About Nicole
Nicole Pfaff uses practical, evidence-informed approaches to help people manage stress and anxiety. She is a licensed professional counselor in Pennsylvania with 14 years of experience. Nicole focuses on helping people rebuild confidence, cope with depression, and navigate major life changes.
She also supports those facing compassion fatigue and caregiver stress. Nicole works in straightforward terms and treats each person as the expert on their own life. Sessions focus on clear goals and small, doable steps.
Background and approach
She helps clients notice unhelpful thoughts, try new behaviors, and strengthen what already works for them. Her work includes tools from acceptance and commitment approaches and cognitive behavior strategies to reduce worry and improve daily functioning. Nicole can also use narrative techniques to reframe painful experiences and EMDR-informed methods when appropriate for processing intense memories.
People come to her for help with panic attacks, social anxiety, seasonal mood shifts, and the loneliness that follows major transitions. She addresses concerns around divorce, grief, career strain, and building self-love in concrete ways. Therapy sessions aim to restore energy and increase practical coping skills.
Nicole emphasizes collaboration. Together she and the client set priorities, track progress, and adjust the plan as needed. The style is calm, direct, and focused on real-life changes that fit each person’s daily routine.
Approaches for Online Care and Everyday Change
Acceptance and Commitment Therapy helps people notice painful thoughts and feelings without getting stuck in them, then take actions that match their values. It is useful for stress, anxiety, and decisions about life changes. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and testing new behaviors to reduce worry and improve mood; it often helps with panic attacks, social anxiety, and depression. Nicole may also draw on EMDR-informed methods to process intense memories when those issues are present and a client and therapist agree it makes sense.Finding the right approach is part of the work. Nicole will collaborate with each person to choose methods that match their goals and comfort level. She adjusts techniques over time and checks in about what feels helpful so the plan stays practical and doable.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video calls let therapists and clients work more directly through exercises and observe reactions. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and messaging allow for brief updates, homework check-ins, and flexible communication between sessions. These options aim to make therapy more usable around work, caregiving, and daily life.
Questions people ask
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What this counselor works with
Most often
Also listed
Therapeutic approaches
- Experience
- 14 years
- Licensed
- Pennsylvania
- Languages
- English