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Elk 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 Elk 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
~195 miles from Ridgway / St. Marys via US-322 (~3.5–4+ hours)
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Anxiety/PTSD/Trauma Treatment Formats
Anxiety/PTSD/Trauma Therapy Modalities
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Trauma Educational Services
Trauma Research Support
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Online trauma, PTSD, and anxiety counseling for Elk County, PA
Elk County is the heart of Pennsylvania’s Wilds — vast forests, rushing rivers, and tight-knit communities shaped by lumber history, manufacturing resilience, and the power of the Clarion River. The psychological weight of isolation, flooding, and generational occupational stress deserves specialized clinical attention. Lancaster is nearly 200 miles southeast. Healing starts here.

Elk County, Pennsylvania — home to St. Marys (the Powdered Metal Capital and one of Pennsylvania’s largest cities by land area), Ridgway (county seat), Johnsonburg, and the surrounding townships deep in the Allegheny National Forest region — is a rugged, low-density county of approximately 30,000 residents. Known for its natural beauty and outdoor heritage, Elk County’s communities have long faced the realities of rural life, industrial history, and the forces of nature along its rivers.

At Advanced Counseling and Research Services, we deliver specialized, certified clinical trauma care to Elk County residents through secure telehealth and in-person sessions at our Lancaster office (~195 miles / 3.5–4+ hours via US-322). From the Wilds to the river valleys — expert trauma therapy is now accessible no matter how remote. 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 Elk County Communities

We provide compassionate, trauma-specialized care tailored to the unique experiences of Elk County residents in the Pennsylvania Wilds.

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 manufacturing and lumber 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

Elk County’s Unmet Trauma Burden — Wilds Isolation, River Flooding, and Industrial Legacy

Elk County carries a distinct trauma burden rooted in its remote geography, powerful rivers, historical lumber industry, and modern manufacturing stresses. Our certified clinical trauma professionals are trained to address these layered realities with cultural sensitivity and clinical depth.

Clarion River & Flood Trauma

Repeated flooding events along the Clarion River and tributaries have caused displacement, property loss, and chronic anxiety in riverside communities. The legacy of flood-control projects (including lost towns like Instanter) adds intergenerational environmental trauma.

Historical Lumber & Occupational Trauma

The rugged lumber era left physical and psychological marks on workers and families. Today, manufacturing in St. Marys continues to bring occupational stress, moral injury, and identity challenges tied to industrial heritage.

Rural Isolation & Service Gaps

Vast forested areas and low population density create significant barriers to specialized trauma care, compounded by cultural stigma around mental health and long travel distances.

Veteran & First Responder Needs

Many residents serve or have served in the military or as first responders in a region where emergency response can mean long distances and harsh conditions.

Community & Economic Transitions

Small, tight-knit towns face the compounded effects of economic shifts, limited resources, and the psychological impact of living deep in the Pennsylvania Wilds.

Whether you live in St. Marys, Ridgway, Johnsonburg, or any township in the Wilds — ACRS meets you where you are with the depth of specialized care Elk County has long needed. Healing starts here.

Why Elk 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 life in the Pennsylvania Wilds, lumber heritage, and manufacturing communities.

Somatic Experiencing

Releases trauma stored in the body from flooding events, occupational stress, or the accumulated tension of rural and isolated living in Elk County.

Mindfulness and Relaxation Techniques

Grounded practices that fit real Elk County lives — drawing on the strength of Wilds communities, the beauty of the Allegheny forests, and the resilience required in rural Pennsylvania.

Psychoeducation

Understand how trauma affects the nervous system in the context of flood experiences, occupational history, and the specific psychological pressures of Elk County and the Pennsylvania Wilds.

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 Elk County — including flood disaster trauma, occupational stress from manufacturing and historical lumber work, and the daily realities of rural isolation.

Cheryl Wilson-Smith
Chief Executive Officer

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

"Elk County is deep in the Pennsylvania Wilds — where the forests are vast, the rivers powerful, and the communities resilient yet often far from specialized care. The families who have carried the weight of flooding along the Clarion, the workers whose bodies remember the lumber mills and manufacturing floors, the veterans and first responders who protect this rugged land. Every one of them deserves the best trauma care in Pennsylvania. We are a long drive away, but through telehealth or in Lancaster, 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

Choose Elk County’s Trauma & PTSD Experts

  • Certified Clinical Trauma Professionals: Advanced credentials focused on disaster trauma (flooding), occupational moral injury, complex PTSD, and rural isolation stress.
  • Secure Telehealth: Expert care delivered to your home anywhere in Elk County — no long drives required.
  • No Waitlist • No Referral: Available now with flexible scheduling, including evenings.

The Clarion River and the Wilds have shaped Elk County with both beauty and hardship. Flooding events, industrial legacies, and the challenges of rural life create trauma burdens that deserve specialized clinical attention. Lancaster is nearly 200 miles away, but through secure telehealth or in-person care, healing is accessible 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