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Nicole Roth

Nicole Roth, LPC-MH, LPC

Therapist in South Dakota

Experienced counselor for complex life challenges

Continue with Nicole Review online therapy options on BetterHelp.
  • 26 years experience
  • Person-centered approach
  • Focus on practical skills

About Nicole

Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) with 26 years of experience in behavioral health. She practices in South Dakota and uses a warm, direct style to help people manage stress, anxiety, addiction, eating concerns, depression, and other struggles.

Nicole works with adults and adolescents who face complicated life situations. She often supports people coping with trauma, grief, relationship problems, sleep disturbance, and major life changes. She also has experience addressing ADHD, bipolar concerns, and challenges around intimacy and self-esteem.

Her clinical work favors a person-centered approach. She blends cognitive behavioral strategies and skills from dialectical behavior therapy with mindfulness and motivational interviewing. Sessions focus on practical steps, emotion regulation skills, and clearer thinking about patterns that get in the way of daily life.

Nicole has a background treating co-occurring substance use and mental health conditions and has worked across levels of care. That experience informs how she helps clients navigate addiction recovery, relapse prevention, and the emotional issues that often accompany those journeys.

In sessions she aims to be open and nonjudgmental. Conversations tend to be straightforward and goal-focused, with attention to coping skills and realistic plans. Prospective clients are encouraged to ask about how her style fits their needs before beginning work together.

This summary is based on the profile information listed on BetterHelp.

How Nicole’s Approaches Translate to Online Work

Client-Centered Therapy focuses on listening and responding to each person's needs. It helps people feel understood and shapes goals that matter to them. Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and actions and teaches practical steps to change unhelpful patterns. That approach is often used for anxiety, depression, and stress. Dialectical Behavior Therapy, DBT, emphasizes emotion regulation, distress tolerance, and interpersonal skills and can help people who struggle with intense emotions or impulsive behavior.

Finding the right approach is part of the work. Nicole will collaborate with each person to pick strategies that match their goals, circumstances, and how they prefer to work. She uses feedback and progress in sessions to adjust the plan over time.

Session format options are not listed here, so please confirm available formats before booking. Many people find that online sessions help fit therapy into a busy week, reduce travel time, and allow for shorter check-ins when needed. Online work also makes it easier to practice new skills between meetings and bring real-life situations into sessions for discussion.

Frequently asked questions

What issues does she commonly help with?

Nicole helps with stress, anxiety, addictions, eating concerns, depression, trauma, grief, sleep problems, ADHD, relationship and intimacy issues, parenting strain, and other life changes.

What is her therapeutic style like?

She takes a person-centered style that is warm and direct. Sessions often combine skills training, practical problem solving, and reflection on patterns that affect daily life.

How long has she worked in mental health?

She has 26 years of experience working in behavioral health settings, including work with people facing co-occurring substance use and mental health concerns.

What credentials and region are associated with this therapist?

She holds LPC-MH and LPC credentials and practices in South Dakota.

Which languages are supported and can she work internationally?

Sessions are offered in English. She is not currently accepting international clients.

What session formats are available?

Confirm current session options before booking, as formats are not specified here; please check the platform listing or ask when you match to find out whether phone or video sessions are offered.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin therapy with her?

Use the Start Therapy button, complete a short matching questionnaire, and then schedule based on the therapist's availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

Nicole RothContinue with Nicole