About Nicole
Nicole Mancuso-Todd is a Licensed Professional Counselor (LPC) in Pennsylvania with 25 years of experience. She works with people who are dealing with stress, anxiety, trauma and abuse, anger, low self-esteem, and major life changes. Her tone is straightforward and supportive for someone starting therapy for the first time.
Nicole focuses on listening first and then shaping a plan that fits each person. She uses clear, practical talk rather than clinical jargon.
Background and approach
Sessions are meant to help people manage day-to-day struggles and build skills that make life easier. Over a long career she has helped clients facing a wide range of concerns. Those include issues related to abandonment, adoption and foster care, attachment difficulties, and caregiver stress.
She also has experience with chronic illness and pain, body image problems, and challenges that come with aging. Her approach draws on several evidence-informed methods. Nicole uses cognitive behavioral techniques to spot unhelpful thinking, acceptance and commitment ideas to clarify values and focus action, and attachment-based perspectives to improve close relationships.
She adapts these methods to match what feels most useful to each person. Nicole aims to respond with respect, sensitivity, and compassion. She helps people take small, manageable steps toward clearer goals.
The emphasis is on practical changes clients can try between sessions to build momentum.
Therapeutic approaches for online sessions
Nicole uses cognitive behavioral therapy to help people notice and change unhelpful thoughts and behaviors, which can reduce anxiety and improve daily functioning. She also draws on acceptance and commitment therapy to clarify values and encourage committed action even when difficult feelings are present. Attachment-based ideas are used to explore patterns in close relationships and help people build more supported ways of relating.Finding the right approach is part of the work. Nicole collaborates with each person to choose methods that match their needs, goals, and preferences. She tailors techniques over time so sessions stay useful and focused on what the client wants to achieve.
Online formats include video calls, phone sessions, live chat, and text-based messaging to increase flexibility. Video is useful for deeper conversations and visual cues, phone can be easier when bandwidth is limited, live chat allows quick check-ins, and messaging supports ongoing steps between sessions. These options make it easier to fit therapy into a busy life and to keep consistent momentum toward goals.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- 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
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Gottman Method
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 25 years
- Licensed
- Pennsylvania
- Languages
- English
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