Fulton 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 Fulton 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
~110 miles from McConnellsburg via PA Turnpike (~2 hours)
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 Fulton County, PA
Fulton County is one of Pennsylvania’s most rural and mountainous counties — nestled in the Appalachian ridges with tight-knit communities, rolling farmland, and the quiet strength of Appalachian life. The psychological weight of isolation, agricultural hardship, and limited access to specialized care leaves many carrying trauma without adequate support. Lancaster is about 110 miles southeast. Healing starts here.

Fulton County, Pennsylvania — with McConnellsburg as the county seat, along with Needmore, Hustontown, and Warfordsburg — is a small, predominantly rural county of approximately 14,500 residents in the south-central part of the state. Characterized by forested ridges, agricultural valleys, and strong Appalachian heritage, Fulton County faces the unique challenges of deep rural living.

At Advanced Counseling and Research Services, we deliver specialized, certified clinical trauma care to Fulton County residents through secure telehealth and in-person sessions at our Lancaster office (~110 miles / ~2 hours via PA Turnpike). From the ridges to the valleys — expert trauma therapy is now accessible. Healing starts here.

Trauma & Mental Health Conditions We Specialize In Treating

  • Anxiety Disorders & Panic
  • ADHD & ADD
  • Depression
  • Environmental & Disaster Trauma (including Flood Legacy)
  • Grief & Loss
  • 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 Fulton County Communities

We provide compassionate, trauma-specialized care tailored to the unique experiences of Fulton 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 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 farmer and agricultural worker carrying occupational trauma — we see you, we honor you, and we’re here to help you heal.

Start Healing Today – Free Consult

To every survivor of community violence or domestic violence — we see you, we believe you, and we’re here to help you heal.

Start Healing Today – Free Consult

To every person struggling with substance use — we see you, we believe in your recovery, and we’re here to help you heal.

Start Healing Today – Free Consult

Fulton County’s Unmet Trauma Burden — Rural Appalachian Isolation, Farming Stress, and Limited Access

Fulton County carries a profound trauma burden rooted in its extreme rural isolation, agricultural economy, occasional flooding, and the daily realities of Appalachian life with very limited local specialized mental health resources. Our certified clinical trauma professionals address these layered realities with cultural sensitivity and clinical depth.

Rural Appalachian Isolation Trauma

One of Pennsylvania’s most sparsely populated counties, Fulton faces significant geographic and social isolation, long travel distances for services, and cultural stigma around seeking mental health support.

Agricultural & Farming Occupational Trauma

Farming families endure unpredictable weather, financial pressures, equipment accidents, and the emotional toll of maintaining multi-generational family farms in a challenging economy.

Flood Trauma Along Local Waterways

Periodic flooding along the Tonoloway Creek, Little Tonoloway, and other streams has caused repeated damage and chronic anxiety in valley communities.

Veteran & First Responder Needs

Many residents have served in the military or work as first responders in a region where emergency response can involve long distances and difficult terrain.

Intergenerational Economic Stress

Long-term economic challenges and limited opportunities contribute to intergenerational trauma and feelings of being left behind.

Whether you live in McConnellsburg, Needmore, Hustontown, or any remote township — ACRS meets you where you are with the depth of specialized care Fulton County has long needed. Healing starts here.

Why Fulton 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

Especially effective for deep somatic and environmental disaster trauma (including flood legacy anxiety in rural settings).

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

Helps reclaim your story amid the resilience and challenges of Appalachian rural life in Fulton County.

Somatic Experiencing

Releases trauma stored in the body from agricultural stressors, flooding, or the accumulated tension of rural isolation.

Mindfulness and Relaxation Techniques

Grounded practices that fit real Fulton County lives — drawing on the strength of small mountain communities and the beauty of the Appalachian ridges.

Psychoeducation

Understand how trauma affects the nervous system in the context of farming life, isolation, and the specific psychological pressures of Fulton County.

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 Fulton County — including rural isolation, agricultural occupational stress, and the daily realities of Appalachian life.

Cheryl Wilson-Smith
Chief Executive Officer

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

"Fulton County is one of Pennsylvania’s most rural and mountainous places — where families have farmed the ridges for generations and where help for trauma has often felt out of reach. The farmers carrying the weight of uncertain seasons and generational expectations. The families in McConnellsburg and Needmore holding quiet burdens. Every one of them deserves the best trauma care in Pennsylvania. We are about 110 miles away. Healing starts here."

— 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 Fulton County’s Trauma & PTSD Experts

  • Certified Clinical Trauma Professionals: Advanced credentials focused on rural isolation trauma, agricultural moral injury, flood events, and Appalachian community stress.
  • Secure Telehealth: Expert care delivered to your home anywhere in Fulton County — no long drives required.
  • No Waitlist • No Referral: Available now with flexible scheduling, including evenings.

Fulton County’s ridges and valleys hold both quiet beauty and heavy burdens — from the daily stresses of farming to the isolation that can amplify unresolved trauma. These experiences deserve specialized clinical attention. Lancaster is about 110 miles southeast. In person or by telehealth, on your terms.

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