Nicole Guessford, LCSW
- Stress and anxiety support
- Family and relationship work
- Structured homework and skills
About Nicole Guessford
As a holistic practitioner, Nicole blends a structured and direct therapeutic style with sensitivity and respect. She tailors conversations and treatment plans to each client’s unique circumstances and emphasizes self-care and self-compassion as central elements of recovery. Her approach frequently includes practical “homework” between sessions to reinforce skills and promote steady progress.
Nicole sees clients who commit to weekly or bi-weekly telehealth sessions and is currently accepting insurance clients only. Due to insurance regulations she provides care via telehealth and does not offer clinical support over the phone or through messaging. She recognizes that beginning therapy takes courage and aims to offer practical, compassionate guidance throughout the process.
Areas of Expertise
Primary Focus
Also Specializes In
Additional Focus Areas
Therapeutic Approach
Frequently Asked Questions
How much experience does Nicole Guessford have?
Nicole Guessford has 23 years of professional work experience.
Is Nicole Guessford a licensed therapist?
Yes. She holds the credential LCSW, which stands for Licensed Clinical Social Worker. License details are: VA LCSW 0904014683 and PA LCSW CW015210.
In which languages does Nicole Guessford provide therapy?
Nicole provides therapy in English.
Where is Nicole Guessford located?
Nicole is located in Pennsylvania.
How can I work with Nicole Guessford as my therapist?
You can work with Nicole through video calls, phone sessions, live chat, or text-based messaging.
Does Nicole Guessford work with international clients?
Nicole Guessford does not currently work with international clients.
How much does therapy with Nicole Guessford cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic Approaches and Online Care
Acceptance and Commitment Therapy (ACT) helps people clarify their values and take meaningful action even in the presence of difficult thoughts or feelings. It combines mindfulness with practical exercises to reduce avoidance and increase engagement in life, and can be useful for anxiety, stress, and coping with life changes.Attachment-Based Therapy focuses on patterns in relationships that began early in life and how they affect current connections. By exploring attachment styles and relational patterns, this approach supports work on intimacy, family dynamics, trust, and communication issues.
Cognitive Behavioral Therapy (CBT) is a structured method that identifies unhelpful thoughts and behaviors and replaces them with more effective strategies. It is often used for anxiety, depression, sleep and eating concerns, anger, and skills-building through homework and practice.
Finding the right approach is part of the therapeutic process and will be a collaborative decision. The therapist will work with each client to identify goals, trial methods, and adjust the plan based on what fits the client's needs, preferences, and progress.
Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into busy schedules, maintain continuity during life transitions, and access care from home or other convenient locations while working toward meaningful change.