Nicole Guessford
Structured, compassionate telehealth therapy for real-life challenges
Start with Nicole GuessfordLicensed · Professional · Cancel Anytime
About
Nicole Guessford, LCSW, is a licensed clinical social worker in Pennsylvania and Virginia with 23 years of professional experience. She works with adults and families navigating stress and anxiety, family conflict, trauma and abuse, and parenting challenges, bringing a steady, respectful, and compassionate presence to the therapy process.
Her work is individualized and practical, with conversations and a plan that are tailored to each client’s goals and situation. As a holistic practitioner, she takes a whole-person view and tends to be structured and direct in session, helping clients clarify what matters most and identify realistic next steps. She also emphasizes self-care and self-compassion, and often offers between-session exercises so clients can practice new skills and build momentum outside of appointments.
Nicole currently sees clients who are ready to commit to telehealth sessions on a weekly or bi-weekly basis. Due to insurance regulations, she provides therapy through telehealth sessions only and does not offer clinical support by phone or messaging between sessions. She is currently only accepting insurance clients.
Her work is individualized and practical, with conversations and a plan that are tailored to each client’s goals and situation. As a holistic practitioner, she takes a whole-person view and tends to be structured and direct in session, helping clients clarify what matters most and identify realistic next steps. She also emphasizes self-care and self-compassion, and often offers between-session exercises so clients can practice new skills and build momentum outside of appointments.
Nicole currently sees clients who are ready to commit to telehealth sessions on a weekly or bi-weekly basis. Due to insurance regulations, she provides therapy through telehealth sessions only and does not offer clinical support by phone or messaging between sessions. She is currently only accepting insurance clients.
- 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)
Evidence-based tools, tailored for online sessions
Nicole Guessford, LCSW, draws from practical, skills-focused approaches that translate well to telehealth. Cognitive Behavioral Therapy (CBT) helps clients notice patterns in thoughts, feelings, and behaviors, then practice changes that support day-to-day coping - often useful when stress, anxiety, low mood, or relationship strain starts to feel repetitive or overwhelming.Acceptance and Commitment Therapy (ACT) focuses on building psychological flexibility by making room for difficult internal experiences while taking steps toward what matters most. This can be helpful for people who feel stuck, burned out, or caught in cycles of self-criticism and avoidance. Dialectical Behavior Therapy (DBT) adds concrete tools for emotion regulation, distress tolerance, and communication, supporting steadier responses during conflict or high-intensity moments.
Finding the right approach is part of the process, not a test to pass. Nicole works collaboratively with clients to clarify goals, preferences, and what has or has not helped before, then shapes a plan that fits those needs and a structured, direct style of therapy.
Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. It can make it easier to keep therapy consistent, reduce travel time, and fit sessions into busy schedules.
How much experience does Nicole Guessford have?
Nicole Guessford has 23 years of professional experience supporting clients through a wide range of challenges.
Is Nicole Guessford a licensed therapist?
Yes. Nicole Guessford is an LCSW (Licensed Clinical Social Worker). She is licensed in Virginia (VA LCSW 0904014683) and Pennsylvania (PA LCSW CW015210).
In which languages does Nicole Guessford provide therapy?
She provides therapy in English.
Where is Nicole Guessford located?
Nicole Guessford is located in Pennsylvania.
How can I work with Nicole Guessford as my therapist?
You can work with Nicole Guessford through video calls, phone sessions, live chat, or text-based messaging, depending on what is available.
Does Nicole Guessford work with international clients?
No. Nicole Guessford does not currently work with international clients.
How much does therapy with Nicole Guessford cost?
The cost of therapy can vary based on factors like your location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the “Start Therapy” button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the “Start Therapy” button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.