- Values based care
- Skill focused
- Collaborative process
About Nicole
Nicole Pfaff is a licensed professional counselor (LPC) in Pennsylvania with 14 years of experience. She focuses on helping people manage stress, anxiety, low self-esteem, depression, and major life transitions. She also supports those facing compassion fatigue and concerns like panic attacks and social anxiety.
She sees each person as the expert on their own life and starts from what is already working for them. Sessions tend to be practical and goal-oriented, with attention to day-to-day coping skills. Nicole helps people build confidence and find clearer paths forward when motivation or energy feels low.
Nicole draws on a mix of approaches to match what someone needs. She uses cognitive behavioral ideas to spot unhelpful thinking and ACT to clarify values and take meaningful action. She also brings narrative and solution-focused methods when the focus is on shifting how a person tells their story or on quick practical steps.
People who come for help with caregiver stress, divorce or isolation will find a clinician who listens for strengths and pulls on those resources. She can help with grief and career-related stress as well. Work in sessions is collaborative and paced to what each person can manage.
For those worried about panic attacks or seasonal mood shifts, Nicole offers straightforward strategies and steady support. To begin, people use the site's Start Therapy process to complete a short matching questionnaire and schedule according to availability.
How evidence-based approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small consistent steps toward those values. It is useful for anxiety, low motivation, and decisions about life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors. It is commonly used for anxiety, panic-related patterns, and mood concerns. Eye Movement Desensitization and Reprocessing (EMDR) can help process distressing memories and strong reactions; it is sometimes used when past events continue to cause current anxiety.Choosing the best approach is a shared process. The therapist will talk with each person about their goals, symptoms, and preferences, then recommend methods to try. Sessions can shift over time based on what helps most, and progress is checked together regularly.
Practical benefits of online therapy include easier fitting of sessions into a weekly routine and fewer travel demands, which can make consistent work possible around caregiving or work schedules. Online work can also allow shorter check-ins when needed or a slower paced session on higher-stress days. Confirm the current session options before booking so you know what formats are offered for scheduling and follow-up.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
14+ years
Listed in
Pennsylvania
Languages
English
Frequently asked questions
What concerns does Nicole typically help with?
She works with people managing stress, anxiety, self-esteem, depression, coping with life changes, compassion fatigue, grief, career strain, and related issues such as panic attacks and social anxiety.
What is her therapeutic style like?
Nicole takes a practical, collaborative approach. She focuses on clear skills, values-based goals, and shifting unhelpful stories people tell about themselves.
How much experience does she have?
She has 14 years of professional experience working with people facing anxiety, mood concerns, and life transitions.
What credentials and location are listed?
She is a licensed professional counselor (LPC) licensed in Pennsylvania.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the U.S. work with her?
She is not accepting international clients at this time.
How are sessions scheduled and what do they cost?
Cost varies by location and availability; sessions use a subscription that can be canceled at any time.
How do I get started with therapy?
Use the Start Therapy button, complete the short matching questionnaire, and then schedule sessions based on the therapist's availability.