Find a therapist in Pennsylvania — covered by insurance

Hi, I’m Sarné (Shar-nay), a board-certified Psychiatric Mental Health Nurse Practitioner with over 15 years of nursing and psychiatric experience. I believe mental health care should feel supportive, collaborative, and free of judgment. I work with adults experiencing anxiety, depression, ADHD, bipolar disorder, stress, and life transitions.

As a professional, mother, and caregiver myself, I understand how overwhelming life can become. My goal is to create a safe, compassionate space where you feel heard, understood, and empowered to move toward lasting emotional wellness.

I am committed to lifelong learning and providing care grounded in the latest evidence. I have completed the Certified Integrative Mental Health Professional (CIMHP) training through the Nutritional and Integrative Medicine for Mental Health Professionals program. This advanced training has expanded my knowledge of nutrition, sleep, physical activity, stress management, gut health, and other evidence-informed lifestyle approaches that can complement traditional psychiatric treatment when appropriate. These strategies are thoughtfully integrated into care and are intended to support—not replace—evidence-based psychiatric treatment, including medication management, psychotherapy, and collaborative care.

Whether you’re seeking support for the first time or looking for a provider who takes a whole-person approach to mental health, I look forward to partnering with you on your journey toward healing, resilience, and lasting wellness.

Hello, I’m John Muscarnera. I provide individual therapy for adults seeking support with anxiety, depression, stress management, relationship challenges, and personal growth.

I have spent most of my professional life helping people manage stress, burnout, trauma, change, and the general emotional chaos that comes with being human. With a background spanning clinical counseling, higher education, leadership development, special education, and mental health advocacy, I bring both deep expertise and genuine relatability to the therapy process. I have presented nationally on topics like compassion fatigue, resilience, and trauma, but believe some of the best therapeutic work still happens in simple, honest conversations where people finally feel heard.

Welcome to my profile. I'm a clinical social worker licensed in Maryland and Pennsylvania. I also have a PhD in psychology, a clinical trauma certification, and am a 200-hr trained yoga instructor. My passion in life is to learn and understand things so that I can pass it on to others in a practical way to help improve lives and relationships.

My doctoral dissertation focused on mindfulness and adult romantic partner conflict. As a military spouse myself, I am uniquely positioned to support military partners and spouses through relationship challenges. Additionally, I particularly enjoy to support healing professionals including therapists, nurses, reiki teachers, and massage therapists.

My approach is highly individualized, blending creativity and empathy to tailor each session to the unique needs of my clients. I collaborate, working closely with clients to set meaningful and inspiring goals.

As a licensed therapist in Maryland with two decades of experience, I specialize in supporting individuals navigating complex life transitions and emotional challenges.

My professional focus encompasses trauma recovery, mood disorders, military and veteran mental health, and life stage transitions including divorce, grief, and end-of-life counseling. As a former firefighter in the Baltimore area, I bring a deep expertise in addressing posttraumatic stress, first responder mental health, and traumatic brain injury. My approach centers on understanding each individual's unique journey, offering compassionate support for those experiencing stress, anxiety, and emotional complexity.

With a commitment to holistic healing, I work closely with clients to develop resilience, process challenging experiences, and rediscover personal strength. Whether supporting veterans, first responders, or individuals facing significant life changes, I provide a supportive, understanding environment where healing and growth can flourish.

My therapeutic practice is grounded in evidence-based approaches that honor each client's individual experience and potential for transformation.

I work with adolescents and adults who want more than just healing and coping-I help folks connect the dots for how to live a more successful and joyful life. About half of my practice is focused on performance psychology, while the other half focuses on overcoming depression, trauma, and anxiety. Many of the people I work with are thoughtful, driven, and curious. They're not only looking to feel better-they want to know why they feel the way they do. As I often say: descriptions can validate, but explanations heal. Together, we connect the dots between your experiences, patterns, and goals in order to thrive.