About Nicole
Nicole Pfaff is a licensed professional counselor (LPC) in Pennsylvania with 14 years of clinical experience. She focuses on practical help for stress, anxiety, low self-esteem, depression, and big life changes. Nicole listens to what matters most to each person and helps them find steps forward.
She uses straightforward methods to build confidence and coping skills. That may include work on motivation, managing panic attacks, or addressing seasonal mood shifts.
How Nicole works
Nicole also supports people dealing with grief, caregiver strain, compassion fatigue, isolation, and the fallout from divorce or separation. Narrative Therapy is one way she helps people reframe their story and notice strengths they may have missed. Cognitive Behavioral Therapy (CBT) is used to spot unhelpful thinking patterns and practice different responses.
Eye Movement Desensitization and Reprocessing (EMDR) can be part of work when past events keep causing distress. Sessions focus on clear goals and small, manageable changes. Nicole aims to make therapy feel practical rather than overwhelming.
She helps people try new approaches, track progress, and adjust plans as needed. Her style blends acceptance-based ideas with solution-focused tasks. Motivational Interviewing may be used when someone needs help deciding on next steps.
Nicole emphasizes collaboration and respects each person's pace and priorities.
Nicole lists 6 ways of working on the entry:
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.
Also listed
Training and background
| Register | LPC |
|---|---|
| Years in practice | 14 |
| 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
Therapeutic approaches you can try online
Acceptance and Commitment Therapy (ACT) focuses on helping people clarify what matters to them and take small steps toward those values, even when uncomfortable thoughts or feelings appear. Cognitive Behavioral Therapy (CBT) helps identify patterns of thinking that feed anxiety or low mood and practices practical ways to change those patterns. Eye Movement Desensitization and Reprocessing (EMDR) is a method used to reduce the ongoing impact of upsetting memories by processing them in a safe, paced way.Finding the right approach is part of the work. Nicole will collaborate with each person to decide which methods match their goals, preferences, and symptoms. She explains options, tries techniques together, and adjusts the plan based on what is helpful.
Online therapy here is offered through multiple formats: video calls, phone sessions, live chat, or text-based messaging. Video sessions let people use face-to-face conversation from home with visual cues. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging allow shorter check-ins, brief coaching, or ongoing support between meetings. These options make therapy more flexible and help fit work, caregiving, or other responsibilities into a busy life.
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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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