Nicole Mancuso-Todd, LPC | Therapist in Pennsylvania

Client-centered care
Practical coping skills
Values-based goals

About Nicole

Nicole Mancuso-Todd is a licensed professional counselor in Pennsylvania with 25 years of experience. She helps people who are dealing with stress, anxiety, trauma and abuse, anger, low self-esteem, and big life changes. Nicole aims to make the first step easier by offering steady support and practical guidance.

Her approach is flexible and based on the needs of each person. She listens carefully and tailors conversations and plans to what matters most to the client. That can mean practicing new ways to manage strong emotions or learning skills to stay grounded during stressful moments.

Nicole uses a mix of approaches depending on the situation. She draws from cognitive behavioral techniques to identify unhelpful thinking patterns and from acceptance and commitment ideas to help clients clarify values and take manageable action. Attachment-informed perspective guides work on relationship patterns and self-worth.

Over her career she has helped people facing challenges such as abandonment, adoption and foster care concerns, caregiving stress, chronic illness and pain, body image struggles, and codependency. She treats each issue with sensitivity and respect and adapts strategies to fit real life situations.

Sessions focus on clear, doable steps. Nicole supports clients as they practice new coping skills, build confidence, and handle changes. Her work aims to help people move toward more fulfilling and less stressful days.

How Nicole’s approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without being driven by them. It focuses on clarifying values and taking small actions that match those values, which can help with anxiety, stress, and motivation. Cognitive Behavioral Therapy (CBT) looks at how thoughts influence feelings and behavior and teaches concrete skills to change unhelpful patterns, useful for anxiety, anger, and low self-esteem. Attachment-Based Therapy examines patterns in relationships and early bonds to help people understand why they react certain ways and to build healthier ways of relating.

Choosing the right approach is part of the work. Nicole will collaborate with each person to decide which methods fit their goals and preferences. That might mean trying a skills-based strategy for a while, then shifting to values-focused work as needs change.

If you are considering online therapy, please confirm current session options before booking. Online work can make it easier to fit sessions into a busy day, reduce travel time, or allow shorter check-ins when schedules are tight. It also lets people continue care while managing ongoing responsibilities like caregiving or medical appointments. Licensed professionals can use these approaches effectively over distance when the plan is clear and mutually agreed upon.

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-morbidityCodependency Commitment issues Communication problems Control issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separation Domestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHospice and end-of-life counselingImpulsivityInfidelity Isolation / loneliness JealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic 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

Credentials

Pennsylvania

Languages

English

Frequently asked questions

What kinds of concerns does Nicole address?

She helps people with stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes. Other focus areas include codependency, attachment issues, caregiver stress, chronic illness, and body image.

How would you describe the therapeutic style?

The style is collaborative and adaptable. Conversations are tailored to the person, with practical tools and skills introduced as needed.

What is her professional background?

Nicole has 25 years of professional experience working in counseling roles. That experience informs a pragmatic approach to managing emotions and life transitions.

Where is this counselor licensed and based?

She is licensed as an LPC in Pennsylvania and practices with that credential in mind.

Which languages are sessions offered in?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted.

How is cost handled for sessions?

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 this counselor?

Start by selecting the Start Therapy button and completing a short matching questionnaire. Then schedule sessions according to therapist availability.

Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.