- Stress and anxiety
- Coping skills
- Attachment issues
About Nicole
Nicole Mancuso-Todd is an LPC - Licensed Professional Counselor in Pennsylvania with 25 years of clinical experience. She works with people who are dealing with stress, anxiety, trauma and abuse, anger, low self-esteem, and coping with life changes. She also focuses on issues such as abandonment, attachment concerns, and caregiving stress.
Nicole uses clear, practical conversation to help people name what is happening and decide what to try next. Sessions are conversational and goal-focused. She listens for patterns that keep problems going and teaches skills to interrupt those patterns.
Her work draws on cognitive behavioral therapy, acceptance and commitment therapy, and dialectical behavior therapy to address thoughts, emotions, and behavior in everyday life. Attachment-based and client-centered ideas guide how she pays attention to relationships and personal values. Together these approaches are used to build coping skills and clarify priorities.
Nicole has worked with a wide range of concerns over many years, including chronic illness, body image, communication problems, and issues tied to adoption or blended families. That background helps when life changes feel overwhelming and you need steady, practical steps forward.
When someone reaches out they complete a short matching questionnaire and then schedule a first session. Nicole prefers straightforward planning so sessions can focus on the problems at hand and on small, doable changes.
How therapeutic approaches translate to online work
Nicole commonly uses cognitive behavioral therapy and acceptance and commitment therapy in her work. CBT focuses on identifying unhelpful thought patterns and testing them with real-life behavioral experiments to reduce anxiety and improve coping. ACT helps people clarify their values and take meaningful actions even when uncomfortable feelings are present, which can be useful for social anxiety and life transitions.Finding the right approach is part of the work together. The therapist will discuss goals, try methods, and adjust plans based on what helps most. This collaborative process means methods can be mixed and refined as needs and preferences become clearer.
Confirm the current session formats before booking, as format details are not specified here. Online sessions can make it easier to fit therapy into a busy week, reduce travel time, and allow shorter check-ins when needed. For some people the convenience of remote sessions helps keep regular appointments during life changes or work commitments.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes, plus related issues like abandonment and caregiving stress.
What style of therapy does she use?
She blends several practical approaches including cognitive behavioral therapy, acceptance and commitment therapy, dialectical behavior therapy, attachment-based work, and client-centered methods.
How much experience does she have?
She has 25 years of professional work experience in counseling and related clinical roles.
Where is she licensed and based?
She is an LPC - Licensed Professional Counselor licensed in Pennsylvania and practices from that state.
Which languages are supported?
Sessions are offered in English.
Can people outside the US work with her?
She does not accept international clients at this time.
How are session costs handled?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I get started?
Click the See online therapy options button, complete a short matching questionnaire, and then schedule your first session.