Tioga 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 Tioga 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 Wellsboro via US-15 (~3.5 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 Tioga County, PA
Tioga County lies in the northern tier of Pennsylvania along the New York border — a land of dense forests, rolling hills, dairy farms, and small communities shaped by agriculture, logging, and Appalachian traditions. The psychological weight of extreme rural isolation, occupational stress from farming and logging, occasional flooding, and intergenerational trauma deserves specialized clinical attention. Lancaster is about 170 miles southeast. Healing starts here.

Tioga County, Pennsylvania — with Wellsboro as the county seat, along with Mansfield, Tioga, and numerous small farming and logging townships — is a rural county of approximately 41,000 residents in the northern tier. Known for its natural beauty, state forests, Pine Creek Gorge (“Grand Canyon of Pennsylvania”), and strong community ties, Tioga County faces the challenges typical of remote Appalachian areas, including significant geographic isolation and very limited access to specialized trauma care.

At Advanced Counseling and Research Services, we deliver specialized, certified clinical trauma care to Tioga County residents through secure telehealth and in-person sessions at our Lancaster office (~170 miles / ~3.5 hours via US-15). From the dairy farms to the forests and gorges — 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 Tioga County Communities

We provide compassionate, trauma-specialized care tailored to the unique experiences of Tioga 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 logger, dairy 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 domestic violence or community trauma — 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

Tioga County’s Unmet Trauma Burden — Extreme Rural Isolation, Logging & Agricultural Stress, and Appalachian Challenges

Tioga County carries a significant trauma burden rooted in its extreme rural isolation, logging and dairy farming occupational stress, occasional flooding, intergenerational family trauma, and very limited local specialized mental health resources. Our certified clinical trauma professionals address these layered realities with cultural sensitivity and clinical depth.

Extreme Rural Appalachian Isolation Trauma

One of Pennsylvania’s most remote northern-tier counties, with long travel distances, limited services, and cultural stigma that can intensify untreated trauma.

Logging & Dairy Farming Occupational Trauma

High-risk physical work in logging and dairy farming creates chronic stress, injury-related trauma, economic uncertainty, and the emotional weight of generational land stewardship.

Flood Trauma

Periodic flooding in the Tioga River and tributaries has caused repeated property damage and chronic anxiety in valley communities.

Veteran & First Responder Needs

Many residents have served in the military or work as first responders across vast, sparsely populated, and rugged terrain.

Intergenerational & Small-Town Stress

Tight-knit but isolated communities amplify unresolved family trauma, economic pressures, and the quiet burden of limited opportunity.

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

Why Tioga 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 Pennsylvania Dutch country, Amish and Mennonite communities, state government service, and the realities of Tioga County life.

Somatic Experiencing

Releases trauma stored in the body from government service moral injury, logging and agricultural work, or the accumulated tension of extreme rural isolation.

Mindfulness and Relaxation Techniques

Grounded practices that fit real Tioga County lives — drawing on the strength of logging and dairy farming communities and the beauty of the northern tier forests.

Psychoeducation

Understand how trauma affects the nervous system in the context of rural isolation, occupational stressors, flood experiences, and the specific psychological pressures of Tioga 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 Tioga County — including extreme rural isolation, logging and dairy farming occupational stress, and the daily realities of remote Appalachian life.

Cheryl Wilson-Smith
Chief Executive Officer

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

"Tioga County is classic remote northern-tier Pennsylvania — where generations of dairy farmers, loggers, and mountain families carry the heavy weight of isolation, occupational stress, and limited access to care without enough specialized support nearby. The farmers and loggers facing daily risk. The families in Wellsboro, Mansfield, and Tioga holding quiet burdens. Every one of them deserves the best trauma care in Pennsylvania. We are only 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 Tioga County’s Trauma & PTSD Experts

  • Certified Clinical Trauma Professionals: Advanced credentials focused on extreme rural isolation trauma, logging and dairy farming occupational stress, flood events, and the specific psychological pressures of Tioga County.
  • Secure Telehealth: Expert care delivered to your home anywhere in Tioga County — no long drives required.
  • No Waitlist • No Referral: Available now with flexible scheduling, including evenings.

Tioga County’s dairy farming heritage, logging traditions, and northern-tier forests hold both deep strength and significant trauma burdens — from extreme isolation to occupational stress and flood challenges. These experiences deserve specialized clinical attention. Lancaster is only 170 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