About Nicole
Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) who brings 26 years of clinical experience to her work. She practices in South Dakota and offers care for people facing a wide range of concerns. Her approach blends attention to the body and the mind to help people feel steadier in day-to-day life.
Roth focuses on practical support for stress, anxiety, depression, and mood disorders such as bipolar. She also helps people with addictions, eating concerns, sleep problems, and self-esteem struggles.
Background and approach
Parents and professionals under chronic stress can find tools to manage overwhelm and rebuild routine. Her style is warm and nonjudgmental. Sessions are person-centered and collaborative.
She listens for what matters most, then helps people try specific skills and changes that fit their lives. Nicole uses approaches that include somatic work, cognitive behavioral techniques, and mindfulness practices. That mix lets clients address thoughts, emotions, and bodily sensations together.
Over time people often gain more control over impulses, reduce intense reactions, and improve daily functioning. Nicole has long experience with trauma, co-occurring substance use, and complex clinical presentations. She works with adults who need steady support through life transitions, grief, relationship strain, or ongoing mood and behavioral challenges.
Her goal is to help people build reliable coping, clearer communication, and a greater sense of agency.
How therapy approaches translate to online work
Somatic work pays attention to bodily sensations and physical patterns that show up with stress or trauma; online sessions can guide clients to notice breath, posture, and grounding strategies they can use between meetings. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors through concrete exercises and homework; it is useful for anxiety, depression, sleep problems, and mood regulation. Mindfulness therapy teaches present-moment awareness and simple practices to reduce reactivity and build emotional tolerance, which pairs well with other skills-based work.Finding the right mix of approaches is part of the therapeutic process. The therapist will work collaboratively to identify goals, try methods that fit the client’s needs, and adjust the plan over time. Clients and the therapist decide together which techniques feel most helpful and practical to use in daily life.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to increase flexibility. This variety makes it easier to connect from home, during breaks, or when travel is difficult. The multiple formats also allow people to practice skills between meetings and remain connected in ways that suit their routines.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Eating disorders
Also works with
- Abandonment
- ADHD
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 26 years
- Licensed
- Wyoming, Minnesota, South Dakota
- Languages
- English