Nicole Guessford
LCSW offering structured telehealth for stress, trauma, and families
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About
Nicole Guessford is an LCSW licensed in Pennsylvania and Virginia with 23 years of professional experience. She combines a holistic perspective with a structured, direct style to address a wide range of concerns, including stress, anxiety, family conflict, trauma and abuse, parenting challenges, depression, relationship difficulties, grief, intimacy-related issues, eating and sleeping problems, anger, self esteem, career questions, bipolar disorder, and ADHD. She also attends to related areas such as attachment concerns, caregiver stress, chronic illness and pain, communication problems, and post-traumatic stress.
In sessions she emphasizes respect, sensitivity, and compassion while tailoring dialogue and treatment plans to each person’s specific needs. As a practitioner who values practical work between appointments, she commonly assigns homework and encourages routines of self care and self compassion. Nicole sees clients who are willing to commit to regular telehealth sessions on a weekly or bi-weekly basis and notes that she currently accepts insurance clients only.
Because of insurance regulations she provides telehealth counseling rather than in-person services, and she does not provide clinical support over the phone or through messaging. Prospective clients are invited to consider whether a structured, goal-oriented telehealth approach matches their needs.
In sessions she emphasizes respect, sensitivity, and compassion while tailoring dialogue and treatment plans to each person’s specific needs. As a practitioner who values practical work between appointments, she commonly assigns homework and encourages routines of self care and self compassion. Nicole sees clients who are willing to commit to regular telehealth sessions on a weekly or bi-weekly basis and notes that she currently accepts insurance clients only.
Because of insurance regulations she provides telehealth counseling rather than in-person services, and she does not provide clinical support over the phone or through messaging. Prospective clients are invited to consider whether a structured, goal-oriented telehealth approach matches their needs.
- Location:
- Pennsylvania, United States
- Years Experience:
- 23
- Gender:
- Female
- Languages Spoken:
- English
- Therapist of Color:
- No
- Communication Options:
- Phone • Video • Live Chat • Messaging
Specialties
Primary area of focus:Stress, Anxiety, Family conflicts, Trauma and abuse, Parenting issues, Depression
Other areas of experience: Relationship issues, Grief, Sleeping disorders, Anger management, Self esteem, Career difficulties, Coping with life changes, Compassion fatigue, ADHD, Attachment issues, Body image, Communication problems, Divorce and separation, Domestic violence, Infidelity, Isolation / loneliness, Jealousy, Midlife crisis, Post-traumatic stress, Self-love, Sex addiction, Somatization, Workplace issues
Therapeutic approach: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
Credentials & Verification
- Credentials: VA LCSW 0904014683, PA LCSW CW015210
- NPI Number: 1649881244
- License: LCSW (Pennsylvania), LCSW (Virginia)
Telehealth practice and therapeutic approaches
Nicole uses several evidence-informed methods delivered through telehealth to address emotional and relational challenges. Cognitive Behavioral Therapy helps identify unhelpful thoughts and build practical skills for mood and anxiety management. Dialectical Behavior Therapy contributes tools for emotion regulation and distress tolerance when strong emotions or impulsive behaviors interfere with daily life. Attachment-Based Therapy explores patterns in close relationships and how early bonds affect current interaction and intimacy.
Her style is described as structured and direct; she often provides targeted exercises and homework to support changes between sessions. Clients who prefer a collaborative process that combines skill-building with exploration of relationship patterns may find this alignment helpful. Sessions are offered through telehealth, and the profile lists video calls, phone sessions, live chat, and text-based messaging as communication options. She sees clients who are interested in weekly or bi-weekly telehealth sessions and notes that she does not provide clinical support over the phone or messaging due to insurance regulations.
Those seeking goal-focused, interactive telehealth work can expect a practical plan, with pacing and techniques adapted to their needs.
What is Nicole's clinical experience?
Nicole Guessford has 23 years of professional experience in social work and clinical practice.
What are her credentials and licenses?
She holds the LCSW credential and is licensed as VA LCSW 0904014683 and PA LCSW CW015210.
Which languages does she speak?
The profile indicates she provides services in English.
Where is she based?
She is licensed and practices in Pennsylvania and is also licensed in Virginia; her listed location is Pennsylvania.
How can clients work with her remotely?
The profile lists video calls, phone sessions, live chat, and text-based messaging as communication options. The therapist also states she provides only telehealth sessions and does not provide clinical support over the phone or messaging due to insurance regulations.
Does she accept international clients?
No. The profile indicates she does not accept international clients.
How is cost handled?
Cost varies by location and therapist availability; sessions use a subscription that can be canceled at any time. The profile also notes she is currently accepting insurance clients only.
How do I get started?
To begin, use the Start Therapy button and complete a short matching questionnaire as described in the profile.