Nicole Pfaff

Evidence-based care with a strengths focus

LPC Pennsylvania

Experience: 14 years in practice
Focus areas: Stress, Anxiety, Self esteem, Depression
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Nicole

Nicole Pfaff is a licensed professional counselor (LPC) practicing in Pennsylvania who blends evidence-based strategies with a strengths-focused perspective.

Background and approach

She draws on 14 years of clinical experience to support people facing stress, anxiety, low self-esteem, depression, and major life transitions, and she brings particular attention to compassion fatigue and career-related concerns.

Her approach treats clients as the authors of their own stories, working from the belief that people already hold internal resources and capabilities that can be strengthened in therapy.

Nicole uses a range of methods, including cognitive behavioral techniques and other therapeutic frameworks, to help clients build confidence, manage panic and social anxiety, and navigate grief, separation, or caregiver stress. Nicole frames the therapeutic relationship as collaborative and empowering, inviting clients to define goals and experiment with new ways of coping.

She encourages those ready to pursue a more satisfying and resilient life to take the first step, offering steady support as clients develop practical skills and greater self-compassion.

Practical Approaches for Online Change and Growth

Nicole integrates cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) into online work to help clients change unhelpful thinking patterns and clarify values-driven goals. CBT involves identifying and testing thoughts and behaviors that contribute to anxiety, depression, or panic, while ACT emphasizes developing psychological flexibility and taking committed action in line with personal values. Both approaches are useful for stress, social anxiety, mood concerns, and life transitions.

Nicole also draws on EMDR when past distressing memories interfere with present functioning, using structured processing techniques to reduce the emotional charge of those memories. Throughout the process she emphasizes collaboration, helping clients experiment with methods and decide together which approaches fit best for their needs, goals, and preferences rather than prescribing a single path.

Online therapy with Nicole uses video calls, phone sessions, live chat, or text-based messaging to provide flexible access to care. These options make it easier to maintain continuity across busy schedules, manage caregiver or work demands, and regularly practice skills between sessions while working with a licensed professional who tailors approaches to each person's situation.

Frequently asked questions

What concerns does Nicole commonly address in sessions?

She works with people experiencing stress, anxiety, self-esteem challenges, depression, and coping with life changes, and also focuses on compassion fatigue, grief, career issues, and family-related concerns.

How would you describe her therapeutic style?

Nicole combines evidence-based tools and a strengths-oriented stance, using approaches such as CBT and narrative techniques to help clients explore patterns and develop practical coping skills.

What is her professional background and experience length?

She has 14 years of professional work experience in clinical practice supporting a range of emotional and life adjustment concerns.

What credentials and practice location does she hold?

Nicole is a licensed professional counselor with the licence PA LPC PC009626 and she practices in Pennsylvania.

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

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

What session formats are available for working with her?

She offers multiple online formats including video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences.

How are fees handled for therapy with Nicole?

Cost varies with location and therapist availability; sessions are delivered through a subscription model that can be canceled at any time.

What are the steps to begin working with her?

To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Self esteem Depression Coping with life changes Compassion fatigue

Also works with

Family conflictsGriefCareer difficulties

Additional focus areas

Caregiver issues and stressDivorce and separationIsolation / loneliness Panic disorder and panic attacksSeasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobia

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Eye Movement Desensitization and Reprocessing (EMDR)Motivational InterviewingNarrative TherapySolution-Focused Therapy

Experience

14+ years

Licensed

Pennsylvania

Languages

English