Adams County, PA Online Anxiety, PTSD, and Trauma Therapy

EMDR, Brainspotting, CBT, DBT, PE and More — Delivered via Secure Telehealth

Online trauma, PTSD, and anxiety counseling for Adams County, PA
Advanced Counseling and Research Services
Office Location & Hours (Lancaster)
313 W Liberty St STE 224, Lancaster, PA 17603
Mon–Thu 9am–7pm |
Fri 9am–5pm
Anxiety/PTSD/Trauma Treatment Formats
Anxiety/PTSD/Trauma Therapy Modalities
Professional Accountability
Trauma Educational Services
Trauma Research Support
Clinical
Supervision
Online trauma, PTSD, and anxiety counseling for Adams County, PA
Adams County carries the weight of rich farmland, proud agricultural heritage, and the profound historical legacy of Gettysburg. Our certified trauma specialists deliver expert care via secure telehealth — so healing is accessible whether you live in Gettysburg, Littlestown, Biglerville, or any rural township.

Adams County is defined by its productive orchards and family farms, the enduring historical weight of the Gettysburg battlefield, and the unique stresses of rural and small-town life. Many residents carry layered trauma — agricultural economic pressure and farm identity loss, intergenerational effects of living near one of America’s most significant historical trauma sites, veteran and first-responder occupational burdens, and the documented gaps in local mental health services.

At Advanced Counseling and Research Services, we deliver specialized, evidence-based trauma therapy to Adams County residents through secure telehealth and in-person sessions at our Lancaster office (~25 miles / 30 minutes east on Route 30). From Gettysburg, Littlestown, Biglerville, Fairfield, or any rural township — expert trauma care is now accessible. Healing starts here.

Trauma & Mental Health Conditions We Specialize In Treating

  • Anxiety Disorders & Panic
  • ADHD & ADD
  • Depression
  • Agricultural Farm Stress Trauma
  • Grief & Loss (including Gettysburg battlefield legacy)
  • Moral Injury & Occupational Trauma
  • Obsessive-Compulsive Disorder (OCD)
  • Phobias
  • Post-Traumatic Stress Disorder (PTSD)
  • Substance Use & Co-Occurring Disorders
  • Trauma — Single Event and Complex/Chronic
  • Veteran & First Responder PTSD

Specialized Trauma Care for Adams County Communities

We provide compassionate, trauma-specialized care tailored to the unique experiences of Adams County residents.

To every veteran carrying the weight of service — we see you, we honor you, and we’re here to help you heal.

Start Healing Today – Free Consult

To every farming family carrying the weight of the land — we see you, we honor you, and we’re here to help you heal.

Start Healing Today – Free Consult

To every first responder carrying the weight of the call — we see you, we honor you, and we’re here to help you heal.

Start Healing Today – Free Consult

To every person carrying Gettysburg battlefield legacy trauma — we see you, we honor you, and we’re here to help you heal.

Start Healing Today – Free Consult

To every survivor of domestic violence or substance use — we see you, we believe in your recovery, and we’re here to help you heal.

Start Healing Today – Free Consult

Adams County’s Unmet Trauma Burden — Agricultural, Historical, and Long Underserved

Adams County’s trauma landscape is shaped by the intense pressures of one of Pennsylvania’s most productive agricultural regions, the profound historical weight of the Gettysburg battlefield, rural cultural stoicism that often discourages help-seeking, chronic farm economic stress, and the daily realities of small-town and rural life where specialized trauma care has remained limited. Our certified clinical trauma professionals are trained to address these exact layered realities with cultural sensitivity and clinical depth.

Agricultural and Farm Economic Stress Trauma

Adams County leads Pennsylvania in apple production and ranks among the top U.S. counties for fruit agriculture. Farmers and their families face relentless economic pressure from volatile commodity prices, rising input costs, weather volatility, labor shortages, and the grief of watching multigenerational family farms contract or transition.

This produces deep occupational identity loss, chronic stress, and elevated suicide risk — burdens that generalist providers rarely have the specialized training to treat effectively.

Gettysburg Battlefield Legacy and Intergenerational Trauma

The Battle of Gettysburg left an indelible mark on the land and its people. For generations, residents have lived with the historical trauma, battlefield tourism economy stresses, and the collective memory of immense loss.

This creates unique layers of moral injury, survivorship guilt, and intergenerational transmission of unresolved grief that require trauma-informed care attuned to historical and place-based wounds.

Rural Self-Reliance and Cultural Barriers to Help-Seeking

Strong Pennsylvania Dutch-influenced and rural farming values emphasize stoicism, independence, and “handling it yourself.” These cultural strengths can become barriers when trauma, anxiety, depression, or farm stress become overwhelming. Many residents delay or avoid care due to stigma, privacy concerns in tight-knit communities, and limited local specialized providers.

Veteran and First Responder Occupational Trauma

Adams County has a significant veteran population, many carrying the invisible wounds of service. First responders in rural and small-town settings also face cumulative occupational trauma with fewer specialized resources nearby. We address moral injury, PTSD, and the unique costs of service and protection in agricultural and battlefield-adjacent communities.

Opioid Impact and Underlying Vulnerability

Like many rural Pennsylvania counties, Adams has been heavily impacted by the opioid crisis, with underlying conditions of economic stress, isolation, and unaddressed trauma amplifying vulnerability. We treat both the addiction and the root trauma in a compassionate, non-judgmental way.

Whether you live near Gettysburg, in the orchards and farms of Biglerville, Littlestown, Fairfield, or any rural township — ACRS meets you where you are with the depth of specialized trauma care Adams County has long needed. Healing starts here.

Why Adams County Residents Choose ACRS

Expert Telehealth Trauma Care Delivered Directly to Your Home

We work collaboratively with you to develop a Trauma-Informed Care Plan that addresses your specific needs and goals.

Individual Treatment
Individual Trauma and PTSD Treatment

One-on-one sessions with a certified clinical trauma professional via secure video.

Group Treatment
Group Trauma and PTSD Treatment

Facilitated online sessions where you heal alongside others.

Online Telehealth
Telehealth Trauma and PTSD Treatment

Secure, HIPAA-compliant video therapy from the comfort and privacy of your home.

Concierge Counseling
Concierge Trauma and PTSD Counseling

Highly personalized care with maximum flexibility.

Veterans PTSD Support
Veteran PTSD Support Program

Specialized care for combat trauma and moral injury.

ACRS Treatment Modalities for Anxiety, Trauma, and PTSD

Brainspotting Therapy

Brainspotting Therapy

Effective for deep somatic trauma common in agricultural farm stress and historical legacy burdens.

Cognitive Behavioral Therapy (CBT)

CBT Therapy

Practical skills-based approach for anxiety, depression, and PTSD.

Dialectical Behavior Therapy (DBT)

DBT Therapy

Teaches core skills for emotion regulation and relationships.

EMDR Therapy

EMDR Therapy

Gold-standard for processing traumatic memories.

Exposure and Response Prevention (ERP) Therapy

ERP Therapy

Gold-standard for OCD and related anxiety.

Prolonged Exposure Therapy (PE)

PE Therapy

Highly effective for PTSD.


Narrative Therapy: Reclaim your story amid agricultural and historical trauma.
Somatic Experiencing: Release trauma stored in the body from farm labor and generational stress.
Psychoeducation: Understand trauma patterns specific to Adams County’s farming and historical context.

Our Experienced Anxiety, Trauma, and PTSD Counselors

Our counselors are trained in Trauma-Informed Care and have extensive experience helping individuals heal from the complex trauma common in Adams County — agricultural farm stress, Gettysburg battlefield legacy, veteran and first-responder burdens, and rural life challenges.

Cheryl Wilson-Smith
Chief Executive Officer

Cheryl Wilson-Smith, MA, LPC – Chief Clinical Officer and trauma expert

"Adams County people carry a deep sense of place, responsibility, and history. That weight deserves specialized trauma care that meets it with respect and clinical depth. We are just 25 miles away and ready to help."

— Cheryl Wilson-Smith

Read Cheryl's Profile

  • Licensed Professional Counselor (LPC)
    • Pa. Lic. PC006514
    • Fl. Lic. TPMC1044
  • Certified Traumatologist (CT)
  • National Certified Counselor (NCC)
  • Certified Clinical Mental Health Counselor (CCMHC)
  • Certified Clinical Trauma Professional (CCTP)
  • Certified in Emergency Crisis Response (CECR)
  • Neuropsychotherapist Certified (NPT-C)
  • Master of Arts (MA)
  • 20+ years of clinical experience.
  • Worked with clients across the lifespan.
Cady R. Monasmith
Chief Clinical Officer
Cady Monasmith, MA, LPC – Licensed trauma and DBT therapist
  • Licensed Professional Counselor (PA-015668)
  • Certified Dialectical Behavioral Therapist (C-DBT)
  • Certified Clinical Trauma Professional (CCTP)
  • Certified Dancing Mindfulness Facilitator (CDMF)
  • Bachelor of Fine Arts (BFA)

Read Cady's Profile

Kim Civitarese
Chief Administrative Officer
Trauma Therapist Kim Civitarese
  • Licensed Associate Professional Counselor (LAPC)
  • Cognitive Processing Therapist (CPT)
    Pre-licensed Clinician
  • Certified Grief Informed Professional (CGP)

Experience working with adolescents, couples, the elderly population, blended families, and families in the adoption process.

Read Kim's Profile

Jason Houghton
Psychiatric Mental Health Nurse Practitioner
Jason Houghton, CRNP
  • Psych/Mental Health Nurse Practitioner Education — Johns Hopkins University
  • CRNP License: SP025306
  • RN License: RN606119
  • MSN — Duquesne University
  • BSN — Messiah University

Read Jason's Profile

Kailee Morgan
Clinician
Kailee Morgan, MSW, LAPC
  • Master of Social Work (MSW)
  • Licensed Associate Professional Counselor (LAPC)

Specializes in helping children (ages 11+) and teens navigate anxiety, ADHD, and depression.

Read Kailee's Profile

Ashley Williams
Masters Level Intern
Ashley Williams - Masters Level Intern
  • Enrolled in Master's Program of Clinical Mental Health Counseling - Walden University
  • Bachelor of Science (BS) - The Pennsylvania State University

Read Ashley's Profile

Choose Adams County’s Trauma & PTSD Experts

  • Certified Clinical Trauma Professionals: Advanced credentials focused on agricultural farm stress, Gettysburg battlefield legacy trauma, veteran PTSD, and rural mental health needs.
  • Convenient Access: Secure telehealth from home or a practical 25-mile / 30-minute drive east on Route 30 to Lancaster.
  • No Waitlist • Flexible Scheduling: Available now, including evenings — essential for farm families and shift workers.

Adams County has always valued hard work, self-reliance, and resilience. That strength is real and worth honoring. But self-reliance has limits when healing deep trauma. Reaching out for specialized care is not weakness — it is the courageous next step to carry your life, your family, and your community forward.

Contact us today for a free, confidential 10-minute consultation. Healing starts here.

Contact Us Online or

Call Us at 717-394-3994

Take the First Step – Contact Us Today

Secure & Confidential • Free 10-minute consultation