including stress, anxiety, addiction, eating issues, ADHD, relationship and family patterns, grief, depression, and coping with life changes. Sessions focus on practical strategies and clearer thinking rather than labels or jargon.
Roth uses a client-centered stance in session, listening first to what feels most pressing. She combines Cognitive Behavioral Therapy and Dialectical Behavior Therapy tools to help people notice unhelpful thinking and build skills for managing emotions. Mindfulness practices and motivational interviewing are also woven in when helpful for goals like reducing substance use or changing eating patterns.
Her background includes long experience with dual-diagnosis and substance-use work, and support for people affected by trauma and relationship disruption. That history informs how she assesses risk, coping capacity, and readiness for change. She also draws on approaches that address attachment and family-of-origin patterns when those early relationships shape current behavior.
In sessions clients can expect direct, practical conversations about patterns that repeat from childhood into adult life. Roth prioritizes clear strategies such as concrete behavior experiments, thought records, and emotion-regulation exercises. Homework is concrete and aimed at small, achievable changes.
She describes her role as a collaborator who helps people test new ways of relating and behaving. Prospective clients should confirm current session formats before booking and follow the site's steps to request an initial appointment.
How her methods translate to online sessions
Client-Centered Therapy means the therapist listens closely and follows the client's priorities, helping people decide what to work on first. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing different behaviors; it can be used for anxiety, depression, and problems that repeat from family patterns. Dialectical Behavior Therapy (DBT) offers concrete skills for managing intense emotions and improving interpersonal effectiveness, which can help with relationship and self-regulation difficulties.Finding the right approach is part of the work. The therapist will collaborate with the client to choose techniques that match their goals and everyday life. That may mean trying CBT experiments for a few weeks, then adding DBT skills or mindfulness practices if emotion regulation remains a concern.
Confirm the supported session formats before booking, as the profile does not list them. Online work can make it easier to fit sessions around work, school, or caregiving. Shorter check-ins by phone or video can be scheduled for brief problem-solving, while longer video appointments allow for skills practice and guided exercises. The focus is on practical ways to apply skills between sessions so changes can be tested in real life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
26+ years
Listed in
Wyoming, Minnesota, South Dakota
Languages
English
Frequently asked questions
What concerns does she address related to family patterns?
She works with relationship and family issues, attachment concerns, abandonment, and patterns that started in childhood and still affect daily life.
How would you describe her therapeutic style?
She takes a client-centered approach and uses practical techniques from CBT and DBT to change thoughts and build emotion-regulation skills.
How much clinical experience does she have?
She has 26 years of experience working in behavioral health, including extensive work with co-occurring mental health and substance-use needs.
What are her credentials and where is she based?
She is credentialed as LPC-MH and LPC and practices out of South Dakota.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English. International clients are not currently accepted.
Which session formats does she use?
Confirm current session options before booking since formats were not specified in the profile.
How does cost work for sessions?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.