- ACT techniques
- CBT strategies
- Attachment focus
About Nicole
Nicole Mancuso-Todd is a Pennsylvania licensed professional counselor (LPC) with 25 years of experience. She works with adults facing stress, anxiety, trauma and abuse, anger, low self-esteem, and big life changes. Nicole describes helping people build day-to-day skills and steady ways to cope when things feel overwhelming.
She uses a mix of practical approaches to keep sessions focused and useful. That includes cognitive behavioral techniques to spot and change unhelpful thinking. She also draws on acceptance and commitment ideas to help people clarify values and take small actions toward them.
Attachment-based ideas inform how she looks at relationship patterns and loyalty conflicts that can come up in blended households. Dialectical behavior tools provide concrete skills for managing intense emotions. Client-centered methods keep conversations grounded in the client's own goals and pace.
Sessions are set up so people can talk through immediate problems and also plan longer-term changes. Nicole aims to be straightforward and respectful in sessions. She works with each person to create steps they can try between meetings.
Her background spans a range of concerns beyond the core list, including adoption and foster care, caregiver stress, chronic illness, body image, and communication problems. People who want clear tools and steady support while navigating new household roles may find this practical approach helpful.
How her approaches translate to online sessions
Nicole commonly uses Acceptance and Commitment Therapy and cognitive behavioral techniques. ACT focuses on clarifying what matters to you and taking small, value-driven actions even when thoughts or feelings are difficult. CBT focuses on identifying patterns of thinking and testing them with real-world experiments to reduce anxiety and stress.She also draws on attachment-based ideas to help people understand repeating relationship patterns and loyalty conflicts that often come up in blended households. That approach looks at how past bonds shape current reactions and helps plan different ways of relating to others.
Finding the right mix of methods is part of the work. Nicole will talk with each person about goals and preferences and choose tools together. Sessions aim to be collaborative, with clear skills to practice between meetings so progress can be tracked.
The exact online session formats are not listed here, so please confirm current options before booking. Online work can make it easier to fit therapy into daily life - for example, shorter check-ins on busy days, sessions that avoid travel time, or options that do not require being on camera. Many people find that these practical arrangements help them keep therapy consistent while juggling household demands.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What kinds of problems does she help with?
Nicole works with stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes, among other concerns.
What is her therapeutic style?
She uses practical methods like cognitive behavioral techniques, acceptance and commitment ideas, attachment-informed work, dialectical behavior skills, and client-centered conversation.
How long has she been practicing?
She has 25 years of professional work experience as a counselor.
What credentials does she hold and where is she based?
She is a Pennsylvania LPC and practices from Pennsylvania.
Are sessions offered in other languages or internationally?
Sessions are offered in English and she is not accepting international clients.
What session formats are available?
Current session formats are not specified here; please confirm the available online session options before booking.
How does pricing work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin scheduling a session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.