Nicole Roth

Nicole Roth holds a Master’s Degree in Counseling and brings 26 years of experience to her work. She practices in South Dakota as an LPC-MH and LPC. Nicole focuses on helping people navigate stress, anxiety, addiction, eating concerns, ADHD, grief, depression, and related issues. Her background includes long-term work with people involved in the criminal justice system and with those facing co-occurring mental health and substance use concerns. She has extensive experience across levels of care and has worked with people who have trauma histories, eating disorders, personality-related concerns, and behavioral addictions. In sessions she uses a person-centered approach that treats the whole person, not just symptoms. She draws on practical methods from cognitive behavioral therapy and dialectical behavior therapy to teach skills for coping, emotion regulation, and problem solving. Mindfulness and motivational interviewing are woven in to support motivation and present-moment awareness. Nicole describes her style as warm, open, and nonjudgmental. She aims to create an affirming space where people can talk through difficult feelings and build realistic plans for change. Emphasis is on practical steps and achievable goals rather than jargon. She tailors work to each person’s situation, honoring strengths and preferences. Parents or caregivers reading this should expect straightforward conversations, skill-building, and a collaborator who helps them move through life transitions and relationship or parenting stresses.

How therapeutic approaches guide online work

Client-centered therapy focuses on listening and meeting people where they are. The therapist prioritizes the person's goals and builds sessions around their priorities, helping people feel heard and supported. Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and behaviors and teaches practical techniques to change unhelpful patterns; it is useful for anxiety, depression, and stress management. Finding the right approach is part of the process. The therapist will work collaboratively to match methods to each person's needs, goals, and preferences. That means trying ideas, checking what helps, and adjusting the plan together as progress is made. Confirm the available session formats before booking since they are not specified here. Online therapy can make it easier to fit sessions into a busy life by cutting travel time and allowing shorter check-ins when needed. It can also let someone join from a quieter location without needing to be on camera, or choose a format that uses less internet bandwidth. Licensed professionals use these approaches to help people build skills and cope with daily challenges while keeping therapy practical and focused on real-world changes.