Nicole Guessford, LCSW
Therapist in Pennsylvania
Nicole Guessford is a licensed clinical social worker with 23 years of experience who helps people cope with stress, anxiety, depression, grief, trauma, and relationship struggles.
- Licensed inPennsylvania, Virginia
- LicenseCW015210, 0904014683
- NPI 1649881244
- Experience23+ years
- LanguagesEnglish
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Nicole
Nicole Guessford is a licensed clinical social worker with 23 years of experience who helps people cope with stress, anxiety, depression, grief, trauma, and relationship struggles. She works with parents facing parenting strain and individuals concerned about self-esteem, body image, or attachment issues. Her style is direct and structured, and she often suggests practical exercises to try between sessions.
Nicole tailors conversations and care to each person’s needs. She emphasizes self-care and self-compassion and gives targeted “homework” to practice skills outside sessions.
Background and approach
Her approach blends emotion-focused work with skills-based tools people can use right away. She draws on Attachment-Based Therapy to explore patterns in close relationships and on Acceptance and Commitment Therapy to help people clarify values and take meaningful action. Nicole also uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy techniques when needed to address thought patterns, mood, and emotional regulation.
Nicole is licensed in Pennsylvania and Virginia as an LCSW. Her practice experience includes work with trauma and abuse, family problems, caregiving stress, chronic illness and pain, and complex grief. She aims to be respectful and sensitive while staying goal-oriented and practical.
Sessions are offered by telehealth only, and Nicole supports people who want regular weekly or bi-weekly video or phone appointments. She encourages those ready to try therapy to take the next step and complete the intake process to find a good match.
Credentials
- LCSW (Pennsylvania)
- License CW015210 · expires February 2027
- LCSW (Virginia)
- License 0904014683 · expires June 2027
- NPI
- 1649881244 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the therapist lists and checks neither.
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
- Attachment-Based Therapy
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- 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 attachment work and skills-based therapy translate online
Attachment-Based Therapy looks at how early and current relationship patterns affect how people connect and feel close to others. Online sessions can help identify those patterns and practice new ways of relating in daily life. Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking action that matters, even when difficult thoughts or feelings arise; it is useful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy (CBT) helps people notice unhelpful thoughts and try new behaviors to change mood and functioning, and it often includes short exercises to try between sessions.Picking the right approach is a team effort. The therapist will work together with the person to choose methods that fit their goals, needs, and preferences. That may mean combining attachment-focused conversations with ACT or CBT skills, and adjusting the plan as progress is made.
Online therapy offers flexibility for people with busy schedules or mobility limits. Video calls allow face-to-face conversation and visual cues, phone sessions can work when bandwidth is low or a quieter check-in is needed, and live chat or text messaging can support brief check-ins or practice between appointments. These options make it easier to fit consistent work on goals into everyday life.
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Frequently asked
What concerns does she address?
She helps people facing stress, anxiety, depression, grief, trauma, parenting strain, relationship and intimacy issues, and a range of related problems such as body image, caregiver stress, and chronic illness.
What is her therapeutic style like?
Her approach is structured and direct, blending emotion-focused conversation with skills practice. She frequently assigns exercises to do between sessions to reinforce learning.
How much experience does she have?
She brings 23 years of professional experience working in clinical settings and with people dealing with trauma, loss, family challenges, and long-term health concerns.
Where is she licensed and based?
She holds LCSW licensure in Pennsylvania and Virginia and practices from Pennsylvania.
Which languages are offered for sessions?
Sessions are offered in English.
What session formats are available?
Therapy is provided via telehealth formats including video calls and phone sessions; other messaging formats are not provided by this clinician.
How are fees and payment handled?
Costs vary with location and the platform subscription model; sessions use a subscription that can be canceled at any time and fees depend on insurance and availability.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.
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