About Nicole
Nicole Mancuso-Todd is a Licensed Professional Counselor in Pennsylvania with 25 years of experience. She helps people who are feeling overwhelmed by stress and anxiety. Nicole pays attention to each person's needs and offers steady, respectful support.
She often works with people coping after trauma or abuse and those managing anger or low self-esteem. Nicole also helps people who are dealing with major life changes and looking to build motivation and confidence.
Background and approach
Her approach starts by listening and creating a plan that fits each person’s situation. Nicole uses a mix of methods that focus on thoughts, emotions, and relationships to help people find practical ways forward. She adapts conversations to match what a person needs in the moment rather than sticking to one formula.
Sessions aim to teach skills people can use between meetings and to address the problems they face today. With a straightforward style, Nicole supports people through growth that can feel difficult at first. She emphasizes respect, sensitivity, and compassion in every session.
The work is collaborative - she helps people set goals and notices progress along the way. Her practice is based in Pennsylvania and sessions are conducted in English. Nicole can use different tools depending on a person’s preferences, and she helps people figure out which options will fit their life and schedules.
Therapeutic approaches and online care
Acceptance and Commitment Therapy, or ACT, focuses on helping people notice unhelpful thoughts and choose actions that match their values. It is often used for anxiety, stress, and adjusting to life changes. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions link together and teaches practical skills to shift unhelpful patterns. It is commonly applied to anxiety, mood, and coping challenges. Attachment-Based Therapy emphasizes relationships and how early bonds shape current ways of relating; it can help people understand patterns in close relationships and improve connection.Finding the right approach is part of the work. Nicole will collaborate with each person to decide which methods fit their needs, goals, and preferences. She starts with listening, then suggests tools and practices to try, and adjusts the plan as progress is made.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for different schedules and communication styles. Video sessions allow face-to-face conversation and visual cues. Phone sessions are useful when bandwidth is limited or a simpler check-in is needed. Live chat and text messaging can support brief updates, skill practice, or more frequent touchpoints between longer sessions. These options make it easier to fit therapy into work, caregiving, or other daily routines.
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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