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

EMDR, CBT, DBT, PE, Brainspotting and More

Online Anxiety, PTSD, and Trauma Counseling for Washington County, PA
Advanced Counseling and Research Services
Advanced Counseling and Research Services Office
Office Location & Hours (Lancaster)
313 W Liberty St STE 224, Lancaster, PA 17603
Mon–Thu 9am–7pm | Fri 9am–5pm
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Anxiety/PTSD/Trauma Treatment Formats
Anxiety/PTSD/Trauma Therapy Modalities
Professional Accountability
Trauma Educational Services
Trauma Research Support
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Online Anxiety, PTSD, and Trauma Counseling in Washington County, PA
Washington County's Mon Valley communities deserve specialized trauma care β€” and with telehealth, you never have to leave home to get it.

Washington County sits at the southwestern corner of Pennsylvania β€” bordered by West Virginia and Ohio, shaped by the Monongahela River, and built by generations of hardworking families in steel, coal, and glass. From the county seat of Washington to the Mon Valley mill towns of Charleroi, Donora, Monongahela, and Canonsburg, this region's history runs deep and its people run tough.

That same history carries a weight that never fully lifted. The closure of the mills and mines left behind not just economic hardship but a profound collective loss of identity, purpose, and community. The opioid crisis followed. And throughout it all, the cultural expectation of strength β€” the same resilience that built this region β€” has often made it harder for people to ask for help.

At Advanced Counseling and Research Services, we understand that reaching out takes real courage β€” especially in communities where self-reliance is a deeply held value. Our licensed trauma specialists bring evidence-based therapy directly to you through secure telehealth, so you can get the highest-quality care available in Pennsylvania without leaving Washington, Canonsburg, Charleroi, Monongahela, Bentleyville, or wherever you call home in Washington County.

You don't have to drive to Pittsburgh to see a certified traumatologist. Healing starts here.

Trauma Is Not Weakness β€” It's Washington County's Untold Story

Washington County's communities carry specific, layered burdens that generic counseling approaches often miss. Our certified clinical trauma professionals are trained to work with exactly this kind of complex, community-shaped trauma:

  • The Donora Smog β€” America's deadliest air pollution disaster: In October 1948, a toxic industrial smog settled over the Mon Valley town of Donora and refused to lift for five days. By the time it ended, 20 residents had died and roughly half the town's 14,000 people had been sickened. The zinc smelter at the center of the disaster continued operating while residents suffocated. For years, the company denied responsibility and the community was pressured into silence. For families in Donora and the surrounding area, that history of harm, denial, and institutional betrayal is not a footnote β€” it is a form of collective trauma that has echoed across generations.
  • Post-industrial Mon Valley grief β€” the collapse of steel and manufacturing didn't just cost jobs. It cost identity, purpose, and the community bonds that had defined life in Charleroi, Monongahela, and dozens of smaller river towns for generations. That loss β€” and the failure to name it as grief β€” deserves serious, specialized care.
  • The opioid crisis β€” Washington County recorded 53 overdose deaths in 2023, down from a peak of 106 in 2021, but every one of those deaths represents a family carrying grief that won't resolve without help. Opioid use disorder is deeply connected to untreated trauma and chronic pain. Recovery without addressing what lies underneath is far harder to sustain.
  • Veteran and first responder trauma β€” Washington County has a significant veteran population and a network of volunteer fire and EMS departments serving communities throughout the county. The psychological toll of military service and emergency response work is real and well-documented β€” and access to specialized PTSD care, particularly EMDR and Brainspotting, remains difficult outside the Pittsburgh metro core.
  • Environmental health anxiety β€” The legacy of industrial contamination in the Mon Valley β€” from the Donora zinc works to decades of heavy industry along the river β€” has left communities with justified concerns about long-term health consequences. Living with that uncertainty is its own form of chronic stress and trauma that few providers are equipped to address.
  • Rural isolation β€” Much of Washington County beyond the Route 19 corridor is rural and semi-rural. For residents of Peters Township's outer edges, Amwell Township, or communities near the West Virginia border, distance from care has historically meant going without it.

ACRS's certified clinical trauma professionals are trained specifically to work with complex, layered trauma β€” not just acute single-event PTSD. We meet you where you are.

Mental Health Conditions We Treat

  • Anxiety Disorders & Panic
  • ADHD & ADD
  • Depression
  • Grief & Loss
  • Obsessive-Compulsive Disorder (OCD)
  • Phobias
  • Post-Traumatic Stress Disorder (PTSD)
  • Substance Use & Co-Occurring Disorders
  • Trauma β€” Single Event and Complex/Chronic
  • Veteran & First Responder PTSD

Why Washington County Residents Choose ACRS

Personalized, Trauma-Informed Care β€” Delivered 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 traumatologist β€” via secure video on your phone, tablet, or computer.

Group Treatment
Group Trauma and PTSD Treatment

Facilitated online sessions where you share your experiences and heal alongside others who understand.

Online Telehealth
Telehealth Trauma and PTSD Treatment

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

Concierge Counseling
Concierge Trauma and PTSD Counseling

A highly personalized, private approach to care with maximum flexibility and attention.

Veterans PTSD Support
Veteran PTSD Support Program

Specialized, compassionate PTSD care for Washington County veterans and active military families. You served β€” you deserve care that understands what you've been through.

First Responders

Washington County's volunteer firefighters, EMS crews, and law enforcement carry burdens most people never see. Our trauma specialists understand the unique stress of first responder work and provide confidential, effective telehealth care β€” on your schedule, from your home.

Survivors of Domestic Violence

Individuals With Substance Use Disorders

Why Telehealth Works β€” Especially in Washington County

Getting to a specialized trauma therapist in Pittsburgh means navigating I-79 or Route 19 β€” adding commute stress before and after what is already emotionally demanding work. For residents of the county's rural western townships or Mon Valley communities where local mental health resources are limited, that barrier is even higher. For many Washington County residents, it has meant going without care entirely.

Telehealth removes that barrier completely. With today's secure video technology, your session with an ACRS certified traumatologist is every bit as effective and connected as being in the same room. You see your therapist's face. They see yours. The therapeutic relationship is real β€” and so are the results.

Here's why Washington County clients tell us they value telehealth:

  • No commute on I-79, Route 19, or Route 40 before or after a difficult session.
  • Sessions fit around your work schedule β€” including evenings through Thursday.
  • You're in your own home β€” your own comfortable, private space.
  • Many clients find it easier to open up emotionally from a familiar environment.
  • You have access to Pennsylvania's best trauma specialists, not just whoever is closest.
  • It works. Evidence-based telehealth therapy delivers outcomes comparable to in-person care for trauma, anxiety, and PTSD.

You must be physically located in Pennsylvania during your telehealth session. If you would prefer to visit us in person, our Lancaster office is approximately 200 miles from Washington, PA via the Pennsylvania Turnpike.

ACRS Treatment Modalities for Anxiety, Trauma, and PTSD

Brainspotting Therapy

Brainspotting Therapy

Brainspotting operates on the principle that where you look affects how you feel. A therapist helps you identify "brainspots" β€” eye positions linked to stored emotional experiences or trauma in the brain. By maintaining focus on the brainspot while fostering mindfulness and connection, the brain processes and releases unresolved emotions at a profound neurobiological level.

Brainspotting is effective for PTSD, Anxiety, Depression, chronic pain, and performance issues β€” and is particularly well-suited to complex, multigenerational trauma common in communities shaped by industrial loss, environmental harm, and collective silence.

Cognitive Behavioral Therapy (CBT)

CBT Therapy

CBT is a short-term, goal-oriented psychotherapy that helps you identify and challenge unhelpful thought patterns and develop healthier coping mechanisms. It is highly effective for Anxiety, Depression, and PTSD β€” and its structured, practical approach resonates well with clients who value concrete progress and measurable results.

Dialectical Behavior Therapy (DBT)

DBT Therapy

DBT teaches four core skill sets β€” Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness β€” to help you navigate overwhelming emotions and build healthier relationships. Especially effective for borderline personality disorder, self-harm, and suicidal ideation.

EMDR Therapy

EMDR Therapy

EMDR (Eye Movement Desensitization and Reprocessing) is a gold-standard treatment for trauma and PTSD. It involves recalling disturbing memories while focusing on bilateral stimulation, helping your brain reprocess traumatic memories and reduce their emotional intensity. Effective for PTSD, Anxiety, Phobias, and other trauma-related conditions.

Exposure and Response Prevention (ERP) Therapy

ERP Therapy

ERP is the gold-standard, evidence-based treatment for OCD and related Anxiety Disorders. It involves gradually exposing you to feared thoughts or situations while helping you resist compulsive responses β€” breaking the OCD cycle and restoring your sense of control.

Prolonged Exposure Therapy (PE)

PE Therapy

PE is a type of CBT used to treat PTSD and Anxiety disorders. It involves gradually confronting feared memories and avoided situations in a safe environment. Through repeated exposure, the anxiety associated with trauma triggers diminishes over time β€” helping you reclaim your life.

Other Therapy Techniques

  • Narrative Therapy: Encourages you to tell your story, helping you understand and reclaim your own experiences β€” including stories that communities were once pressured to keep silent.
  • Somatic Experiencing: Focuses on your body's physical response to trauma and works to release stored tension.
  • Mindfulness and Relaxation Techniques: Meditation and deep breathing to help manage trauma-related stress and Anxiety.
  • Psychoeducation: Understanding trauma and its effects β€” including the specific patterns common in post-industrial communities and families shaped by collective loss β€” to help you make sense of your experiences.

Our Experienced Anxiety, Trauma, and PTSD Counselors

Our counselors are trained in Trauma-Informed Care and have extensive experience helping individuals heal from traumatic experiences β€” including the complex, layered trauma common in rural and post-industrial communities.

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

Read Cheryl's Profile

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 β€” Johns Hopkins University
  • CRNP License: SP025306
  • RN License: RN606119
  • MSN β€” Duquesne University
  • BSN β€” 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 anxiety, ADHD & ADD, and depression.

Read Kailee's Profile

Choose Washington County's Anxiety, PTSD, and Trauma Experts

  • Specialized Expertise: Certified Traumatologists β€” not general counselors. We treat trauma, PTSD, and anxiety as our primary focus, with advanced training and credentials to match.
  • No Drive Required: Secure telehealth brings Pennsylvania's best trauma specialists directly to your home in Washington, Canonsburg, Charleroi, Monongahela, Donora, Bentleyville, Peters Township, or anywhere in Washington County.
  • Personalized Approach: We recognize that Washington County's trauma is specific β€” shaped by Mon Valley industrial history, the Donora legacy, and the cultural value of resilience. Your care plan reflects your unique experience.

Taking the first step toward healing can be daunting β€” especially in communities where self-reliance is a deeply held value. But seeking help is not weakness. It's the same courage that built the Mon Valley, applied to your own well-being.

Contact us today to set up a free, confidential 10-minute consultation. We'll listen, answer your questions, and help you find the right path forward.

Contact Us Online or

Call Us at 717-394-3994

Cheryl Wilson-Smith
Chief Executive Officer

Cheryl has over 20 years of experience providing the highest-quality trauma and PTSD therapy to clients across Pennsylvania β€” including those who, before telehealth, had no access to specialized care.

Cheryl Wilson-Smith, Chief Clinical Officer β€” Trauma and PTSD Specialist
  • 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.

Read Cheryl's Profile

"Washington County's communities have carried extraordinary burdens for generations β€” including stories that were silenced for decades. The people of the Mon Valley deserve care that honors that history and helps them heal from it. I'm proud that ACRS can bring that care directly to their homes."

β€” Cheryl Wilson-Smith

Take the First Step – Contact Us Today

Secure & Confidential β€’ Free 10-minute consultation