- 25 years experience
- LPC in Pennsylvania
- English sessions
About Nicole
Nicole Mancuso-Todd is a licensed professional counselor with 25 years of experience. She helps people who are dealing with stress, anxiety, trauma, anger, low self-esteem, and major life changes. Nicole aims to make the first step easier by offering steady support and practical ways to move forward.
She approaches each person as an individual and adapts conversations and plans to fit specific needs. Sessions focus on real problems and everyday changes that people can use between visits. Nicole talks with clients in a straightforward way and helps them build skills for managing strong feelings and tough situations.
Her work draws on methods that include cognitive behavioral ideas, acceptance and commitment strategies, attachment-based thinking, dialectical behavior techniques, and client-centered care. Those approaches guide how she helps people notice patterns, try small shifts, and set achievable goals. The overall aim is to increase coping and improve daily functioning.
Nicole has experience with a wide range of concerns beyond core stress and anxiety. Additional focus areas include caregiver strain, chronic illness and pain, adoption and foster care issues, aging and geriatric matters, attachment difficulties, body image, communication problems, and cancer-related concerns. She also brings experience addressing codependency and commitment worries.
Sessions are offered in English and delivered from her Pennsylvania practice. Nicole emphasizes respect, sensitivity, and compassion while helping people find practical steps toward a more fulfilling life.
She approaches each person as an individual and adapts conversations and plans to fit specific needs. Sessions focus on real problems and everyday changes that people can use between visits. Nicole talks with clients in a straightforward way and helps them build skills for managing strong feelings and tough situations.
Her work draws on methods that include cognitive behavioral ideas, acceptance and commitment strategies, attachment-based thinking, dialectical behavior techniques, and client-centered care. Those approaches guide how she helps people notice patterns, try small shifts, and set achievable goals. The overall aim is to increase coping and improve daily functioning.
Nicole has experience with a wide range of concerns beyond core stress and anxiety. Additional focus areas include caregiver strain, chronic illness and pain, adoption and foster care issues, aging and geriatric matters, attachment difficulties, body image, communication problems, and cancer-related concerns. She also brings experience addressing codependency and commitment worries.
Sessions are offered in English and delivered from her Pennsylvania practice. Nicole emphasizes respect, sensitivity, and compassion while helping people find practical steps toward a more fulfilling life.
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
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and then choose actions that match their values. ACT is useful for anxiety, stress, and coping with life changes. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people develop safer ways of relating to themselves and others, which can help with attachment issues and communicating needs.Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what feels most helpful. Together they decide which methods to try and adjust the plan over time based on what is working.
Confirm the available session options before booking, as formats are not specified here. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. Many people find that remote sessions let them practice skills in everyday settings and bring real-life situations into the conversation for immediate feedback.
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, along with a range of related issues such as caregiver stress and chronic illness.
What is her general therapeutic style?
Nicole uses a practical, person-focused approach and adapts conversations and plans to each individual's needs. Sessions emphasize skill-building and real-world changes.
How much clinical experience does she have?
Nicole has 25 years of professional work experience supporting people through a wide variety of emotional and life challenges.
What credentials and location are listed?
She is an LPC - Licensed Professional Counselor - practicing in Pennsylvania.
Which languages are available for sessions?
Sessions are offered in English.
Can people from other countries work with her?
She is not accepting international clients at this time.
How does cost and billing work for sessions?
Cost varies with location and therapist arrangements; sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Select the Start Therapy button, complete the short matching questionnaire, and schedule according to the therapist's availability.