Therapist profile
Nicole Guessford, LCSW
Licensed Clinical Social Worker - Family and parenting concerns
Continue with NicoleAbout
- Stress and anxiety
- Parenting support
- Trauma and attachment
About Nicole
Nicole Guessford is a Licensed Clinical Social Worker (LCSW) licensed in Pennsylvania and Virginia with 23 years of professional experience. She works with adults dealing with stress, anxiety, family concerns, trauma and abuse, parenting strain, depression, relationship problems, and related issues. Nicole uses structured, direct sessions and often gives practical tasks to try between meetings.
She describes a straightforward approach. Sessions are shaped around what the person needs and what they can manage. She commonly uses techniques from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy alongside attachment-informed work and client-centered listening. Homework and concrete practice are regular parts of the process.
Nicole notes she currently provides only telehealth sessions because of insurance regulations. Phone calls and messaging for clinical support are not offered. Her practice uses an insurance-based subscription model that can be canceled at any time; costs vary with location.
In session she tends to be focused and practical. She will work with each person to set goals and try out skills between meetings. This can include coping strategies for anxiety, short behavioral experiments for mood and sleep, and communication practice related to family and parenting concerns.
To begin, select the See online therapy options button on the site. Complete the short matching questionnaire and schedule a first telehealth session. International clients are not accepted; sessions are offered in English.
How sessions work
Therapeutic approaches and working online
Nicole commonly draws on Acceptance and Commitment Therapy (ACT) and Attachment-Based Therapy alongside client-centered work. ACT focuses on clarifying personal values and practicing small actions that align with those values, which can help with anxiety, low mood, and coping with life changes. Attachment-Based Therapy looks at patterns in important relationships and how they affect current reactions and connection, useful for family conflict and intimacy-related issues.Finding the right approach is treated as a collaborative process. The therapist will talk with each person about their goals, preferences, and what has helped or not helped before. Together they will try approaches and adjust based on what fits and what produces useful skills for everyday life.
She provides telehealth sessions only due to insurance regulations. Confirm the current session options before booking if you need a specific format. Online sessions can make regular weekly or bi-weekly work easier to keep, allow for shorter check-ins when schedules are tight, and remove travel time so therapy fits around parenting and work demands.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
23+ years
Listed in
Pennsylvania, Virginia
Languages
English
Questions
Frequently asked questions
What kinds of concerns does she help with?
She works with adults on stress, anxiety, family conflict, parenting strain, trauma and abuse, depression, relationships, grief, and related issues.
How would she describe her therapeutic style?
Her style is structured and direct. She often assigns practical tasks to practice between sessions.
How much experience does she have?
She has 23 years of professional work experience supporting adults with a range of concerns.
What credentials and location apply to her practice?
She is a Licensed Clinical Social Worker (LCSW) licensed in Pennsylvania and Virginia and practices from Pennsylvania.
Are sessions available in languages other than English?
Sessions are offered in English.
What session formats does she offer?
She currently provides telehealth sessions only and does not provide clinical support by phone or messaging.
How does payment and cost work?
Sessions use a subscription model tied to insurance and costs vary with location; the subscription can be canceled at any time.
What are the first steps to start working with her?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first telehealth session.
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 anyone is in danger, use the crisis numbers.