Nicole Mancuso-Todd offers calm, steady support for people feeling overwhelmed by stress, anxiety, trauma, anger, or big life changes.
01About Nicole
Nicole Mancuso-Todd offers calm, steady support for people feeling overwhelmed by stress, anxiety, trauma, anger, or big life changes. She is a Licensed Professional Counselor - LPC practicing in Pennsylvania with 25 years of professional experience. Nicole aims to make the first step less intimidating and to help people find practical ways forward.
Nicole listens without judgment and adjusts conversations to each person’s needs. Sessions focus on building coping skills, improving self-esteem, and managing strong emotions like anger or anxiety.
Background and approach
She works with specific concerns such as trauma and abuse, and helps people regain motivation and confidence. Her approach draws from several evidence-informed methods. She uses straightforward techniques from cognitive behavioral therapy to change unhelpful thinking and behavior.
She also incorporates client-centered ideas that put the person’s experience at the center of the work. Nicole uses acceptance and commitment strategies to help people notice painful thoughts and commit to meaningful actions. Dialectical behavior therapy offers practical skills for emotional regulation and distress tolerance when feelings feel overwhelming.
Over a long career she has also supported people facing issues like abandonment, attachment difficulties, adoption and foster care questions, chronic illness, caregiving stress, body image concerns, communication problems, and aging-related matters. Her work is practical and collaborative, aimed at helping people make steady, manageable changes.
02Credentials
- LPC (Pennsylvania)
- License PC018103 · expires February 2027
- NPI
- 1245865898 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Nicole lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Anger management
- Self esteem
- Coping with life changes
- 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 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
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Methods Nicole names
- 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
These are the methods Nicole names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
How her methods translate to online therapy
Nicole draws on cognitive behavioral therapy to help people identify unhelpful thoughts and try new behaviors. CBT offers clear, step-by-step tools for anxiety, stress, and many kinds of low mood. Acceptance and Commitment Therapy teaches noticing difficult thoughts and feelings so people can act on what matters to them despite discomfort. ACT is useful for stress, trauma recovery, and navigating life changes.Finding the right mix of approaches is a collaborative process. The therapist will work with each person to choose techniques that match their goals, needs, and preferences. Sessions can adapt over time as progress and priorities change, and the client’s input guides which tools are used most.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging. Video calls work well for face-to-face conversation and skill practice. Phone sessions can be easier when less bandwidth is available or a shorter check-in is needed. Live chat and text-based messaging let people communicate in writing between scheduled conversations. These options make it easier to fit therapy into busy lives and to keep steady momentum between sessions.
05Questions people ask
What kinds of problems does Nicole help with?
She helps people manage stress, anxiety, trauma and abuse, anger, low self-esteem, and coping with life changes. Additional areas include attachment issues, caregiving stress, chronic illness, and body image concerns.
What is her style of therapy like?
Her style is respectful and practical. Conversations are tailored to each person and emphasize coping skills, emotional regulation, and clearer thinking.
How long has she been practicing?
Nicole has 25 years of professional work experience supporting people with a wide range of concerns.
What license and location does she hold?
She is a Licensed Professional Counselor - LPC practicing in Pennsylvania.
Can I work with her if I live outside the United States?
She does not accept international clients. Sessions are offered in English for people located within the supported region.
Which session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different needs and schedules.
How much does therapy cost?
Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and then schedule according to the therapist's availability.
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