- CBT methods
- ACT principles
- DBT skills
About Nicole
Nicole Mancuso-Todd is a licensed professional counselor (LPC) in Pennsylvania with 25 years of clinical experience. She works with adults who are dealing with stress, anxiety, trauma and abuse, anger, low self-esteem, and big life changes. Nicole focuses on practical help that addresses day-to-day struggles and stressful transitions.
She uses a mix of approaches to fit what each person needs. Common tools in her work include cognitive behavioral ideas that look at thoughts and behaviors, acceptance and commitment concepts that focus on values and action, and skills from dialectical behavior therapy for emotional regulation. Attachment-based ideas also shape how she talks about relationships and patterns that repeat over time.
Sessions tend to be conversational and goal-oriented. Nicole listens to what feels most pressing and helps people try small changes that can reduce overwhelm. She also supports people working through issues tied to adoption and foster care, abandonment, body image, caregiver stress, chronic illness, and communication or relationship patterns.
Her background spans many care settings over a long career, bringing experience with diverse challenges rather than a single specialty. She offers services in English and does not work with international clients. Costs vary by location and use a subscription model that can be canceled at any time.
To begin, people complete a short matching questionnaire and schedule a first session. That intake helps identify immediate concerns and practical next steps for therapy.
How her approaches translate to online work
Nicole commonly uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) in her sessions. ACT focuses on clarifying personal values and taking small, values-driven actions even when feelings are difficult. CBT looks at the links between thoughts, feelings, and behaviors and teaches practical strategies to shift unhelpful patterns.She also draws on Attachment-Based Therapy ideas to understand patterns in relationships and how early experiences affect current reactions. That perspective helps with issues like trust, communication, and recurring conflict patterns that show up in adult life.
Finding the right method is part of the work. Nicole treats choosing an approach as a collaborative process and will help clients test what fits best for their goals and preferences. Goals, comfort with different techniques, and everyday demands all shape which tools are used.
The original biography did not list specific session formats. Confirm current online options before booking so you know how sessions will be arranged. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, allow shorter check-ins when needed, and allow sessions without being on camera if that helps. Licensed professionals can adapt ACT, CBT, and attachment-based work to remote sessions while focusing on practical skills and problem solving.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes. Additional focuses include attachment issues, adoption and foster care, chronic illness, and communication problems.
What is her therapeutic style?
Her approach is conversational and practical, using CBT, ACT, DBT skills, and attachment-based ideas to address thoughts, emotions, and behavior. Sessions focus on actionable steps and skill practice.
How much experience does she have?
She has 25 years of professional work experience in counseling and related clinical settings. That experience informs how she responds to common adult concerns.
What are her credentials and location?
She is an LPC licensed in Pennsylvania. Her practice and services are based in Pennsylvania.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English. She does not accept international clients.
What session formats are available?
Session formats were not specified in the biography. Confirm current session options before booking so you know how sessions will be held.
How much do sessions cost?
Cost varies with location and the practice uses a subscription that can be canceled at any time. Check the service details for exact pricing in your area.
How do I get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That process begins the intake and planning for therapy.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.