Jefferson 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 Jefferson 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
~170 miles from Brookville via US-322 (~3 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 Jefferson County, PA
Jefferson County lies in the hills of western Pennsylvania — a land of coal mines, forests, small towns, and hardworking families. The psychological weight of occupational trauma, rural isolation, and economic transition deserves specialized clinical attention. Lancaster is about 170 miles east. Healing starts here.

Jefferson County, Pennsylvania — with Brookville as the county seat, along with Punxsutawney, Reynoldsville, and smaller communities — is a rural county of approximately 43,000 residents in the Appalachian Plateau. Known for its coal mining history, agriculture, and outdoor recreation, Jefferson County faces the layered challenges of industrial decline, rural isolation, and limited access to specialized trauma care.

At Advanced Counseling and Research Services, we deliver specialized, certified clinical trauma care to Jefferson County residents through secure telehealth and in-person sessions at our Lancaster office (~170 miles / 3 hours via US-322). From the mining towns to the farming 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 Jefferson County Communities

We provide compassionate, trauma-specialized care tailored to the unique experiences of Jefferson 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 coal miner and manufacturing 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

Jefferson County’s Unmet Trauma Burden — Coal Country, Rural Isolation, and Economic Transition

Jefferson County carries a significant trauma burden rooted in its coal mining heritage, rural Appalachian character, agricultural pressures, and the challenges of economic transition. Our certified clinical trauma professionals address these layered realities with cultural sensitivity and clinical depth.

Coal Mining & Occupational Trauma

Generations of miners have carried the physical and psychological costs of dangerous work, black lung, workplace accidents, and the moral injury of industry decline.

Rural Appalachian Isolation Trauma

Geographic isolation, limited local specialized care, and cultural stigma create major barriers for many residents across this rural county.

Agricultural & Manufacturing Stress

Farming families and small manufacturing communities face unpredictable economic pressures and the emotional toll of generational change.

Veteran & First Responder Needs

Many residents have served in the military or work as first responders in a region where emergency services often cover large, rural areas.

Community & Small-Town Challenges

Boroughs like Brookville and Punxsutawney face layered issues including substance use, domestic stress, and the quiet accumulation of unresolved trauma.

Whether you live in Brookville, Punxsutawney, Reynoldsville, or any rural township — ACRS meets you where you are with the depth of specialized care Jefferson County has long needed. Healing starts here.

Why Jefferson 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).

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 coal country, rural Appalachian life, and the realities of Jefferson County.

Somatic Experiencing

Releases trauma stored in the body from mining work, agricultural stress, or the accumulated tension of rural isolation.

Mindfulness and Relaxation Techniques

Grounded practices that fit real Jefferson County lives — drawing on the strength of mining and farming communities and the beauty of the Appalachian hills.

Psychoeducation

Understand how trauma affects the nervous system in the context of coal mining history, rural stressors, and the specific psychological pressures of Jefferson 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 Jefferson County — including coal mining occupational trauma, rural isolation 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

"Jefferson County is coal country and farmland in the Appalachian hills — where the mines and fields have shaped generations, and where rural life often means carrying heavy burdens without enough specialized support nearby. The miners whose bodies and minds still remember the dark. The farming families facing uncertain seasons. Every one of them deserves the best trauma care in Pennsylvania. We are about 170 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 Jefferson County’s Trauma & PTSD Experts

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

The mines and hills of Jefferson County have shaped generations with both pride and lasting trauma. These experiences — occupational injury, isolation, and economic transition — deserve specialized clinical care. Lancaster is about 170 miles east. 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