I hold a Master’s Degree in Counseling and is a Licensed Professional Counselor–Mental Health (LPC-MH) in South Dakota, a Licensed Addiction Counselor (LAC), a Licensed Professional Clinical Counselor (LPCC) in Minnesota, and a Licensed Professional Counselor (LPC) in Wyoming. She is recognized as a Qualified Mental Health Professional (QMHP) and is a Certified Clinical Trauma Professional (CCTP). I also hold a specialized certification in the assessment and treatment of eating disorders and has completed advanced trainings in DBT, EMDR, Life Space Interventions, natural health approaches, and internet/process addiction treatment through the Zur Institute.
I am a dedicated mental health professional with more than 26 years of experience serving adolescents and adults across a wide spectrum of behavioral health needs. Much of my career has been closely connected to the criminal justice system, supporting youth and adults involved in the courts while providing trauma-informed, dual-diagnosis, and substance use care. worked I have also worked across all ASAM levels of care and brings extensive expertise in co-occurring mental health and addiction treatment.
My clinical work is grounded in a holistic, person-centered philosophy. I integrate traditional therapeutic approaches—such as CBT, DBT, EMDR, and mindfulness-based practices—with natural health and wellness models, honoring the interconnectedness of mind, body, and environment. I offer a warm, open, and nonjudgmental style allows clients to feel supported, encouraged, and empowered as they work toward meaningful change.
I provide services to individuals with complex needs, including eating disorders, dual diagnosis, trauma, personality disorders, and developmental or cognitive differences. I am trained in evaluating and treating internet and gaming addiction and has a strong history of treating individuals navigating life transitions, chronic stress, and emotional dysregulation. My diverse experience allows her to tailor care to each person’s unique strengths and circumstances.
I strive to create a safe, inclusive, and affirming therapeutic environment where individuals and families feel seen, heard, and understood. My goal is to walk alongside clients through life’s challenges with honesty, compassion, and unwavering support—ensuring they know they do not have to navigate these experiences alone.
Professional experience
26 yrs in practice
Stress and anxiety Coping with addictions Eating disorders Coping with life changes Concentration, memory and focus (ADHD)
Additional areas of focus:Relationship issues, Family conflicts, Trauma and abuse, Coping with grief and loss, Intimacy related issues, Sleeping disorders, Parenting issues, Motivation, self esteem, and confidence, Career difficulties, Bipolar disorder, Depression, Executive and professional coaching, Abandonment, Antisocial personality, Attachment issues, Avoidant personality, Blended family issues, Body image, Caregiver issues and stress, Codependency, Commitment issues, Communication problems, Control issues, Coping with natural or human-caused disaster, Disruptive Mood Dysregulation Disorder (DMDD), Divorce and separation, Domestic violence, Drug and alcohol addiction, Eating and food-related issues, Emptiness, Family of origin issues, Family problems, Forgiveness, Guilt and shame, Impulsivity, Infidelity, Isolation / loneliness, Jealousy, Life purpose, Midlife crisis, Money and financial issues, Mood disorders, Narcissism, Panic disorder and panic attacks, Paranoia, Personality disorders, Phobias, Post-traumatic stress, Process addiction (porn, exercise, gambling), Seasonal Affective Disorder (SAD), Self-harm, Self-love, Smoking / vaping cessation, Social anxiety and phobia, Women's issues
These quotes represent just a few of the many positive reviews that we have received for Nicole Roth. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Excellent!
Written on Jan 22, 2024 after therapy with Nicole for 2 months on issues concerning depression, addictions, relationship issues, intimacy-related issues, eating disorders, self esteem, coping with life changes, and adhd
Always has insight & kindness for helping me.
Written on Mar 25, 2022 after therapy with Nicole for 1 year and 5 months on issues concerning grief, eating disorders, and self esteem
I have Issues with ADHD it was leading to a lot of anxiety, Nicole has really supported me help me get clarity on some issues and redirect towards my goals when I get a little off course. This is help my anxiety so much. I can’t say enough good things.
Written on Feb 04, 2022 after therapy with Nicole for 11 months on issues concerning career difficulties
Nicole is a amazing counselor she has alot of great techniques to help. When we talk I always hang up feeling better. She is a caring lovely person. I am so happy I have her as a counselor.
Written on Jul 20, 2021 after therapy with Nicole for 1 year and 3 months on issues concerning depression, stress, anxiety, trauma and abuse, sleeping disorders, and self esteem
I really appreciate Nicole as I feel she does an amazing job of listening and really understanding me and my main concerns. I feel like I’m listened to and supported, and it helps me understand myself hearing it from her perspective and feedback. She responds in a timely manner, and she is so very kind and caring.
Written on Jul 20, 2021 after therapy with Nicole for 2 weeks on issues concerning stress, anxiety, lgbt, relationship issues, family conflicts, and trauma and abuse
Nicole has been consistently timely helpful and understanding. She listens to what I am saying
Written on Mar 16, 2021 after therapy with Nicole for 3 months
I feel like she did a good job she really listened to me she was giving me the tools that I needed to cope with what was going on in my life
Written on Mar 04, 2021 after therapy with Nicole for 2 weeks on issues concerning depression, relationship issues, grief, anger management, and coping with life changes
I've been working with Nicole for just a few weeks now. She is SO kind and really makes it easy to open up. I really appreciate her feedback and thoughts. She makes your anxiety/stress feel so much better by providing multiple ways to work though it. I really love how she normalizes so many things that cause issues in my life. She makes me feel less alone, and I feel lighter and so much better about everything when I hang up the phone. I have worked with a few different professionals here on betterhelp, and I have felt that Nicole spends the most time and energy helping me and it is SO appreciated! I am super glad I was matched with her!
Written on Jan 17, 2021 after therapy with Nicole for 2 weeks on issues concerning stress, anxiety, self esteem, and coping with life changes
Nicole has been amazing. She actually listens to what I say and responds accordingly in a helpful manner. She has shown me the utmost respect and I feel she truly cares about me and the situations I go through. I would highly recommend her!
Written on Dec 25, 2020 after therapy with Nicole for 3 months
Nicole is very personable about how we dialogue. Sometimes it is to robotic but that's only because I would like more of a conversation as a friend instead of cliche's like "it seems" "it's like" repeatedly throughout the conversation but we did discuss it and for awhile it's nice then we go again. All in all Nicole is a very nice person
Written on Nov 27, 2020 after therapy with Nicole for 3 years and 2 months
With Nicole's help I've seen a big change in my life, my outlook has changed in small but very radical ways that help each day. I've told many friends and family members that they should also seek help due to the experience I have had thanks to Nicole
Written on Oct 26, 2020 after therapy with Nicole for 4 months
I appreciate her listening and how she interprets your story and helps make an assessment of what core issues I may need to work on, whether it's something I realized myself already or something new.
Written on Oct 03, 2020 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, grief, self esteem, and coping with life changes
Nicole, has a beautiful caring heart and is able to redirect thinking towards positive productive outcomes.
Written on Sep 29, 2020 after therapy with Nicole for 2 months on issues concerning stress, anxiety, relationship issues, and family conflicts
Nicole is great! She understands my stressors and how I deal with them and makes sure I understand that it is all part of life and to not be too hard on myself.
Written on Sep 02, 2020 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, and self esteem
She is amazing! Our first session she understood me . I've had counselors before she is the only one that got me . She was attentive and truly listened to me. You can tell she loves what she does and has the expertise to back it up.
Written on Jul 25, 2020 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, sleeping disorders, self esteem, anger management, and career difficulties
Nicole is great. She helps me stay focused and gives me coping techniques that really work. When I feel overwhelmed and full of anxiety she responds in a timely manner. Nicole has helped me through some very tough times.
Written on Jul 08, 2020 after therapy with Nicole for 1 year on issues concerning depression, stress, anxiety, and bipolar disorder
Nicole is really sweet and always listens to you and gives you a better prospective of what you couldn’t see.
Written on Jun 19, 2020 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, family conflicts, self esteem, anger management, and coping with life changes
Nicole is very compassionate and understanding. Her insights are very helpful!
Written on May 18, 2020 after therapy with Nicole for 2 months on issues concerning depression, stress, anxiety, relationship issues, self esteem, anger management, compassion fatigue, and adhd
Nicole has been very helpful in guiding me through a difficult period. She has been gracious in accommodating my request to only use the messaging/email feature, as I am uncomfortable with video and phone chats. I have gotten some great tips on how to improve my response to some situations in my life and get myself back on a healthy track. It has been a very positive experience and I would recommend Nicole and BetterHelp to anyone.
Written on Apr 16, 2020 after therapy with Nicole for 2 weeks on issues concerning depression, eating disorders, self esteem, and bipolar disorder
Nicole Roth is a very kind, patient, and helpful counselor! I am really thankful for the time I've had with her so far. She really knows her stuff, and she has never seemed daunted by me and my situation, even when I feel really confused and such a mess.
Written on Mar 03, 2020 after therapy with Nicole for 2 months
Nicole is great, I truly believe she tells it like it is and doesn’t just tell you what you want to hear. I would recommend her to anyone!
Written on Feb 22, 2020 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, and relationship issues
I really like waking up to messages from Nicole. She answers all my questions and I feel she care and gives good advice. I also see a therapist in person but I also love being able to talk more on this app, which helps me open up more. I like Nicole.
Written on Jan 20, 2020 after therapy with Nicole for 2 months on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, intimacy-related issues, sleeping disorders, self esteem, coping with life changes, and compassion fatigue
I have really enjoyed my counseling experiences with Nicole! She is very accommodating and flexible to work with my sporadic schedule. She has helped me to implement many strategies to overcome my issues and struggles, and has provided me with several tools and new ideas that I can carry forward in to my everyday life!
Written on Dec 27, 2019 after therapy with Nicole for 2 years and 5 months on issues concerning relationship issues, grief, intimacy-related issues, and self esteem
Nicole has been extremely attentive and supportive we are still getting to know each other, but she has been so helpful to me.
Written on Dec 10, 2019 after therapy with Nicole for 2 weeks on issues concerning stress, anxiety, and relationship issues
Nicole is great! Very compassionate and understanding which is really what I need.
Written on Oct 08, 2019 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, lgbt, trauma and abuse, self esteem, and bipolar disorder
She is really patient to understand my problem. I’m not a native speaker, and sometimes I cannot explain myself well. Nicole have pay attention to clarify my words and guide me to express myself, more often to ask inspiring questions to clear up my mind. She also provide materials to help me cope with anxiety. Last but not least, she replies my message in a timely manner.
Written on Sep 06, 2019 after therapy with Nicole for 3 weeks
Nicole has been very insightful encouraging and is very good on picking up on issues. Nicole brings Gods word into each situation which I appreciate. I feel very safe and confident communicating and receiving helpful insight.
Written on May 17, 2019 after therapy with Nicole for 2 weeks
I had a live session with Nicole today. She is great...... very understanding, empathetic, supportive and provides great feedback.
Written on Apr 16, 2019 after therapy with Nicole for 1 month on issues concerning stress, anxiety, relationship issues, family conflicts, grief, and coping with life changes
I think the positive feeling I have when I see a message in my inbox from Nicole says it all. She seems truly kind and her advice is very helpful. I would definitely recommend her.
Written on Mar 03, 2019 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, family conflicts, grief, parenting issues, and self esteem
Nicole’s an awesome individual!!! So glad I chose her
Written on Feb 11, 2019 after therapy with Nicole for 7 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, intimacy-related issues, and self esteem
I have worked with Nichole for over a year and have seen the benefits of counseling in my life.
Written on Dec 18, 2018 after therapy with Nicole for 1 year and 2 months
She has been wonderful and kind and patient with me, and I don't feel stressed out when I talk to her.
Written on Nov 05, 2018 after therapy with Nicole for 2 weeks on issues concerning depression, and stress, anxiety
She is great at her job. We had 2 sessions and she helped me so much.
Written on Sep 07, 2018 after therapy with Nicole for 1 week on issues concerning stress, anxiety, family, trauma and abuse, grief, parenting, and self esteem
Nicole is amazing, she is always listening to me and attentive to my therapeutic needs and concerns and personal issues. She is always there for me in a timely manner and very supportive and congenial to me. She is a wondrously nice therapist and she encourages me to write, keep going, and battle depression when it comes up. She is amazing as I said, and talking to her is better than talking to my family a lot of times because she actually listens. I thought I was done with therapy but she is so good she is helping me heal in ways I was not even aware I needed to heal in.
Written on Aug 29, 2018 after therapy with Nicole for 4 months on issues concerning depression, stress, anxiety, and addictions
She's understanding, gives me a lot of support and gives me plenty of ideas on how to help with my problems, and I enjoy talking to her and look forward to the messages.
Written on Jul 14, 2018 after therapy with Nicole for 2 weeks on issues concerning depression, lgbt, relationship, and self esteem
I am very happy with Nicole, she has helped me to see my needs to help me heal with my current problems with my spouse.
Written on Mar 18, 2018 after therapy with Nicole for 1 month on issues concerning stress, anxiety, relationship, sleeping, self esteem, and career
I have not experienced counseling before and really appreciate Nicole’s insight and honesty. She acknowledges what I am saying with out showing any judgement but just kindness and truth. Thank you Nicole.
Written on Feb 27, 2018 after therapy with Nicole for 2 months
I have always been distant and hated counseling, but with Nicole, I know I can trust her, she provides me with true guidance and support, and knowing I can count on her gives me strength.
Written on Feb 19, 2018 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, relationship, family, trauma and abuse, grief, intimacy-related, eating, sleeping, and self esteem
Great suggestions and advice for hard-to-deal-with situations. I highly recommend Nicole.
Written on Feb 13, 2018 after therapy with Nicole for 2 weeks on issues concerning stress, anxiety, trauma and abuse, grief, anger, and bipolar
Nicole is wonderful! She really takes the time to understand me and what I am going through. I feel like I am talking to a friend on my level!
Written on Jan 15, 2018 after therapy with Nicole for 3 weeks on issues concerning stress, anxiety, relationship, intimacy-related, and anger
Nicole is professional and yet supportive, like a best friend or a mother- her love, expertise and knowledge comes across through her words.
Written on Jan 03, 2018 after therapy with Nicole for 2 weeks
Nicole has been great with helping me get through a break up. It’s nice to talk to someone and have them listen and understand and then give me tips on things to do.
Written on Jan 02, 2018 after therapy with Nicole for 2 weeks on issues concerning stress, anxiety, and relationship
Nicole is great! She's been encouraging and supportive through my difficult times and is helping overcome those mountains that I've found impossible to do on my own in the past. She seems to have a gift to read in between the lines and bring words of comfort at exactly at the right time. I really appreciated her all around.
Written on Dec 29, 2017 after therapy with Nicole for 2 weeks
Nicole is prompt when answering questions and in giving helpful information and guidance.
Written on Dec 29, 2017 after therapy with Nicole for 2 weeks on issues concerning stress, anxiety, eating, sleeping, self esteem, and career
She is very kind and knowledgeable.
Written on Dec 01, 2017 after therapy with Nicole for 2 weeks on issues concerning stress, anxiety, relationship, family, trauma and abuse, and grief
Nicole was super helpful for me!
Written on Nov 29, 2017 after therapy with Nicole for 3 weeks on issues concerning depression, stress, anxiety, relationship, and trauma and abuse
Nicole is kind, positive and supportive. I always looked forward to her messages.
Written on Oct 14, 2017 after therapy with Nicole for 4 months on issues concerning stress, anxiety, family, and parenting
The first time I talked to Nicole I could definitely hear in her voice that she cares and wants to help.
Written on Oct 09, 2017 after therapy with Nicole for 2 weeks
Thanks, Nicole!
Written on Sep 06, 2017 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, relationship, family, and parenting
I've worked with Nicole a short time but she seems like an amazing person. She is empathetic and kind and with no judgment. I enjoy talking to her and receiving her help.
Written on Aug 04, 2017 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, eating, and self esteem
I have been pleasantly surprised at how helpful Nicole Roth has been. I think I have received some good advice so far. I would recommend BetterHelp and Nicole Roth to any of my friends who are thinking about pursuing counseling.
Written on Aug 01, 2017 after therapy with Nicole for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship, family, intimacy-related, eating, parenting, self esteem, and anger
Nicole has been very professional and feels like she is genuinely interested in my problems. Throughout our sessions she has been actively listening and trying to help me to deal with the problems I'm facing.
Written on Jun 17, 2017 after therapy with Nicole for 3 weeks
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