Nicole Mancuso-Todd

Supportive clinician for anxiety and life changes

LPC Pennsylvania

Experience: 25 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Anger
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Nicole

Nicole Mancuso-Todd is a Licensed Professional Counselor (LPC) based in Pennsylvania with 25 years of clinical experience supporting people through stress, anxiety, trauma and abuse, anger, self-esteem struggles, and major life transitions.

Background and approach

She emphasizes a respectful, sensitive, and compassionate stance while working with each person, shaping dialogue and care to match individual needs rather than offering one-size-fits-all solutions.

Her practice blends evidence-informed methods such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, and Dialectical Behavior Therapy (DBT), applied according to what fits a client's goals and values.

She has also worked with a wide range of related concerns including attachment issues, caregiver stress, chronic illness and pain, body image, and communication or commitment difficulties. Nicole frames the decision to begin therapy as a courageous step and positions herself as a supportive collaborator in that process.

Prospective clients can expect a treatment plan developed with attention to their history, preferences, and the practical steps needed to move toward greater wellbeing.

Therapeutic approaches and online options

Nicole integrates Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) into her online work. CBT focuses on identifying and changing unhelpful thinking and behavior patterns, which can help with anxiety, stress, and mood concerns. ACT emphasizes values-based action and acceptance of difficult internal experiences to support meaningful change and coping with life transitions.

Finding the right approach is often a collaborative process; Nicole will work with clients to explore which methods align with their goals, preferences, and life circumstances, and then adapt interventions as the work unfolds. That means starting with the client’s priorities and adjusting therapeutic tools to match what proves most useful in practice.

Online therapy sessions are offered through video calls, phone sessions, live chat, and text-based messaging to provide flexibility for different schedules and communication styles. These formats make it possible to engage in skill-building, structured interventions, or supportive conversation from wherever a client is located in Pennsylvania, helping therapy fit into busy lives while maintaining continuity of care.

Frequently asked questions

What kinds of concerns does Nicole commonly address?

Her practice focuses on stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes, and she also works with related issues such as attachment difficulties, caregiver stress, chronic illness, and communication problems.

How would you describe her therapeutic style?

She uses a compassionate, respectful, and sensitive approach and tailors conversations and treatment plans to each person's unique needs, drawing from multiple evidence-informed methods.

What is her professional background?

Nicole brings 25 years of professional experience to her work with clients, applying that background to help people navigate emotional and practical challenges.

What credentials and location does she hold?

She is a Licensed Professional Counselor (LPC) in Pennsylvania with license number PA LPC PC018103 and practices from that state.

Does she provide services in other languages or to international clients?

Services are offered in English, and she is not currently accepting international clients.

What session formats are available with her?

She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and practical needs.

How are costs and scheduling handled?

Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.

What should someone do to begin working with her?

Interested individuals can select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability to begin the process.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuseAnger managementSelf esteem Coping with life changes

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSex addictionSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Gottman MethodJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

25+ years

Licensed

Pennsylvania

Languages

English