Nicole Mancuso-Todd, LPC

Nicole Mancuso-Todd is a Licensed Professional Counselor (LPC) in Pennsylvania with 25 years of experience. She helps people who are stressed, anxious, or coping with big life changes. She also supports those dealing with trauma, anger, low self-esteem, and motivation struggles.

Her approach starts with listening. She treats people with respect, sensitivity, and compassion. Conversations are tailored to each person's needs and goals rather than following a fixed script.

Nicole uses methods from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and Client-Centered Therapy. She blends these approaches to fit what each person finds most useful in real life. Practical skills and clearer thinking are often part of the work.

She has also worked with concerns such as abandonment, adoption and foster care issues, caregiver stress, chronic illness and pain, and aging and geriatric issues. That range means she brings broad experience to personal and practical problems.

Sessions focus on simple, achievable steps. Nicole helps clients notice patterns, practice new responses, and build habits that match their values. She supports people through the early steps and the longer changes that follow.

To begin, she asks questions about what matters most to the client and what they hope to change. From there she and the client create a plan that fits the person’s life and pace.

How therapy approaches guide online work

Acceptance and Commitment Therapy, or ACT, focuses on clarifying what matters to a person and taking small steps toward those values while learning to live with difficult thoughts and feelings. It can help with anxiety, stress, and making meaningful life changes.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts affect feelings and actions and teaches practical tools to change unhelpful patterns. It is often used for anxiety, low mood, and coping skills.

Dialectical Behavior Therapy, or DBT, emphasizes emotion regulation, distress tolerance, and clearer communication. Its skills can help with strong emotions and improving day-to-day coping.

Finding the right approach is a shared process. The therapist will listen to what you want and try different strategies together until something fits. Goals, personal style, and practical needs guide which methods are emphasized.

If you are considering online sessions, confirm the current session options before booking. The therapist will explain how to schedule and what format is available. Online work can make it easier to fit sessions around work, caregiving, or medical needs and can shorten travel time. It also allows quick check-ins when life gets busy and supports steady practice of skills between appointments.