- Emotionally-Focused Therapy
- Acceptance and Commitment Therapy
- Structured homework
About Nicole
Nicole Guessford is a Licensed Clinical Social Worker (LCSW) practicing in Pennsylvania and Virginia with 23 years of experience. She works with people facing stress, anxiety, depression, trauma and abuse, parenting concerns, relationship strains, grief, and related struggles. Sessions are offered in English and emphasize direct, structured conversation and practical steps.
Nicole uses Emotionally-Focused Therapy among other approaches to help people name and respond to difficult feelings. She also draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and attachment-focused ideas. That mix lets her address emotions, thoughts, and behavior in concrete ways.
Her style is straightforward and task-oriented. Clients can expect short exercises and regular “homework” between sessions to practice new skills. The work often involves identifying patterns, trying small changes, and noticing what shifts as a result.
Nicole has experience with a wide range of concerns beyond mood and anxiety. She supports people struggling with body image, caregiver stress, chronic illness or pain, communication problems, grief, post-traumatic stress, and life transitions. She also works with issues such as eating and sleeping difficulties, anger, self-esteem, and career stress.
Therapy through Nicole currently follows insurance rules. She provides telehealth sessions only and does not offer phone or messaging clinical support. If you want to begin, follow the site steps to complete the matching questionnaire and schedule an initial session.
How her therapeutic approaches translate to online sessions
Nicole uses Emotionally-Focused Therapy (EFT) to help people identify and respond to strong emotions that affect relationships and personal patterns. EFT focuses on feeling recognition and how emotions shape the ways people connect and react to one another.She also uses Acceptance and Commitment Therapy (ACT), which helps people notice difficult thoughts and feelings while choosing actions that reflect their values. Attachment-Based Therapy appears in her work too, which looks at relationship patterns that began early and still affect how people relate today.
Choosing the right approach is a team effort. Nicole will discuss goals, try methods in session, and adjust the plan based on what feels useful. That means clients and therapist decide together which strategies to keep or change over time.
Her practice currently offers telehealth sessions only due to insurance rules. Confirm the exact session options before booking. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins if needed, and remove travel time. They also let people use video or other supported formats depending on the practice setup and personal preference.
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 work with?
She works with stress, anxiety, depression, trauma and abuse, parenting issues, grief, relationship strain, and related problems such as body image and caregiver stress.
How would you describe her therapeutic style?
Her approach is structured and direct. She combines Emotionally-Focused Therapy with practical exercises and regular homework between sessions.
How much experience does she have?
She has 23 years of professional experience working with people across a range of emotional and life concerns.
What are her credentials and location?
She is a Licensed Clinical Social Worker (LCSW) licensed in Virginia and Pennsylvania and practices from Pennsylvania.
What languages does she offer sessions in?
Sessions are offered in English.
Does she offer different session formats?
Her practice currently provides telehealth sessions only. Confirm the current session options before booking.
How does cost and payment work?
Cost varies with location and sessions operate through a subscription model that can be canceled at any time; she works with clients using insurance.
How do I begin working with her?
Use the site button to view online therapy options, complete the short matching questionnaire, and schedule your first session.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.