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Nicole Pfaff

Therapist profile

Nicole Pfaff, LPC

Pennsylvania

Licensed Professional Counselor - Stress and Anxiety

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About

  • ACT and CBT
  • Narrative techniques
  • Caregiver support

About Nicole

Nicole Pfaff is a Licensed Professional Counselor (LPC) in Pennsylvania with 14 years of clinical experience. She focuses on stress, anxiety, self-esteem, depression, coping with life changes, compassion fatigue, family concerns, grief, and career questions. Nicole works with adults who are managing difficult moments at home or feeling overwhelmed by caregiving and life transitions.

She uses practical talk and structured methods to help people clarify what matters to them. Nicole often draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help clients identify unhelpful thoughts and take small, values-driven steps. She also uses Narrative Therapy and Motivational Interviewing to help people rewrite stuck stories and build motivation.

Sessions are straightforward and goal oriented. Nicole helps people break problems into manageable pieces and practices skills between meetings. She emphasizes strengths clients already have and points out concrete actions to try when anxiety, low mood, or caring stress feel heavy.

Nicole has worked with caregiver stress, divorce and separation, isolation and loneliness, panic attacks, seasonal mood shifts, and issues around self-love and social anxiety. She aims to help clients regain energy for daily roles and responsibilities, including work and family-related pressures.

Her approach balances evidence-based techniques with attention to personal story. Nicole encourages clear steps, reflective work, and pragmatic coping tools. To begin, readers are asked to use the site's matching flow and schedule a first session.

How sessions work

How her approaches translate to online work

Acceptance and Commitment Therapy, or ACT, helps people notice thoughts without getting ruled by them and to commit to actions that reflect their values. It can be useful for stress, life transitions, and motivation concerns. Cognitive Behavioral Therapy, or CBT, focuses on identifying patterns of thinking that increase anxiety or low mood and practicing new ways of thinking and behaving to reduce symptoms.

Finding the right approach is part of the work. Nicole will talk with each person about their goals and preferences and then try methods that fit those needs. That collaboration helps shape whether ACT, CBT, Narrative Therapy, or another method is used in sessions.

Confirm which session formats are offered before booking, since this profile does not list them. Online sessions can make it easier to schedule appointments around parenting, work, and caregiving duties. They also allow for shorter check-ins when needed, and let people avoid travel time so they can fit therapy into a busy day. Licensed professionals adapt their use of exercises and homework to whatever format the client chooses, helping therapy feel practical and doable.

Areas of focus

Areas of expertise

Also works with

Family conflictsGriefCareer difficulties

Additional focus areas

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Eye Movement Desensitization and Reprocessing (EMDR)Motivational InterviewingNarrative TherapySolution-Focused Therapy

Experience

14+ years

Listed in

Pennsylvania

Languages

English

Questions

Frequently asked questions

What concerns does she address related to family life?

She helps with family-related stress, caregiving strain, divorce and separation, and the emotional fallout of life changes.

What kind of approach does she use in sessions?

She uses approaches like Acceptance and Commitment Therapy and Cognitive Behavioral Therapy along with Narrative Therapy and Motivational Interviewing to focus on practical steps and personal stories.

How much clinical experience does she have?

She has 14 years of professional work experience supporting adults through stress, anxiety, grief, and caregiver challenges.

What are her credentials and where is she based?

She is a Licensed Professional Counselor (LPC) licensed in Pennsylvania.

Does she run sessions in other languages or accept international clients?

Sessions are offered in English. She is not currently accepting international clients.

What session formats are available?

Confirm current session options before booking, as this profile does not list specific formats.

How does payment and cost work?

Cost varies with location; sessions use a subscription model that can be canceled at any time.

How do I begin working with her?

Select the See online therapy options button, complete the short matching questionnaire, and schedule a first 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.

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Nicole Pfaff

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