- Stress and anxiety
- Family of origin
- CBT and ACT
About Nicole
Nicole Mancuso-Todd is a Licensed Professional Counselor (LPC) in Pennsylvania with 25 years of experience. She helps adults who are struggling with stress, anxiety, anger, self-esteem, trauma and abuse, and coping with major life changes. Her work includes attention to family of origin and attachment issues when those themes come up in treatment.
She uses straightforward conversation to identify what feels stuck. Sessions focus on skills that can be applied between meetings, such as behavior-based changes and emotion regulation. Nicole draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help people notice unhelpful patterns and try different responses.
Attachment-Based methods are used when relationships from childhood continue to affect current choices. Nicole talks through relational patterns and helps people practice new ways of communicating and relating. Dialectical Behavior Therapy skills may be introduced for strong emotional reactions and better distress tolerance.
Nicole structures sessions around concrete goals and measurable steps. She works collaboratively to set short-term objectives and homework tasks. This keeps progress clear and helps people see what changes lead to relief.
Her approach aims to be practical and steady. People meet to talk about what matters now and to try tools that can be used in everyday life. The focus is on small, sustainable changes rather than quick fixes.
Therapeutic approaches and online sessions
Acceptance and Commitment Therapy (ACT) helps people notice worrying thoughts without getting ruled by them and then pick actions aligned with their values. It can be useful for anxiety, low motivation, and decisions about life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and trying new behaviors to reduce symptoms like anxiety and anger. It often uses concrete exercises and homework to track progress. Attachment-Based Therapy looks at how early relationships shape current patterns and supports practicing different ways of relating in adult life.Choosing the right approach is part of the work. Nicole treats this as a collaborative process and will help you determine which methods fit your goals and preferences. The plan can change as needs become clearer and as you try different strategies together.
The biography does not list specific session formats, so confirm which online options are available before booking. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, or avoid travel time. They can also let people use video or phone in ways that match their comfort and daily routines. Ask about the current session formats when you complete the matching questionnaire so the practical details match your circumstances.
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 work with?
Nicole works with stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes. She also addresses related topics like attachment issues and abandonment.
What is her therapeutic style?
She uses a practical, goal-focused style that emphasizes skills practice and behavior change. Sessions typically include discussion plus concrete exercises to use between appointments.
How much clinical experience does she have?
Nicole has 25 years of professional experience in counseling. That experience informs how she structures sessions and sets measurable goals.
What credentials and location apply?
She is a Licensed Professional Counselor (LPC) licensed in Pennsylvania. Her practice and services are based in Pennsylvania.
Which languages are supported and can international clients join?
Sessions are offered in English. International clients are not currently accepted.
What session formats are offered?
The original biography does not specify session formats. Confirm current online or in-person options before booking to match your needs.
How are costs handled?
Cost varies with location and sessions use a subscription that can be canceled at any time. Confirm pricing details during the sign-up process.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session to start the process.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.