Lackawanna 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 Lackawanna 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 Scranton via I-81 (~2.75–3.25 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 Lackawanna County, PA
Lackawanna County is the heart of Pennsylvania’s anthracite coal region — where Scranton rose as a powerful industrial city and where generations of miners, steelworkers, and railroad families built lives amid the hills. The psychological scars of mine work, economic decline, urban stress, and river flooding run deep. Lancaster is about 170 miles southeast. Healing starts here.

Lackawanna County, Pennsylvania — with Scranton as the county seat and largest city, along with Dunmore, Carbondale, Old Forge, and surrounding communities — is a historic anthracite coal and industrial region with a 2025 population of approximately 210,000. The county blends urban centers with rural townships and carries the layered legacy of mining, manufacturing, and post-industrial transition.

At Advanced Counseling and Research Services, we deliver specialized, certified clinical trauma care to Lackawanna County residents through secure telehealth and in-person sessions at our Lancaster office (~170 miles / 2.75–3.25 hours via I-81). From the Scranton area to the smaller 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 Lackawanna County Communities

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

Lackawanna County’s Unmet Trauma Burden — Anthracite Legacy, Post-Industrial Stress, and Urban-Rural Challenges

Lackawanna County carries a profound trauma burden rooted in its anthracite coal mining history, post-industrial economic decline, Lackawanna River flooding, and the stresses of urban and rural life in northeast Pennsylvania. Our certified clinical trauma professionals address these layered realities with cultural sensitivity and clinical depth.

Anthracite Coal Mining Occupational Trauma

Generations of miners endured dangerous underground work, black lung disease, cave-ins, and the moral injury of sudden industry collapse, leaving lasting physical and psychological scars.

Post-Industrial Decline & Economic Trauma

The decline of coal, steel, and rail industries in Scranton and surrounding areas has created widespread identity loss, financial stress, and intergenerational trauma.

Lackawanna River & Flood Trauma

Repeated flooding along the Lackawanna River has caused displacement, property loss, and chronic anxiety in riverside communities.

Urban & Community Violence Stress

Scranton and other urban areas face concentrated challenges including poverty, housing instability, and violence that compound into chronic traumatic stress.

Rural & Small-Town Service Gaps

Outlying townships experience additional barriers to specialized trauma care due to distance, cultural stigma, and limited local providers with advanced trauma credentials.

Whether you live in Scranton, Dunmore, Carbondale, or any community in Lackawanna County — ACRS meets you where you are with the depth of specialized care the county has long needed. Healing starts here.

Why Lackawanna 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 anthracite coal country, post-industrial life, and the realities of Lackawanna County.

Somatic Experiencing

Releases trauma stored in the body from mining work, flooding events, or the accumulated tension of economic and community pressures.

Mindfulness and Relaxation Techniques

Grounded practices that fit real Lackawanna County lives — drawing on the strength of mining communities and the beauty of the Lackawanna Valley.

Psychoeducation

Understand how trauma affects the nervous system in the context of coal mining history, post-industrial decline, flood experiences, and the specific psychological pressures of Lackawanna 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 Lackawanna County — including anthracite coal mining occupational trauma, post-industrial stress, and the daily realities of urban and rural life.

Cheryl Wilson-Smith
Chief Executive Officer

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

"Lackawanna County is anthracite country — where the mines shaped a powerful industrial city and where the scars of that era still run deep in Scranton and surrounding communities. The miners whose bodies remember the dark. The families carrying the weight of economic decline and post-industrial stress. The residents still affected by river flooding and community challenges. 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

Choose Lackawanna County’s Trauma & PTSD Experts

  • Certified Clinical Trauma Professionals: Advanced credentials focused on anthracite mining trauma, post-industrial moral injury, flood events, and complex community stress.
  • Secure Telehealth: Expert care delivered to your home anywhere in Lackawanna County — no long drives required.
  • No Waitlist • No Referral: Available now with flexible scheduling, including evenings.

The anthracite mines and Lackawanna River shaped Lackawanna County with both industrial power and lasting psychological scars. These experiences — mining trauma, economic decline, and community stress — deserve specialized clinical care. Lancaster is about 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

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Secure & Confidential • Free 10-minute consultation