Nicole Roth, LPC-MH, LPC
Experienced, holistic counseling for complex life challenges
- Trauma informed care
- Dual diagnosis support
- Eating disorder expertise
About Nicole Roth
Nicole Roth is a master’s-level counselor with 26 years of experience supporting adolescents and adults through a wide range of behavioral health concerns. She is a Licensed Professional Counselor-Mental Health (LPC-MH) in South Dakota and a Licensed Professional Counselor (LPC) in Wyoming. She is also recognized as a Qualified Mental Health Professional (QMHP) and holds the Certified Clinical Trauma Professional (CCTP) credential, which reflects specialized training in trauma-informed care. In addition, she has a specialized certification in the assessment and treatment of eating disorders and has completed advanced trainings in Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Life Space Interventions, natural health approaches, and internet and process addiction treatment through the Zur Institute.
Over the course of her career, Nicole has worked extensively with individuals involved in the criminal justice system, providing court-connected support with a focus on trauma-informed care, dual-diagnosis needs, and substance use concerns. She has also worked across all ASAM levels of care, bringing broad experience in addressing co-occurring mental health and addiction challenges while adapting treatment to the realities clients are facing in their day-to-day lives.
Nicole’s work is rooted in a holistic, client-centered philosophy that prioritizes the whole person and the strengths they already carry. She integrates evidence-based approaches such as Cognitive Behavioral Therapy (CBT), DBT, EMDR, and mindfulness-based practices, while also drawing from wellness-oriented models that recognize 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, sustainable change.
She works with individuals experiencing complex concerns such as eating disorders, trauma, personality disorders, and developmental or cognitive differences, as well as those navigating life transitions, chronic stress, and emotional dysregulation. Nicole is trained in assessing and treating internet and gaming addiction and brings a depth of experience that allows care to be thoughtfully tailored to each client’s needs, goals, and circumstances. She aims to offer an inclusive and affirming space where individuals and families can feel seen, heard, and understood while working through life’s challenges with compassion and steady support.
Over the course of her career, Nicole has worked extensively with individuals involved in the criminal justice system, providing court-connected support with a focus on trauma-informed care, dual-diagnosis needs, and substance use concerns. She has also worked across all ASAM levels of care, bringing broad experience in addressing co-occurring mental health and addiction challenges while adapting treatment to the realities clients are facing in their day-to-day lives.
Nicole’s work is rooted in a holistic, client-centered philosophy that prioritizes the whole person and the strengths they already carry. She integrates evidence-based approaches such as Cognitive Behavioral Therapy (CBT), DBT, EMDR, and mindfulness-based practices, while also drawing from wellness-oriented models that recognize 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, sustainable change.
She works with individuals experiencing complex concerns such as eating disorders, trauma, personality disorders, and developmental or cognitive differences, as well as those navigating life transitions, chronic stress, and emotional dysregulation. Nicole is trained in assessing and treating internet and gaming addiction and brings a depth of experience that allows care to be thoughtfully tailored to each client’s needs, goals, and circumstances. She aims to offer an inclusive and affirming space where individuals and families can feel seen, heard, and understood while working through life’s challenges with compassion and steady support.
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 working with adolescents and adults across a wide range of mental health and behavioral health concerns.
Is Nicole Roth a licensed therapist?
Yes. Nicole Roth holds the credentials LPC-MH and LPC. She is licensed as an LPC-MH in South Dakota (SD LPC-MH 20354) and as an LPC in Wyoming (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, depending on what fits your needs and what is available.
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 like 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?
To get started, 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 Therapy Approaches, Delivered Online
Nicole Roth draws from several established therapy models to support clients with concerns like stress, anxiety, addiction, trauma, and major life transitions. Cognitive Behavioral Therapy (CBT) focuses on the connection between thoughts, feelings, and behaviors, helping clients notice unhelpful patterns and practice new ways of responding to daily challenges. Dialectical Behavior Therapy (DBT) adds practical skills for emotion regulation, distress tolerance, and relationship effectiveness, which can be especially helpful when emotions feel intense or hard to manage. Mindfulness therapy emphasizes building awareness of the present moment, supporting steadier attention and a more grounded relationship with thoughts and feelings.Finding the right approach is part of the work. Nicole collaborates with clients to understand what they want from therapy, what has or has not helped before, and which strategies feel most realistic and supportive for their lives. The goal is to shape a plan that fits each client’s needs, preferences, and pace.
Online therapy makes it easier to access support in a way that works with busy schedules and changing routines. Sessions can take place through video calls or phone sessions, and clients can also use live chat or text-based messaging. These options can make it simpler to stay engaged in therapy while balancing work, family responsibilities, or other demands.