Part 1 of 4
- Stress and anxiety
- Trauma and abuse
- Self esteem
About Nicole
Nicole Mancuso-Todd is a licensed professional counselor (LPC) in Pennsylvania with 25 years of experience. She helps people who are feeling overwhelmed by stress, anxiety, trauma, anger, low self-esteem, or major life changes. Her tone is respectful and compassionate, and she focuses on practical steps that make daily life easier.
She adapts conversations and care to each person’s needs. Sessions are shaped around what feels most useful to the individual, whether that means building coping skills, working on motivation and confidence, or managing strong emotions. Nicole emphasizes collaboration and clear goals.
Her background includes long-term clinical work across a range of concerns. That experience informs how she supports people facing abandonment, attachment issues, caregiving strain, chronic illness, and other layered challenges. She draws on methods that aim to change unhelpful patterns and increase emotional awareness.
Nicole uses several therapeutic approaches depending on the person’s goals. These include cognitive and behavioral tools to reframe thoughts, acceptance strategies to tolerate difficult feelings, and client-centered listening to clarify priorities. She will explain options and help choose what fits best.
Working with Nicole means focusing on small, achievable changes. She helps set realistic steps, checks progress, and adjusts the plan as needed. The aim is clearer coping, steadier mood, and more confidence facing everyday demands.
She adapts conversations and care to each person’s needs. Sessions are shaped around what feels most useful to the individual, whether that means building coping skills, working on motivation and confidence, or managing strong emotions. Nicole emphasizes collaboration and clear goals.
Her background includes long-term clinical work across a range of concerns. That experience informs how she supports people facing abandonment, attachment issues, caregiving strain, chronic illness, and other layered challenges. She draws on methods that aim to change unhelpful patterns and increase emotional awareness.
Nicole uses several therapeutic approaches depending on the person’s goals. These include cognitive and behavioral tools to reframe thoughts, acceptance strategies to tolerate difficult feelings, and client-centered listening to clarify priorities. She will explain options and help choose what fits best.
Working with Nicole means focusing on small, achievable changes. She helps set realistic steps, checks progress, and adjusts the plan as needed. The aim is clearer coping, steadier mood, and more confidence facing everyday demands.
Part 2 of 4
How her approaches translate to online care
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and choosing actions that match personal values. It helps when worry or painful memories get in the way of living the life someone wants. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behavior and teaches practical steps to change unhelpful patterns. It is often used for anxiety, stress, and low mood. Attachment-Based Therapy centers on understanding how past relationships shape current reactions and helps people form more secure ways of relating.Finding the right approach is part of the work. Nicole will talk with each person about goals and preferences, then try methods that fit those needs. This is a collaborative process with regular check-ins to see what works and what should change.
If you are considering online therapy, confirm the available session options before booking. Online work can make it easier to fit therapy into a busy schedule, shorten travel time, and allow for more flexible appointment times. It can also make some check-ins simpler when people prefer not to use video. Ask about session formats and scheduling when you complete the matching questionnaire so you know what to expect.
Part 3 of 4
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
Part 4 of 4
Frequently asked questions
What concerns does she address?
Nicole works with stress, anxiety, trauma and abuse, anger, self-esteem issues, and coping with life changes. She also helps with related areas like attachment issues, caregiver stress, chronic illness, and body image.
What is her therapy style like?
Her style is collaborative and practical. She listens in a client-centered way and mixes techniques to build coping skills and emotional awareness.
How much clinical experience does she have?
She has 25 years of professional work experience in counseling and clinical settings, which informs how she tailors plans for individuals.
Where is she licensed and practicing?
Nicole is a licensed professional counselor (LPC) in Pennsylvania and provides services tied to that region.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the U.S. work with her?
She is not currently accepting international clients.
How are fees handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.