- Stress and anxiety
- Trauma support
- Practical coping skills
About Nicole
Nicole Mancuso-Todd is a Licensed Professional Counselor (LPC) in Pennsylvania with 25 years of experience. She helps people who are dealing with stress, anxiety, trauma and abuse, anger, low self-esteem, and major life changes. Nicole aims to create a respectful and compassionate setting where people can start to feel more hopeful and capable.
Nicole uses clear, practical conversation to understand each person’s situation. She focuses on what matters most to the individual and adapts the plan to match their goals. Sessions center on problem solving, building skills, and developing new ways of coping that fit daily life.
Her work draws on several therapeutic approaches. Cognitive Behavioral Therapy helps identify and shift unhelpful thoughts and behaviors. Acceptance and Commitment Therapy supports people in noticing difficult feelings while committing to meaningful actions. Dialectical Behavior Therapy offers concrete tools for managing strong emotions and improving relationships.
Nicole also incorporates attachment-based and client-centered techniques to strengthen connections and center the client’s perspective. The emphasis is on practical steps and steady progress rather than quick fixes. She encourages people to try methods that suit their needs and to adjust the approach as they go.
Nicole’s goal is to support clients through change with patience and clarity. She invites people to take the first step and will work collaboratively to build a path toward greater coping and confidence.
Nicole uses clear, practical conversation to understand each person’s situation. She focuses on what matters most to the individual and adapts the plan to match their goals. Sessions center on problem solving, building skills, and developing new ways of coping that fit daily life.
Her work draws on several therapeutic approaches. Cognitive Behavioral Therapy helps identify and shift unhelpful thoughts and behaviors. Acceptance and Commitment Therapy supports people in noticing difficult feelings while committing to meaningful actions. Dialectical Behavior Therapy offers concrete tools for managing strong emotions and improving relationships.
Nicole also incorporates attachment-based and client-centered techniques to strengthen connections and center the client’s perspective. The emphasis is on practical steps and steady progress rather than quick fixes. She encourages people to try methods that suit their needs and to adjust the approach as they go.
Nicole’s goal is to support clients through change with patience and clarity. She invites people to take the first step and will work collaboratively to build a path toward greater coping and confidence.
Areas of expertise
Primary focus
Additional focus areas
AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSex addictionSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Gottman MethodJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy
Experience
25+ years
Credentials
Pennsylvania
Languages
English
How therapeutic approaches translate to online work
Nicole often draws from Cognitive Behavioral Therapy and Acceptance and Commitment Therapy when working with stress, anxiety, and coping challenges. CBT focuses on noticing and changing thought and behavior patterns that make problems worse, using clear steps and practice exercises. ACT helps people accept uncomfortable feelings while choosing actions that match their values, which can be useful when life changes feel overwhelming.Finding the right approach is part of the process. The therapist will collaborate with each person to decide which methods make the most sense for their goals and situation. That choice can change over time as needs and priorities evolve.
Session formats are not listed in the biography, so confirm current options before booking. Online therapy can make it easier to fit appointments into a busy schedule, avoid travel time, and use shorter check-ins when needed. It can also allow sessions to continue during life transitions or when local options are limited. Licensed professionals can guide clients in adapting exercises and homework to work well in remote sessions, and will adjust pacing to match how a person responds to online work.
Frequently asked questions
What concerns does Nicole commonly address?
She works with stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes. Additional focuses include attachment issues, caregiver stress, chronic illness, and body image.
What is her therapeutic style like?
Nicole uses practical conversation and skill-building. She tailors sessions to the person’s goals and focuses on workable steps for daily life.
How much experience does she have?
She has 25 years of professional experience working in counseling and related settings in Pennsylvania.
What credentials and where is she licensed?
Nicole holds the LPC credential, licensed in Pennsylvania.
Which languages are supported?
Sessions are offered in English only.
Can international clients work with her?
International clients are not currently accepted.
How are sessions billed and what is the cost structure?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the steps to begin working together?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.