Anxiety
Worry that never quite switches off, treated with practical CBT so your days feel steadier.
Online Therapy in Missouri
Wherever you live or work in Missouri, you can reach our psychologist or our counselor by video, and couples, families, seniors, and other adults are welcome, while children and adolescents often start with a parent close by.
Currently accepting new clients
Book a Missouri appointmentMissouri holds two large metropolitan areas at opposite corners, with a wide spread of smaller communities and rural counties between them. Someone in St. Louis, Kansas City, or Springfield may have local options, while someone two counties away often faces a drive that consumes most of a day. Through Psychotherapy.Com℠, we meet with Missouri clients online: working adults between meetings, parents arranging care for a young child, teenagers navigating school pressures, and older adults who prefer not to drive to an unfamiliar office after dark.
Our practice, based in Flagstaff, Arizona, also works with couples seeking a steady place to address relationship strain and families working through shared transitions. Because Missouri has a broad academic sector in places like Columbia and Fulton, we also see university students and faculty whose schedules and seasonal moves sit poorly beside a weekly drive across town. Video appointments allow anyone in the state—from a household in Jefferson City to a student changing addresses in May—to keep the same clinician over time.
Online Therapy Services in Missouri
The six areas below cover most requests from Missouri clients; each is approached through assessment first, and then a treatment plan agreed with you.
Psychological & Academic Evaluations
Evaluations address a defined question from a school, a college disability office, a physician, an employer or a court. That question is agreed before we begin, and remote suitability is decided in consultation.
ADHD & Executive Functioning
For students whose grades do not reflect their ability and professionals whose systems collapse under load. The work pairs diagnostic clarity, where warranted, with practical structure for study and for work.
Anxiety, Stress & Social Phobia
Presentation nerves, examination dread, panic, and worry that never quite subsides. Treatment proceeds through graded practice rather than reassurance, and examines the interpretations that keep the alarm switched on.
Career Planning & Professional Growth
For clients at a decision point: a promotion that does not appeal, an academic path that no longer fits, a return to work after time away. Sessions clarify values, strengths and consequences.
Couples & Relationship Health
Partners attend together by video, which helps when one of them travels. The work addresses conflict that keeps recurring, the division of household responsibility, intimacy, and rebuilding after a serious breach.
Eating Disorders Treatment
Outpatient psychological treatment for restriction, bingeing and preoccupation with weight and shape, coordinated with your physician. We are candid when a higher level of local medical care is needed first.
Concerns We Help With
Whether you meet us by secure video or in person at our Flagstaff office, these are the concerns we most often help with.
Depression
Low mood that drains interest and energy, met with patient, structured care that rebuilds one step at a time.
Trauma
Careful, paced work for difficult experiences, with you in control of what you share and when.
ADHD assessment and coaching
Clear testing when you need answers, and practical coaching for the schedules and habits that follow.
Young adults
Support through the first years on your own: school, work, independence, and the relationships that come with them.
Burnout and stress
For professionals running on empty: therapy for the exhaustion, and coaching for the work habits underneath it.
How we work with clients in Missouri
Our method is clear and collaborative from the outset. Many Missouri clients are academics or professionals who want to understand the rationale behind their care, so we explain our reasoning openly. We rely heavily on Cognitive Behavioral Therapy (CBT), tailoring interventions for individuals, couples, and children. Because a treatment plan that reaches nobody is unhelpful, we gladly coordinate with physicians, campus disability offices, and school teams when authorized. We evaluate progress at regular intervals rather than assuming our approach is holding. Developing lasting resilience requires steady effort, and we do not offer a quick fix. By taking an unhurried approach, we guide families and adults through complex life transitions with consistent support, ensuring each session remains relevant to your daily circumstances.
Your Missouri clinician
Missouri clients may see Della S. Lusk, Ph.D., Clinical Director of Arizona Behavioral Health Associates, P.C., a Licensed Clinical Psychologist authorized to provide telepsychology in participating states, or Alethea Braun-Dunagan, M.A., a Licensed Professional Counselor.
Psychological Services
Della S. Lusk, Ph.D.
Clinical Director · Bilingual Clinical Psychologist
Dr. Lusk holds the Authority to Practice Interjurisdictional Telepsychology (APIT™) granted by the PSYPACT® Commission, which authorizes her to provide telepsychology to clients located in Missouri.
Dr. Lusk has practiced for over 25 years and holds the Authority to Practice Interjurisdictional Telepsychology from the PSYPACT® Commission. She studied at Smith College, and completed her doctoral work in Clinical Psychology at the California School of Professional Psychology–San Diego, an APA-accredited program. In Missouri she provides therapy for individuals, couples, families and groups. Her evaluations address forensic, educational, employment screening and neuropsychological questions, with in-person instruments administered at our Flagstaff office.
Request an appointment
Counseling Services
Alethea Braun-Dunagan, M.A.
Licensed Professional Counselor
Ms. Braun-Dunagan provides counseling to clients located in Missouri through the Counseling Compact™, and has availability for Medicare and TriCare clients.
Ms. Braun-Dunagan is a Licensed Professional Counselor who sees children, adolescents, and adults located in Missouri under the Counseling Compact™. She offers individual, couples, and family counseling, joining Cognitive Behavioral techniques to a holistic view of the person, so the work stays both compassionate and practical. Her interests include women's issues, postpartum mood concerns, stress management, and relapse prevention, and she has particular experience helping young people work through trauma. She is also our intake specialist, and has availability for Medicare and TriCare clients.
Request an appointmentFull biographies, training, and areas of expertise are listed on our providers page. You can also read Dr. Lusk’s licensure and credentials and Ms. Braun-Dunagan’s licensure and areas of focus in full. You are welcome to ask any clinician directly about their qualifications and experience.
Telepsychology authorization for Missouri clients
Missouri participates in PSYPACT®. The agreement exists so that a psychologist can practice telepsychology across state lines without holding a separate license in each one, provided that psychologist has the Authority to Practice Interjurisdictional Telepsychology from the PSYPACT® Commission, as Dr. Lusk does. The list of member states and the register of psychologists holding the authority are maintained by the commission at psypact.gov, which is where we send anyone wanting confirmation.
Missouri is also a member of the Counseling Compact™. Counseling with Ms. Braun-Dunagan is provided under her privilege to practice through it, which CompactConnect records. The two agreements cover different work: psychological testing belongs to psychology, so evaluations stay with Dr. Lusk.
Authority is decided by geography at the moment of the session. If you are in Missouri, or in another participating state, the appointment is covered; if you have traveled somewhere outside the agreement, it is not, and no address of record changes that. The point comes up most with clients who travel for work or study, so we ask where you are each time we meet, and arrange alternatives ahead of a trip you already know about.
Participating jurisdictions are published by the compact commissions and can change. You can review current psychology participation at psypact.gov, find the relevant psychology licensing board through the PSYPACT® board directory, or check counseling privileges at CompactConnect. If you are not sure which applies to you, call (844) 774-7997 and we will confirm before you schedule.
Missouri colleges, universities and their people
Missouri's institutions range from large research universities and a specialist technological campus to small private colleges in towns built around them. Students, faculty and staff at these places make up a sizeable share of our caseload here, and video sessions continue through breaks, field placements and sabbaticals. The list that follows names the public and private institutions our Missouri clients are connected with.
At Washington University in St. Louis our experience is especially specific, and it spans the student body as well as faculty and staff.
All Missouri campuses we have worked with
Public Universities
- University of Missouri (Mizzou)
- Missouri University of Science and Technology
- University of Missouri–Kansas City
- University of Missouri–St. Louis
- Missouri State University
- Truman State University
- University of Central Missouri
- Missouri Western State University
- Missouri Southern State University
- Northwest Missouri State University
- Southeast Missouri State University
- Lincoln University
- Harris-Stowe State University
Private Colleges & Universities
- Washington University in St. Louis
- Saint Louis University
- Westminster College
- William Jewell College
- Drury University
- Rockhurst University
- Webster University
- Lindenwood University
- Columbia College
- Stephens College
- Culver-Stockton College
- Central Methodist University
- Missouri Valley College
- Evangel University
- College of the Ozarks
Missouri communities we work with
Our clients join from Kansas City and St. Louis, from Columbia, Springfield and Jefferson City, and from Fulton and the smaller towns between them. The list names where clients currently live rather than limiting where we can see people.
Common questions about therapy in Missouri
Do you work with graduate students and faculty?
Frequently. Graduate students come with dissertation paralysis, conflict with an advisor, impostor feelings, and the isolation of a long project; faculty come with overload, review anxiety, and the erosion of everything outside work. Meeting online means an appointment survives a teaching block or a conference week, and a clinician unconnected with your department may be preferable when the department is part of the difficulty.
What if I move away from Missouri?
Many clients continue. Whether we can depends on whether your new state takes part in the agreement your clinician practices under, which the compact's map will tell you, and we check that with you well before the move rather than after it. Where the answer is no, we will help plan a referral and will send records with your written authorization, so the next clinician is not starting from nothing.
How long does treatment usually take?
Our primary modality is Cognitive Behavioral Therapy, generally delivered weekly across roughly eight to sixteen weeks, though evaluation work and complex trauma can run differently. We are honest that no rapid solution exists for long-standing difficulty; what treatment can provide is coping strategies durable enough to outlast it. Duration is reviewed with you as the work proceeds rather than declared at the outset.
Can you speak to my physician?
With your written consent, yes, and it is often worthwhile. Coordination matters where medication, sleep, pain or an eating disorder is involved, and a short letter or call can keep two clinicians from working at cross purposes. Nothing leaves this practice without your authorization; you decide what is shared and what is not, and we will tell you what we consider clinically relevant before anything is sent.
What will the first appointment cost me?
Our rates are sent in a fee agreement when you schedule an appointment. Any out-of-network questions are answered by our office ahead of your first session, so the arrangement is settled before you begin. Telephone (844) 774-7997 and the staff will explain it all and answer questions the site does not address. You are welcome to have that conversation before deciding whether to schedule an intake at all.
How to get started in Missouri
To arrange an intake, request a time with Dr. Lusk or Ms. Braun-Dunagan in our secure online scheduler and let us know whether you are seeking therapy, counseling, or an evaluation. Our office will confirm the practical details and your first hour.
Prefer to talk first? Call or email the office.
Telehealth in other states
Alabama Alaska Arizona Arkansas Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Kansas Kentucky Louisiana Maine Maryland Michigan Minnesota Mississippi Montana Nebraska Nevada New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming