Nicole Roth, LPC-MH, LPC

Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) in South Dakota and holds LPC credentials. She has 26 years of experience working with adults and adolescents on a wide range of behavioral health concerns including stress, anxiety, addictions, eating disorders, ADHD, trauma, grief, and mood disorders.

She has worked extensively with people involved in the courts and across levels of substance use care. That background includes work with co-occurring mental health and addiction issues and treating internet and process addictions. Her practice also covers practical challenges such as parenting strain, relationship and communication problems, body image and sleep difficulties.

Nicole combines client-centered methods with cognitive behavioral strategies and skills-based approaches. Sessions often involve identifying patterns, trying new ways of coping, and learning concrete skills for managing emotions and behavior. She also uses mindfulness and motivational interviewing approaches when they fit a person's goals.

People who come when they feel stuck or unsure about next steps usually focus on immediate, doable changes. Nicole helps break larger problems into smaller, practical steps. She pays attention to how stress, health, and everyday routines affect thinking and behavior.

For someone facing career shifts, relationship changes, or recovery from trauma, she works on clear, specific goals. The emphasis is on what can be tried between sessions and how to build steady, manageable habits. The result is a practical plan that aligns with each person's life circumstances.

Therapeutic approaches used for online sessions