Profile / United States
Nicole Guessford, LCSW
Pennsylvania
LCSW - stress and anxiety support
See online therapy options- CBT and ACT methods
- Structured homework
- Telehealth sessions only
About Nicole
Nicole Guessford is a Licensed Clinical Social Worker (LCSW) licensed in Pennsylvania and Virginia with 23 years of experience. She works with people facing stress, anxiety, family conflict, trauma and abuse, parenting concerns, and depression. Nicole also addresses relationship and intimacy-related issues, grief, eating and sleeping problems, anger, self-esteem, and ADHD-related challenges.
Nicole uses a structured, direct style in sessions. She often gives homework between meetings to practice skills and notice patterns. Her approach blends Cognitive Behavioral Therapy (CBT) with Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Dialectical Behavior Therapy (DBT), and client-centered techniques. Sessions focus on noticing unhelpful thoughts and habits, then testing different ways of responding.
Nicole describes herself as respectful and sensitive in appointments. She frames care around practical steps people can try between sessions. She also addresses caregiver stress, chronic pain or illness issues, body image, communication problems, and the aftermath of separation or domestic violence.
Her work includes support for midlife changes, career shifts, post-traumatic stress, and compassion fatigue. She helps people sort through guilt, shame, jealousy, and isolation while building clearer patterns of behavior. Nicole encourages self-care and self-compassion alongside skill practice.
Telehealth is the format she provides because of insurance rules. Prospective clients should confirm session options and billing details before booking. To begin, users follow the site’s selection flow and schedule an initial telehealth appointment.
How Nicole uses structured approaches in telehealth
Nicole draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in telehealth sessions. CBT focuses on identifying unhelpful thoughts and testing new behaviors to reduce distress. It is often used for anxiety, mood challenges, sleep problems, and anger. ACT helps people notice painful thoughts and still take steps toward what matters, which can be useful for grief, chronic illness, and motivation issues.She also uses Attachment-Based ideas to look at how early relationship patterns affect current conflicts and intimacy struggles. These methods are introduced in plain terms and practiced through exercises. Deciding which approach to use is a collaborative process. She works with each person to match methods to their goals, needs, and preferences rather than assuming one way fits everyone.
Nicole provides telehealth sessions only under her current insurance arrangement, so confirm the exact session options before booking. Online sessions can fit into busy schedules, reduce travel, and make it easier to keep regular weekly or bi-weekly appointments. They also let people complete homework between sessions and bring real-life situations into conversation for practical problem solving.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
23+ years
Listed in
Pennsylvania, Virginia
Languages
English
Frequently asked questions
What concerns does she focus on most?
She commonly helps with stress, anxiety, family conflict, trauma and abuse, parenting issues, and depression, along with relationship and intimacy difficulties.
How would she describe her therapeutic style?
Her style is structured and direct. She gives practical exercises and homework to try between sessions.
How much clinical experience does she have?
She has 23 years of professional work experience as an LCSW working in clinical settings.
What credentials and location apply?
She is a Licensed Clinical Social Worker (LCSW) licensed in Pennsylvania and Virginia and is based in Pennsylvania.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She is not accepting international clients at this time.
What formats are used for sessions?
She provides telehealth sessions only due to insurance regulations; confirm current session options before booking.
How are costs and billing handled?
Cost varies with location and sessions use a subscription that can be canceled at any time; check insurance and billing details when scheduling.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.