Nicole Roth, LPC-MH, LPC
Holistic, person-centered therapy for lasting change
- Trauma informed support
- Addiction and dual diagnosis
- Eating disorder treatment
About Nicole Roth
Nicole Roth is a Master’s-level counselor and a licensed professional counselor with mental health credentials (LPC-MH, LPC). With more than 26 years of experience, she supports adolescents and adults across a wide range of behavioral health concerns, including stress and anxiety, addictions, eating-related concerns, trauma and abuse, grief, mood difficulties, relationship and family challenges, ADHD, and major life changes.
Much of her career has been closely connected to the criminal justice system, where she has worked with youth and adults involved in the courts and provided trauma-informed support, substance use care, and dual-diagnosis treatment. She has also worked across ASAM levels of care, bringing extensive experience in helping people navigate co-occurring mental health and addiction concerns.
Her work is grounded in a holistic, person-centered philosophy that prioritizes each client’s values, strengths, and goals. Nicole integrates established approaches such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and mindfulness-based practices, along with wellness-oriented perspectives that consider the connection between mind, body, and environment. Her style is warm, open, and nonjudgmental, with an emphasis on helping clients feel supported and empowered as they move toward meaningful change.
Nicole works with individuals facing complex needs, including personality disorders, emotional dysregulation, developmental or cognitive differences, and concerns related to body image and eating disorders, supported by specialized training in assessment and treatment. She is also trained in evaluating and treating internet and gaming addiction and brings advanced training in areas including DBT, EMDR, Life Space Interventions, natural health approaches, and internet and process addiction treatment. Across concerns and settings, she aims to offer an inclusive, affirming space where individuals and families feel seen, heard, and understood.
Much of her career has been closely connected to the criminal justice system, where she has worked with youth and adults involved in the courts and provided trauma-informed support, substance use care, and dual-diagnosis treatment. She has also worked across ASAM levels of care, bringing extensive experience in helping people navigate co-occurring mental health and addiction concerns.
Her work is grounded in a holistic, person-centered philosophy that prioritizes each client’s values, strengths, and goals. Nicole integrates established approaches such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and mindfulness-based practices, along with wellness-oriented perspectives that consider the connection between mind, body, and environment. Her style is warm, open, and nonjudgmental, with an emphasis on helping clients feel supported and empowered as they move toward meaningful change.
Nicole works with individuals facing complex needs, including personality disorders, emotional dysregulation, developmental or cognitive differences, and concerns related to body image and eating disorders, supported by specialized training in assessment and treatment. She is also trained in evaluating and treating internet and gaming addiction and brings advanced training in areas including DBT, EMDR, Life Space Interventions, natural health approaches, and internet and process addiction treatment. Across concerns and settings, she aims to offer an inclusive, affirming space where individuals and families feel seen, heard, and understood.
Areas of Expertise
Primary Focus
Also Specializes In
Relationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderDepressionCoaching
Additional Focus Areas
AbandonmentAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersNarcissismPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSmoking / vaping cessationSocial anxiety and phobiaWomen's issues
Therapeutic Approach
Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy Somatic Therapy Trauma-Focused Therapy
Frequently Asked Questions
How much experience does Nicole Roth have?
Nicole Roth has 26 years of experience.
Is Nicole Roth a licensed therapist?
Yes. Nicole Roth holds the credentials LPC-MH and LPC. License information includes SD LPC-MH 20354 and WY LPC LPC-1403.
In which languages does Nicole Roth provide therapy?
Nicole Roth provides therapy in English.
Where is Nicole Roth located?
Nicole Roth is located in South Dakota.
How can I work with Nicole Roth as my therapist?
You can work with Nicole Roth through video calls, phone sessions, live chat, or text-based messaging.
Does Nicole Roth work with international clients?
No. Nicole Roth does not currently work with international clients.
How much does therapy with Nicole Roth cost?
The cost of therapy can vary based on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Evidence-Based Tools, Delivered Online
Nicole Roth draws from practical, skills-based approaches that translate well to online therapy. Cognitive Behavioral Therapy (CBT) focuses on how thoughts, feelings, and behaviors interact, and it can be especially helpful for concerns like anxiety, depression, stress, and coping with life changes by building concrete strategies for day-to-day situations.Dialectical Behavior Therapy (DBT) adds structured skills for emotional regulation, distress tolerance, and healthier relationship patterns. It can be a strong fit for people who feel overwhelmed by intense emotions or who want better tools for managing impulses and conflict. Mindfulness therapy supports staying grounded in the present moment, which many clients find useful when dealing with chronic stress, trauma-related reactions, or racing thoughts.
Finding the right mix of approaches is part of the process. Nicole collaborates with clients to identify what feels most relevant, then tailors sessions to the client’s goals, preferences, and pace, adjusting strategies as needs evolve.
Online therapy also makes it easier to access support in a way that fits real life. Sessions can happen through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules, travel limitations, or times when meeting in person is not practical.