- Sleep and rest focus
- Structured sessions
- Homework based
About Nicole
Nicole Guessford is a Licensed Clinical Social Worker with 23 years of experience. She works with people who are struggling with sleep problems alongside stress, anxiety, depression, and relationship or parenting concerns. Nicole writes short practical tasks for clients to try between sessions and keeps work focused and direct so people see clear steps forward.
Nicole uses a structured, holistic practice style that blends talk therapy with hands-on exercises. She believes in self-care and self-compassion and will tailor conversations and plans to fit each person's situation. Sessions often include specific skills to practice at home and concrete goals to track progress.
Her background includes long experience helping clients cope with trauma and abuse, grief, and family conflict. She also supports people facing chronic illness or pain, caregiver stress, attachment concerns, and difficulties with body image or intimacy. Nicole combines tools from several approaches to match what each client needs.
Nicole is licensed in Pennsylvania and Virginia as an LCSW, and she currently provides care through telehealth only. She typically meets with people weekly or every other week and asks clients to try short homework between sessions to reinforce what was discussed.
Her style suits people who want a direct, goal-focused experience and who are ready to try practical strategies between appointments. If someone prefers a gentler, open-ended pace, Nicole will adapt the plan to meet that preference while keeping work oriented toward change.
Therapeutic approaches used in online care
Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings without getting stuck in them. It focuses on clarifying values and taking small steps toward a meaningful life, which can help with anxiety, depression, and sleep disruption.Attachment-Based Therapy looks at patterns in close relationships and how those patterns affect current stress and intimacy. It can be useful for people dealing with attachment issues, relationship conflict, or caregiver stress.
Finding the right approach is part of the work. Nicole will collaborate with each person to choose methods that fit their goals, preferences, and comfort level. She combines techniques as needed and checks in regularly to see what is helping.
Nicole currently offers telehealth sessions only, meeting with people weekly or every other week. Confirm the current session options before booking so you know how sessions will be scheduled. Online appointments can make it easier to fit therapy into a daily routine, cut travel time, and use shorter check-ins when schedules are tight.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
23+ years
Credentials
Pennsylvania, Virginia
Languages
English
Frequently asked questions
What concerns does Nicole help with?
She helps with stress, anxiety, sleep problems, depression, trauma and abuse, parenting and relationship challenges, and related issues such as grief, chronic pain, caregiving stress, and body image.
How would you describe her therapeutic style?
Her approach is structured and direct with a holistic outlook. Sessions usually include concrete skills and short homework assignments to practice between meetings.
What experience does she bring?
Nicole has 23 years of professional experience working in clinical settings and helping people manage a wide range of concerns from trauma to life transitions.
What credentials and location are listed?
She is a Licensed Clinical Social Worker (LCSW) licensed in Pennsylvania and Virginia and practices from Pennsylvania.
Which languages are sessions offered in?
Sessions are offered in English.
What session formats are available?
She provides telehealth sessions only and meets with people weekly or bi-weekly; confirm current session options before booking.
How does billing and cost work?
Nicole works with insurance clients and uses a subscription model that can be canceled at any time; exact costs vary with location and insurance details.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.