- Thoughts and habits
- Practical coping skills
- Compassionate presence
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, anxiety, trauma, anger, or low self-esteem. Nicole focuses on practical steps people can use right away to feel steadier and more confident.
She uses a mix of approaches shaped by what each person needs. Sessions are conversational and goal-focused. Nicole adapts the pace and topics so the work fits the client rather than forcing a set method.
Her background includes long experience helping people cope with major life changes and difficult past events. That work includes issues tied to abandonment, attachment concerns, adoption and foster care, and caregiving stress. She also has experience supporting people facing chronic illness, body image worries, and relationship communication problems.
Nicole emphasizes respect, sensitivity, and compassion in sessions. She helps clients notice unhelpful thoughts and habits and then experiment with new ways of responding. The focus is on building skills that make everyday life easier and more manageable.
Therapy begins with a short conversation about priorities and goals. From there she and the client map a plan that fits schedules and needs. People who want straightforward guidance and steady support often find this approach practical and approachable.
She uses a mix of approaches shaped by what each person needs. Sessions are conversational and goal-focused. Nicole adapts the pace and topics so the work fits the client rather than forcing a set method.
Her background includes long experience helping people cope with major life changes and difficult past events. That work includes issues tied to abandonment, attachment concerns, adoption and foster care, and caregiving stress. She also has experience supporting people facing chronic illness, body image worries, and relationship communication problems.
Nicole emphasizes respect, sensitivity, and compassion in sessions. She helps clients notice unhelpful thoughts and habits and then experiment with new ways of responding. The focus is on building skills that make everyday life easier and more manageable.
Therapy begins with a short conversation about priorities and goals. From there she and the client map a plan that fits schedules and needs. People who want straightforward guidance and steady support often find this approach practical and approachable.
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 Nicole’s approaches translate to online work
Nicole commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in ways that are straightforward to explain. ACT helps people notice their values and take small steps toward them, even when uncomfortable feelings are present. CBT focuses on identifying unhelpful thoughts and testing practical changes in behavior to reduce anxiety and improve mood.Nicole also draws on Client-Centered Therapy, which centers on listening and responding to each person without judgment. Together these approaches help with stress, anger, self-esteem, and adjusting to life changes by combining skill practice with supportive conversation.
Finding the best approach is collaborative. She will talk with each person about goals, preferences, and what feels manageable. Together they decide which techniques to try first and adjust the plan as progress is made.
Confirm the specific session options before booking, as formats are not listed here. Online sessions can make it easier to fit therapy into a busy day, shorten travel time, and allow quick check-ins when needed. They can also let someone choose a quieter setup or avoid being on camera for parts of a session, depending on what helps them engage.
Frequently asked questions
What concerns does Nicole commonly address?
Nicole works with people dealing with stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes. She also focuses on related issues like abandonment, attachment concerns, caregiver stress, and chronic illness.
What is her general therapeutic style?
She keeps sessions conversational and goal-oriented, tailoring dialogue and plans to each person. The work tends to emphasize practical skills for everyday life and clearer thinking habits.
How much experience does she have?
She has 25 years of professional experience working with a range of concerns from mood and anxiety to trauma and life transitions.
What are her credentials and where is she based?
She is a Licensed Professional Counselor, listed as LPC, practicing in Pennsylvania.
Can I work with her in a language other than English?
Sessions are offered in English.
Does she accept clients from other countries?
She does not accept international clients at this time.
How are fees and payment 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.