Licensed to practice in 2 states and accepts 11 insurances. Specializes in Anxiety, Depression, Women's Issues and 6 more.

Nicole Guessford

(she/her)

LCSW, 23 years of experience
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New to Grow

VirtualAvailable

I’m a Licensed Clinical Social Worker (LCSW) with a telehealth practice licensed in Pennsylvania and Virginia, and over 23 years of experience in the mental health field working with children, teen and adults. . I specialize in trauma, anxiety, depression, relationship stress, and life transitions, and I work from a warm, collaborative, and supportive approach. My work blends talk therapy with somatic practices, self-compassion, mindfulness, and pattern-tracing to help you better understand yourself and what keeps you stuck. Many clients come to me feeling overwhelmed, disconnected, or caught in cycles of self-doubt and overthinking. Together, we slow things down, explore what’s happening beneath the surface, and build practical tools that support real, lasting change. I also help clients gently connect how past experiences may still be impacting present-day emotions, relationships, and self-worth, while building a more grounded and compassionate relationship with themselves.

Get to know me

In our first session together, here's what you can expect

Your first session is a chance for us to get to know each other and begin understanding what brings you to therapy. I’ll ask some structured questions about what’s been going on recently, what you’re hoping to work on, and any current stressors or symptoms you’ve been experiencing. We’ll also talk a bit about your personal history as it relates to your concerns, so I can better understand the bigger picture. We’ll review things like anxiety, mood, sleep, relationships, and coping strategies, as well as any past experiences that may still be affecting you today. This helps us begin identifying patterns and setting clear goals for our work together. You don’t need to prepare anything in advance or have the “right” words—just come as you are. Many people feel nervous in the first session, and that’s completely normal. My goal is to create a space that feels safe, steady, and collaborative while we start gathering information and building a plan that fits your needs. By the end of the session, we’ll begin identifying focus areas for therapy and talk about what ongoing work might look like moving forward.

The biggest strengths that I bring into our sessions

My approach is both thoughtful and down-to-earth. I listen closely and take time to really understand your story, but I also help you notice patterns that may be hard to see on your own and gently explore what keeps you stuck. Many clients find that I’m not just a supportive listener, but someone who helps connect the dots in a way that brings clarity and direction. I integrate somatic work, self-compassion, and pattern-tracing to help you understand not just what you’re thinking, but how your body and nervous system are responding as well. This helps create deeper awareness and more lasting change, rather than just talking through things. I also believe in gently challenging unhelpful beliefs when needed, while still maintaining a compassionate and supportive space. Therapy with me is collaborative—you’re not being “fixed,” we’re figuring things out together. And while we do meaningful, sometimes deep work, I also bring humor into the room when it fits. I believe therapy doesn’t have to feel heavy all the time—there’s room for insight, relief, and even moments of laughter along the way.

The clients I'm best positioned to serve

My style is warm, collaborative, and human. I actively help you notice patterns, understand what’s happening beneath the surface, and build tools you can use day to day. I integrate talk therapy with mindfulness, self-compassion, somatic awareness (listening to body signals), and practical coping skills. A key part of my work is helping clients understand why they feel the way they do—not just reduce symptoms, but explore where patterns come from. We look at how past experiences shape present reactions, relationships, and self-worth, and work toward healthier ways of responding. Therapy doesn’t have to feel heavy all the time. We do meaningful work, but there is also space for relief, clarity, humor, and moments where things start to make sense. I work best with clients who are honest, curious, and willing to reflect or practice between sessions. You don’t need it all figured out—just willingness to show up and keep going, even when it feels messy.

Specialties

Top specialties

Anxiety

Depression

Other specialties

Grief

Self Esteem

Trauma and PTSD

I identify as

Serves ages

Teenagers (13 to 17)

Location

Virtual

My treatment methods

Acceptance and commitment (ACT)

Acceptance and Commitment Therapy (ACT) helps people learn how to handle difficult thoughts, emotions, and life experiences without letting them take over. Instead of trying to eliminate anxiety, sadness, or stress, ACT teaches you how to make room for those feelings while still moving toward the life you want to live. In our work together, you'll learn skills to step back from unhelpful thoughts, become more present in the moment, and identify what truly matters to you. We'll focus on helping you make choices based on your values rather than fear, anxiety, self-doubt, or past experiences. ACT can be especially helpful for anxiety, depression, stress, trauma, life transitions, and self-esteem concerns. The goal isn't to feel good all the time—it's to help you build a meaningful life even when difficult emotions show up.

Attachment-based

Our earliest relationships help shape how we see ourselves, how we connect with others, and what we expect from relationships throughout life. Attachment-Based Therapy explores how past experiences with caregivers, family members, and significant relationships may continue to influence your thoughts, emotions, behaviors, and relationships today. In therapy, we'll work together to identify patterns that may be keeping you stuck, such as fear of abandonment, difficulty trusting others, people-pleasing, emotional withdrawal, or feeling like you're never enough. By increasing awareness of these patterns and creating new experiences within a safe therapeutic relationship, you can develop healthier ways of relating to yourself and others. This approach can be especially helpful for individuals struggling with anxiety, depression, trauma, relationship difficulties, low self-esteem, and family-of-origin concerns.

Cognitive Behavioral (CBT)

Cognitive Behavioral Therapy (CBT) is a practical, goal-oriented approach that helps people understand the connection between their thoughts, emotions, and behaviors. Sometimes we develop patterns of thinking that increase anxiety, depression, stress, low self-esteem, or relationship difficulties without realizing it. In therapy, we'll work together to identify unhelpful thought patterns, challenge beliefs that may no longer be serving you, and develop healthier ways of responding to life's challenges. CBT can help you learn skills to manage anxiety, improve mood, reduce emotional reactivity, increase self-confidence, and make more intentional choices. My approach combines CBT with compassion and curiosity, helping clients gain insight while building practical tools they can use in everyday life.

Compassion Focused

Many people struggle with an inner critic that is much harsher than they would ever be toward someone they love. Compassion-Focused Therapy helps you develop a kinder, more balanced relationship with yourself, especially if you struggle with shame, self-criticism, perfectionism, anxiety, depression, or the effects of past trauma. In therapy, we'll explore where self-critical beliefs came from and learn how to respond to difficult thoughts and emotions with greater understanding and self-compassion. You'll develop skills to quiet the inner critic, increase self-acceptance, and build emotional resilience. Rather than motivating yourself through judgment or criticism, you'll learn how to create lasting change through encouragement, self-awareness, and compassion. This approach can help reduce feelings of shame, improve self-esteem, and support healthier relationships with yourself and others.

Somatic

Our bodies often hold stress, anxiety, and the effects of difficult life experiences long after our minds have tried to move on. Somatic Therapy focuses on the connection between the mind and body, helping you recognize how emotions, stress, and past experiences show up physically through tension, discomfort, nervous system activation, or feeling disconnected from yourself. In therapy, we'll use body-based techniques such as grounding exercises, breathwork, mindfulness, body awareness, and nervous system regulation skills to help you better understand and respond to your emotional experiences. Rather than only talking about problems, we'll pay attention to what your body may be communicating and develop tools to help you feel calmer, more present, and more connected to yourself. Somatic approaches can be especially helpful for anxiety, trauma, chronic stress, emotional overwhelm, and difficulties with emotional regulation.

New to Grow
This provider hasn’t received any written reviews yet. We started collecting written reviews January 1, 2025.