Juniata 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 Juniata 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
~60 miles from Mifflintown via US-22/US-322 (~1.25 hours)
Open in Google Maps
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 Juniata County, PA
Juniata County lies in the fertile Kishacoquillas and Juniata River valleys — a land of family farms, small towns, and Appalachian ridges where generations have worked the soil and built tight-knit communities. The psychological weight of agricultural stress, rural isolation, and economic pressures deserves specialized clinical attention. Lancaster is only 60 miles southeast. Healing starts here.

Juniata County, Pennsylvania — with Mifflintown as the county seat, along with Port Royal, Thompsontown, and McAlisterville — is a small, predominantly rural county of approximately 23,000 residents in the Ridge and Valley region. Known for its agricultural heritage and scenic Juniata River, the county faces the challenges typical of central Pennsylvania’s rural communities, including limited access to specialized trauma care.

At Advanced Counseling and Research Services, we deliver specialized, certified clinical trauma care to Juniata County residents through secure telehealth and in-person sessions at our Lancaster office (~60 miles / ~1.25 hours via US-22/US-322). From the farms to the river towns — 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 Juniata County Communities

We provide compassionate, trauma-specialized care tailored to the unique experiences of Juniata 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

Juniata County’s Unmet Trauma Burden — Agricultural Life, Rural Isolation, and River Challenges

Juniata County carries a significant trauma burden rooted in its agricultural economy, rural Appalachian character, occasional Juniata River flooding, and the stresses of small-town and farming life with limited local specialized resources. Our certified clinical trauma professionals address these layered realities with cultural sensitivity and clinical depth.

Agricultural & Farming Occupational Trauma

Farming families face unique stressors including unpredictable weather, financial pressures, equipment accidents, and the emotional weight of maintaining multi-generational family farms.

Rural Appalachian Isolation Trauma

Geographic isolation, limited local specialized care, and cultural stigma around mental health create significant barriers for many residents in this rural county.

Juniata River & Flood Trauma

Periodic flooding along the Juniata River and its tributaries has caused property 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.

Small-Town Economic Stress

Long-term economic challenges in agriculture and small business contribute to intergenerational stress and feelings of being left behind.

Whether you live in Mifflintown, Port Royal, Thompsontown, or any farming township — ACRS meets you where you are with the depth of specialized care Juniata County has long needed. Healing starts here.

Why Juniata 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 farming life and small-town realities in Juniata County.

Somatic Experiencing

Releases trauma stored in the body from agricultural accidents, flood events, or the accumulated tension of rural life.

Mindfulness and Relaxation Techniques

Grounded practices that fit real Juniata County lives — drawing on the strength of agricultural communities and the beauty of the Juniata River Valley.

Psychoeducation

Understand how trauma affects the nervous system in the context of farming stressors, flood experiences, and the specific psychological pressures of Juniata 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 Juniata County — including agricultural occupational trauma, rural isolation, and the daily realities of small-town life.

Cheryl Wilson-Smith
Chief Executive Officer

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

"Juniata County is where the Juniata River flows through fertile valleys and Appalachian ridges — a place of hardworking farm families and tight-knit communities that often carry heavy burdens without enough specialized support nearby. The farmers facing unpredictable seasons and generational expectations. The families in Mifflintown and Port Royal holding quiet stress. Every one of them deserves the best trauma care in Pennsylvania. We are only 60 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

Choose Juniata County’s Trauma & PTSD Experts

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

Juniata County’s farms and river valleys hold both deep resilience and significant trauma burdens — from the daily stresses of agriculture to the isolation that can amplify unresolved pain. These experiences deserve specialized clinical attention. Lancaster is only 60 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