About Nicole
Nicole Mancuso-Todd is a Licensed Professional Counselor (LPC) in Pennsylvania with 25 years of clinical experience. She helps people facing stress, anxiety, trauma and abuse, anger, low self-esteem, and the strain of life changes. Nicole aims to offer respectful, sensitive care and a steady presence during difficult moments.
Her work blends body-focused and talking approaches to help people notice how emotions show up in the body and in thought patterns.
Background and approach
She uses Somatic methods alongside Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people manage uncomfortable feelings and take actions that match their values. Nicole also draws on attachment-based and client-centered ideas to shape the therapeutic relationship. Those approaches guide how she listens, reflects, and supports people as they clarify needs and boundaries.
Sessions are intended to be practical and grounded, with clear steps to practice between meetings. She has supported people around specific concerns such as abandonment, adoption and foster care issues, caregiver stress, chronic illness and pain, body image, communication problems, and commitment issues. Nicole adjusts her approach to each person's situation and goals rather than using a one-size-fits-all plan.
Therapy with Nicole involves collaboration on goals and a plan that fits daily life. She offers work by phone, video, live chat, and text-based messaging so people can choose the format that fits them best.
How Nicole’s approaches translate to online therapy
Somatic work helps people notice physical sensations tied to emotion and learn gentle ways to respond to the body. This can help with anxiety, trauma-related tension, and stress by bringing attention to breathing, posture, and movement alongside talk work.Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed action even when difficult thoughts or feelings are present. It supports people who want concrete steps to live more in line with what matters to them.
Attachment-based ideas guide how the therapist listens and responds, creating a steady, reliable therapeutic relationship that supports work on trust, boundaries, and connection patterns.
Finding the right mix of methods is part of therapy. The therapist will work with each person to decide which approaches fit their needs, goals, and preferences. That collaborative process helps shape a plan that feels doable and meaningful.
Online formats - video calls, phone sessions, live chat, and text messaging - make it easier to fit therapy into a busy life. They allow people to meet from home, keep consistent appointments, and use short check-ins or messages between sessions. These options aim to increase flexibility and make ongoing work more practical for everyday life.
Frequently asked questions
What concerns does Nicole commonly address?
What is her therapeutic style like?
How much clinical experience does she have?
What credentials and location are listed?
Which languages are sessions offered in?
Can people outside the United States work with her?
What session formats are available?
How are fees and scheduling handled?
Specialties and expertise
Top specialties
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also works with
- 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 life changes
- 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
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- 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
- Experience
- 25 years
- Licensed
- Pennsylvania
- Languages
- English