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Nicole Roth, LPC-MH, LPC

Experienced counselor for trauma and addiction recovery
  • Trauma and addiction focus
  • Person-centered care
  • Evidence-based approaches

About Nicole Roth

Nicole Roth is a licensed counseling professional with more than 26 years of experience supporting adolescents and adults through a broad range of behavioral health challenges. She holds credentials that include LPC-MH, which denotes a Licensed Professional Counselor - Mental Health, and LPC, and her training history also lists certification and specialized credentials in areas such as clinical trauma and eating disorder assessment and treatment. Over the course of her career she has provided trauma-informed, dual-diagnosis, and substance use care, including significant work connected to the criminal justice system and services across ASAM levels of care.

Her clinical approach is grounded in a holistic, person-centered philosophy that weaves together evidence-based therapies and wellness-oriented methods. She integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR-informed practices, mindfulness techniques, and natural health considerations to address the connections between mind, body, and environment. Additional training includes Life Space Interventions and specialized work on internet and process addictions through the Zur Institute.

Nicole brings particular experience treating complex presentations such as eating disorders, co-occurring mental health and substance use conditions, trauma, personality-related concerns, developmental or cognitive differences, internet and gaming addiction, and difficulties with emotional regulation. Her style is warm, open, and nonjudgmental, and she tailors care to each person’s strengths and circumstances while supporting individuals and families through life transitions, grief, relationship challenges, and recovery work.

Areas of Expertise

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 professional experience working with adolescents and adults across a wide spectrum of behavioral health needs.

Is Nicole Roth a licensed therapist?

Yes. She holds the credentials LPC-MH and LPC. License details include 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?

Therapy cost can vary depending 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 pricing and details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is straightforward: click the "Start Therapy" button and complete a short questionnaire that helps 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.

Therapeutic Approaches and Online Care

Client-centered therapy focuses on the individual’s own goals and perspectives, offering a supportive, nonjudgmental environment where the therapist follows the client’s lead and fosters self-directed growth. Cognitive Behavioral Therapy (CBT) helps identify and shift unhelpful thinking and behavior patterns, and is often used for anxiety, depression, and coping with stress. Dialectical Behavior Therapy (DBT) teaches practical skills for emotional regulation, distress tolerance, and interpersonal effectiveness, and is useful for managing intense emotions and improving relationships.

Finding the right approach is part of the therapeutic process, and Nicole collaborates with each person to determine which methods best match their needs, goals, and preferences. That collaborative process helps shape a plan that may draw on one or more approaches and can be adjusted over time based on progress and feedback.

Online therapy offers flexible ways to engage in care, including video sessions, phone appointments, live chat, and text-based messaging. These options make it easier to fit therapy into busy schedules, maintain continuity during life transitions, and access licensed professionals from different locations, while preserving the therapeutic focus and collaboration that support meaningful change.

Ready to start therapy with Nicole Roth?

Take the first step toward a better you.