Nicole Guessford, LCSW

Nicole Guessford is a Licensed Clinical Social Worker (LCSW) licensed in Pennsylvania and Virginia with 23 years of professional experience. She works with adults dealing with stress, anxiety, relationship strain, parenting challenges, trauma and abuse, grief, anger, sleep and eating concerns, and related issues. She uses a structured, direct style and often gives practical tasks to work on between sessions.

Her approach blends several evidence-informed methods. She draws from Cognitive Behavioral Therapy (CBT) to reframe unhelpful thinking and from Acceptance and Commitment Therapy (ACT) to help people clarify values and act on them. She also uses Dialectical Behavior Therapy (DBT) skills for emotion regulation and mindfulness, and Attachment-Based ideas to look at how early relationships influence current patterns.

Nicole describes her work as respectful and sensitive. Sessions are organized around clear goals and steps. She frequently assigns homework to help clients practice skills in daily life and to track what changes between sessions.

She works through telehealth because of insurance requirements. That means regular video sessions rather than phone calls or messaging. Prospective clients should confirm session options before booking to be sure they match their needs.

Nicole emphasizes straightforward, practical work. People who want concrete tools for anger, stress, or relationship problems may find her direct style useful. Her background includes helping with long-term issues like chronic stress, caregiving strain, and trauma as well as life transitions and mood concerns.

Therapeutic approaches and online sessions