Nicole Guessford, LCSW
Licensed in 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 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. She helps people facing stress, anxiety, depression, grief, relationship and intimacy concerns, and parenting or family challenges. Her approach is direct and structured, and she often gives practical tasks to try between sessions.
Nicole works with people coping with trauma, abuse, bipolar disorder, chronic illness, and caregiving strain. She also supports those dealing with body image, eating or sleeping struggles, anger, low self-esteem, and career transitions.
Background and approach
Her focus includes attachment issues, post-traumatic stress, and compassion fatigue. Her style blends several methods to match each person’s needs. She uses elements from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and client-centered work.
Sessions emphasize clear goals and skills people can use day to day. Nicole practices in Pennsylvania and holds an LCSW credential. She aims for respectful, sensitive, and compassionate conversations while keeping sessions goal-focused.
Many clients receive brief activities or “homework” to practice between meetings. She provides therapy through telehealth formats under insurance rules. People who choose her can expect a partnership where the therapist lays out options and helps adapt strategies to fit a client’s life and values.
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
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- 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
Approaches that guide online sessions
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck in them, then choose actions that match their values; it can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce symptoms like worry, low mood, or sleep problems. Attachment-Based Therapy looks at how early connections shape current relationships and helps people build more supported ways of relating and communicating.Finding the right approach is part of the work. The therapist will collaborate with each person to pick and adapt methods based on their goals, needs, and preferences. That shared decision-making helps shape sessions so exercises and homework feel realistic for daily life.
Online therapy offers practical flexibility. Video calls let people meet from different locations and keep face-to-face conversation. Phone sessions can be a shorter check-in or a helpful option when bandwidth is limited. Live chat and text-based messaging work well for brief support, quick tools, or when someone prefers writing to speaking. These formats make it easier to fit therapy around work, caregiving, or health needs while using the approaches described above.
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Questions people ask
What concerns does she often help with?
She helps people with stress, anxiety, depression, grief, relationship and intimacy issues, parenting and family concerns, trauma and abuse, and related problems like sleep, eating, anger, and self-esteem.
What is her general therapy style like?
Her style is structured and direct. Sessions focus on clear goals, practical skills, and tasks to try between meetings.
How much experience does she have?
She has 23 years of professional experience working in clinical settings and community care.
Where is she licensed and based?
She is licensed as an LCSW in Pennsylvania and Virginia and practices out of Pennsylvania.
Which languages are sessions offered in?
Sessions are offered in English.
What session formats are available?
Therapy is provided via video calls only due to insurance regulations; phone and messaging clinical support are not offered.
How does payment work?
Sessions are covered through insurance; exact costs vary with location and insurer, and the service uses a cancellable subscription model.
How do I begin working with her?
Select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist’s availability.
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