About Nicole
Nicole Mancuso-Todd helps people who feel overwhelmed by stress, anxiety, trauma, anger, or big life changes. She is straightforward and calm, and she meets people where they are. Nicole is a Licensed Professional Counselor (LPC) with 25 years of experience in Pennsylvania.
She focuses on building a working plan that fits each person's situation. Sessions are shaped around the concerns most pressing to the client, whether that is managing anger, improving self-esteem, or coping after a loss.
How Nicole works
Nicole uses simple tools and plain talk to keep progress practical and easy to use between visits. Her background includes long-term work with trauma, abuse, and life transitions. She also supports people dealing with adoption and foster care issues, attachment concerns, chronic illness, caregiving stress, and body image challenges.
Over the years she has developed a flexible way of adjusting methods to what helps each person most. Nicole values respect, sensitivity, and compassion in every session. She collaborates with clients to shape goals and plans that feel manageable.
Conversations are tailored so people leave with clear next steps and ways to practice new skills in daily life. People who choose her often want direct guidance and a therapist who adapts to real-world needs. With a steady, experienced presence, Nicole helps people take the next step toward more control and clearer choices.
Nicole lists 17 ways of working on the entry:
- 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
What Nicole works with
The areas below are the ones Nicole selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LPC |
|---|---|
| Years in practice | 25 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Pennsylvania |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Practical therapy approaches for online care
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them. It focuses on clarifying personal values and taking small action steps that fit those values, which can help with anxiety, stress, and coping with change. Cognitive Behavioral Therapy (CBT) looks at the connections between thoughts, feelings, and actions and teaches concrete skills to shift unhelpful patterns. It is useful for anxiety, anger, and improving self-esteem.Finding the right approach is part of the process. Nicole will work with each person to decide which methods make the most sense based on goals and preferences. The plan can change over time as needs and progress evolve, and choices are made together in session.
Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video sessions allow face-to-face conversation when screen time is convenient. Phone sessions can be shorter check-ins or fit a break at work when bandwidth or camera use is limited. Live chat and text messaging make it easier to send quick updates, practice skills between visits, or check in without scheduling a full session.
Start online instead of waiting
Our partner service asks a few questions about what you are looking for and matches you with a therapist for sessions from home.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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