- ACT and CBT
- EMDR as needed
- Caregiver stress support
About Nicole
Nicole Pfaff is a Licensed Professional Counselor (LPC) in Pennsylvania with 14 years of experience helping people cope with stress, anxiety, self-esteem concerns, depression, and major life changes. She also works with compassion fatigue and supports people dealing with grief and career transitions.
She frames work around what each person brings to the room. Nicole treats clients as the expert on their own story and looks for strengths to build on. Sessions focus on practical steps people can try between meetings as well as talking through what feels hardest right now.
Nicole uses a mix of approaches to address worry and panic, low mood, and issues like social anxiety and phobia. She draws on Cognitive Behavioral Therapy to identify unhelpful thinking and Acceptance and Commitment Therapy to clarify values and take meaningful action. EMDR may be used when past events keep showing up and causing distress.
Conversations are straightforward and goal-oriented. Nicole often pairs short-term, solution-focused ideas with narrative techniques to reframe difficult experiences. Motivational Interviewing helps when someone feels stuck or unsure about making changes.
Her practice pays attention to caregiver stress, isolation, and the practical pressures of divorce or separation. People looking for help with seasonal affective disorder, panic attacks, or building self-love will find focused support for those issues.
Sessions are conducted in English and follow Pennsylvania LPC standards. Prospective clients are asked to complete a brief matching questionnaire before scheduling a first session.
How Nicole uses ACT, CBT and EMDR in remote work
Nicole commonly uses Acceptance and Commitment Therapy to help people clarify what matters to them and take small steps toward those values when anxiety gets in the way. ACT focuses on noticing thoughts without getting caught in them and committing to actions that matter.Cognitive Behavioral Therapy is used to spot unhelpful thinking patterns and test different behaviors. CBT often includes concrete exercises to try between sessions, which can reduce worry and improve confidence in social situations.
Eye Movement Desensitization and Reprocessing may be offered when past events continue to trigger panic or intense distress. EMDR works by revisiting distressing memories in a structured way while using bilateral stimulation techniques that some people find helpful.
Finding the right approach is part of the work together. Nicole will help clients and therapists choose methods that match the person’s goals, preferences, and the problems they bring, and she adapts plans as progress is made. This is a collaborative process focused on practical steps.
The original profile does not list specific session formats, so confirm available options before booking. Online sessions can make it easier to fit meetings into a busy life, allow shorter check-ins when needed, and reduce travel time. If a person prefers not to be on camera, that can often be arranged depending on the offered formats.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
14+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What kinds of problems does she help with?
Nicole helps people with stress, anxiety, self-esteem, depression, coping with life changes, compassion fatigue, grief, and career questions. Social anxiety and phobia, panic attacks, and caregiver stress are also listed focus areas.
What is her therapeutic style like?
She uses a practical, goal-focused approach that combines talking and skill-building. Methods listed include Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, EMDR, Motivational Interviewing, Narrative Therapy, and solution-focused techniques.
How much experience does she have?
Nicole has 14 years of professional experience working with the concerns listed in her profile.
What credential does she hold and where is she based?
She is a Licensed Professional Counselor, LPC, licensed in Pennsylvania.
Which languages are offered and can international clients join?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
The original biography does not specify session formats; confirm current session options before booking to learn whether video, phone, or other formats are available.
How does payment and cost work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started with a first session?
Begin by selecting the See online therapy options button, completing a short matching questionnaire, and then scheduling your first session.