About Nicole
Nicole Mancuso-Todd is a licensed professional counselor in Pennsylvania with 25 years of experience. She helps people facing stress, anxiety, trauma and abuse, anger, low self-esteem, and big life changes. Her approach is calm and direct, aimed at making day-to-day life feel more manageable.
She focuses on practical conversation and clear goals. Sessions are tailored to what each person needs, whether that means learning new coping skills or working through painful memories.
Background and approach
Nicole emphasizes respect, sensitivity, and compassion in every interaction. Her work draws on several evidence-informed methods, chosen to match a person's situation and preferences. That can mean examining thoughts and behaviors, exploring attachment patterns, or practicing acceptance and values-based choices.
The plan is collaborative and adjusted as progress is made. Nicole also addresses related concerns like abandonment, attachment issues, care‑giving stress, chronic illness, body image, and communication problems. She supports people dealing with adoption and foster care backgrounds, aging issues, and other complex challenges.
Conversations include both immediate coping strategies and longer-term ways to build resilience. People who choose her can expect straightforward guidance and steady support. She will work with clients to find small, practical steps that fit daily life.
The goal is clearer direction, better coping, and a steadier sense of confidence.
How her approaches fit in online sessions
Nicole uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) in ways that translate well to online work. ACT focuses on clarifying values and learning small actions that match those values while accepting difficult thoughts and feelings; it can help with stress, anxiety, and life transitions. CBT looks at the links between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns, useful for anxiety, anger, and low self-esteem.Finding the right approach is part of the work together. The therapist will talk with each person about goals, problems, and preferences, then try methods that seem most useful. That process is collaborative and can shift over time as needs change.
Online formats include video calls, phone sessions, live chat, and text-based messaging, giving practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging support quick check-ins, skill practice between sessions, and people who prefer typed communication. These options make it easier to fit therapy into a busy life while keeping a steady therapeutic process.
Questions people ask
What kinds of concerns does Nicole address?
How would you describe her therapeutic style?
How much experience does she have in clinical work?
What are her credentials and where is she based?
Which languages are supported for sessions?
Can people outside the U.S. work with her?
What session formats are available?
How are costs and getting started handled?
What this counselor works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Gottman Method
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 25 years
- Licensed
- Pennsylvania
- Languages
- English