Nicole Guessford, LCSW
Pennsylvania · 23 years in practice
Nicole Guessford is a licensed clinical social worker with 23 years of experience.
License and registration
- LCSW, Pennsylvania
- CW015210 · expires February 2027
- LCSW, Virginia
- 0904014683 · expires June 2027
- NPI
- 1649881244 · national provider identifier
- Years in practice
- 23
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Nicole
Nicole Guessford is a licensed clinical social worker with 23 years of experience. She meets people where they are and helps them sort through stress, anxiety, grief, relationship strain, and parenting concerns. Her tone is direct but compassionate, and she often gives practical tasks to try between sessions.
She works by listening first and then tailoring a plan to each person’s needs. Sessions are structured and goal-focused, with an emphasis on self-care and self-compassion.
Background and approach
Nicole describes her style as both holistic and practical, and she uses homework to help progress outside of the therapy hour. Nineteen years of practice have included helping people process trauma and abuse, cope with life changes, and manage mood concerns such as depression and bipolar symptoms.
She also supports those dealing with attachment issues, body image, caregiver stress, chronic illness and pain, and communication problems within families. Her approach draws on Emotionally-Focused Therapy along with Acceptance and Commitment Therapy and cognitive-behavioral techniques. Nicole adapts these methods to match a person’s needs and preferences, focusing on what will make daily life feel more manageable.
Nicole is licensed in Pennsylvania and Virginia as an LCSW. She provides telehealth sessions only and works with insurance for payment. The first step is a short matching questionnaire and scheduling a session that fits the person’s availability.
Focus areas and approaches
Everything Nicole lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
- Parenting issues
- Depression
- Relationship issues
- Grief
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- ADHD
- Attachment issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Communication problems
- Divorce and separation
- Domestic violence
- Family problems
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Jealousy
- Midlife crisis
- Post-traumatic stress
- Self-love
- Sex addiction
- Somatization
- Women's issues
- Workplace issues
Approaches Nicole names
- Emotionally-Focused Therapy (EFT)
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How therapeutic approaches translate to online work
Emotionally-Focused Therapy helps people identify and shift difficult emotional patterns and the ways they respond to strong feelings. It is useful for people who want to understand and change how they react in close relationships and in stressful moments.Acceptance and Commitment Therapy, or ACT, focuses on clarifying values and taking small, meaningful actions even when tough thoughts and feelings are present. It can help when someone is struggling with anxiety, depression, or life changes and wants practical steps to move forward.
Attachment-Based ideas guide attention to how early bonds shape current patterns. That perspective can be useful for people working through trust, attachment, or communication concerns.
Choosing the right approach is a collaborative process. The therapist will listen to a person’s goals and try methods that match those goals. Together they review what helps and adjust the plan over time rather than sticking to a single method.
Online sessions are offered through video calls, and practical alternatives like phone sessions, live chat, or text-based messaging can also be used when appropriate for the work. Video is useful for deeper conversation and visual cues, phone can fit a shorter check-in or lower bandwidth, and messaging lets people share updates or reflections between meetings. These options make scheduling easier and let therapy fit into busy lives.
We will earn a commission if you sign up through our link, at no cost to you. It does not change what you pay or the order of the listings.
Questions people ask
What concerns does Nicole help with?
She helps with stress, anxiety, depression, grief, trauma and abuse, relationship strain, parenting issues, and related challenges such as sleep, eating, anger, and self-esteem.
What is her therapeutic style like?
Her style is structured and direct while remaining compassionate. Sessions often include practical tasks or homework to practice between meetings.
How much experience does she have?
Nicole has 23 years of professional experience working in mental health settings and with a wide range of concerns.
What credentials and location apply?
She is a licensed clinical social worker - LCSW - licensed in Pennsylvania and Virginia, and her practice is based in Pennsylvania.
Which languages are offered and are international clients accepted?
Sessions are offered in English, and she is not accepting international clients.
What session formats are available?
Therapy is provided via telehealth only, with video calls as the primary format; phone or messaging clinical support is not provided.
How are sessions paid for and what does cost look like?
Sessions are billed through insurance. Costs vary depending on insurance coverage and location, and services use the insurance payment process rather than a subscription.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule a telehealth appointment according to therapist availability.
More therapists in Pennsylvania
See all
James Joseph Beaulieu
LPC
A steady, practical counselor for emotional change
- Addictions
- Relationship
- Family
Deborah Kulp
LPC
Practical, emotion-focused counseling for everyday strain
- Stress, Anxiety
- Addictions
- Relationship
Cara Kalakewich
LMFT
Compassionate, practical therapy for everyday life
- Relationship
- Family
- Trauma and abuse
Is this your profile?
Ask us to correct details or take the page down.
Contact us