- Stress and anxiety
- Life transitions
- Trauma and anger
About Nicole
Nicole Mancuso-Todd is a Pennsylvania Licensed Professional Counselor (LPC) with 25 years of clinical experience. She works with adults facing stress, anxiety, trauma and abuse, anger, low self-esteem, and people adjusting to life changes. Nicole focuses on practical ways to get unstuck and find clearer direction after big shifts in work, relationships, or health.
She uses a mix of well-known therapy methods to match what each person needs. That can include cognitive behavioral techniques to notice and change unhelpful thinking, acceptance and commitment ideas for staying connected to values, and attachment-based work to look at relationship patterns. Sessions tend to be conversational and aim to teach tools people can use between meetings.
Nicole also brings experience with issues such as abandonment, adoption and foster care questions, aging and geriatric concerns, chronic illness and pain, caregiver stress, body image, and communication problems. Her background gives practical context when life transitions revive old patterns or trigger strong emotions.
In sessions she adapts the pace and focus to what the client wants to address. That may mean shorter skills practice, deeper exploration of past experiences, or a blend of both. The emphasis is on clear steps that fit daily life rather than abstract theory.
People who come to Nicole often want straightforward support in sorting priorities, managing strong feelings, and making steady progress toward clearer next steps. To start, she asks basic intake questions and develops a plan that reflects the client's goals and limits.
How therapeutic approaches translate to online work
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to a person and building small actions that align with those values. It helps when someone feels stuck or uncertain about next steps. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches concrete skills to change patterns that keep problems going. That approach is often used for anxiety, stress, and low mood. Attachment-Based Therapy examines relationship patterns and how past caregiving shapes reactions now; it can be useful when relationship fears or abandonment themes affect decision making.Deciding which approach to use is part of the work. Nicole will collaborate with the client to choose methods that fit their goals, preferences, and daily life. That means trying practical tools, checking what helps, and shifting focus when something else seems more useful.
Please confirm the current session formats before booking because the biography does not list them. Online sessions can make it easier to fit meetings into a busy schedule, allow shorter check-ins when time is limited, and remove travel time so therapy can be worked into a lunch break or between appointments. Therapists and licensed professionals often adapt exercises so they suit virtual or remote meetings and everyday routines.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes.
How would she describe her therapeutic style?
She blends conversational, skills-focused work with exploration of past experiences to address current problems.
How much clinical experience does she have?
She has 25 years of professional work experience as a counselor.
What credential does she hold and where is she based?
She is a Pennsylvania LPC and practices in Pennsylvania.
Does she see clients in other languages or internationally?
Sessions are offered in English and she is not accepting international clients.
Which session formats are offered?
Please confirm current session options before booking, as formats are not specified in the biography.
How does pricing work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the steps to begin working with her?
Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.