Nicole Guessford, LCSW
- Stress and anxiety support
- Family and parenting guidance
- Trauma informed care
About Nicole Guessford
She approaches therapy with respect, sensitivity, and compassion, while also keeping sessions structured and direct. Nicole tailors the dialogue and treatment plan to the client’s needs, and as a holistic practitioner, she often emphasizes self-care and self-compassion as part of the work. Clients can also expect between-session practice, since she regularly offers “homework” to help build skills and create momentum outside of appointments.
Nicole currently sees clients who are ready to participate in telehealth sessions on a weekly or bi-weekly basis. Due to insurance regulations, she provides telehealth sessions only and does not provide clinical support over the phone or messaging. She is currently only accepting insurance clients.
Areas of Expertise
Primary Focus
Also Specializes In
Additional Focus Areas
Therapeutic Approach
Frequently Asked Questions
How much experience does Nicole Guessford have?
Nicole Guessford has 23 years of professional experience providing therapy and support.
Is Nicole Guessford a licensed therapist?
Yes. Nicole Guessford is licensed as an LCSW (Licensed Clinical Social Worker). License details: VA LCSW 0904014683 and PA LCSW CW015210.
In which languages does Nicole Guessford provide therapy?
Nicole Guessford 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.
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 depending on factors such as 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.
Evidence-based approaches for flexible online care
Nicole Guessford, LCSW, draws from practical, skills-focused methods that can translate well to telehealth. Cognitive Behavioral Therapy (CBT) helps clients notice unhelpful thought patterns and build healthier coping strategies, which can be useful for stress, anxiety, and mood-related concerns. Dialectical Behavior Therapy (DBT) focuses on tools for emotion regulation, distress tolerance, and communication, supporting clients who want more steadiness in relationships and day-to-day reactions. Acceptance and Commitment Therapy (ACT) emphasizes making room for difficult thoughts and feelings while taking steps toward personal values, helping clients move forward when they feel stuck or overwhelmed.Finding the right approach is part of the work. Nicole collaborates with clients to shape a plan that fits their goals, preferences, and what is most pressing right now. Therapy can be structured and direct, and clients may be invited to practice skills between sessions to support progress outside of appointments.
Online therapy also adds flexibility. Sessions may be available through video calls, phone sessions, live chat, or text-based messaging, making it easier to get support from home or during a busy week while still maintaining a consistent rhythm of care.