Online Therapy in Montana

Confidential video sessions with a licensed psychologist, available wherever you are in Montana without a long drive to an office.

Currently accepting new clients

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Psychotherapy.Com℠ is the practice name of Arizona Behavioral Health Associates, P.C., a Flagstaff, Arizona practice that sees clients of every age by secure video. In Montana we work with adults carrying anxiety or low mood, couples trying to talk to each other again, parents worried about a child's learning, and older adults facing loss. Most of the people who write to us describe something that has grown heavier than it used to be, and they would like experienced guidance while they sort it out.

Distance is the practical problem telehealth solves here. A family in Kalispell and a ranch hand outside Great Falls may both live hours from a psychologist, and a February drive to a consulting room is a real obstacle rather than an inconvenience. A video appointment removes the drive altogether. It also means that a course of therapy begun in Billings continues unchanged if work takes you to Butte for two months, because the appointment follows you rather than the building.

Online Therapy Services in Montana

The concerns below come up most often among the Montana clients who reach us, and each is addressed through a personalized treatment plan rather than a fixed program.

Anxiety, Stress & Social Phobia

Worry that has begun to organize your days, physical tension, and avoidance of situations that used to feel ordinary. We work on what sets the pattern off and how to interrupt it.

Depression & Mood Disorders

Low mood that flattens interest and energy, including the heaviness that arrives with short winter days. Sessions look at sleep, activity, isolation, and the thoughts that keep the mood in place.

Trauma, PTSD & Complex Trauma

Accidents, violence, and long-standing harm from earlier relationships. We move at a pace you set, building steadiness first so that talking about what happened does not leave you overwhelmed.

Grief, Loss & End of Life Care

Support after a death, during a terminal illness, and through the anticipatory grief that families carry. We make room for the practical decisions alongside the sorrow.

Career Planning & Professional Growth

For people weighing a move, a seasonal contract, or a return to school. We examine what you want from work and what has kept earlier decisions from holding.

Chronic Pain, Illness & Headaches

Living with persistent pain, migraine, or a long-term medical condition. Therapy addresses the exhaustion, the narrowing of activity, and the strain that illness places on a household.

How we work with clients in Montana

A successful course of care starts with diagnostic clarity. We want to know what you have tried and what your goals are before selecting a method. For our Montana clients, who often live far from other services, we ensure that every session is practical and focused. Our work frequently utilizes Cognitive Behavioral Therapy (CBT) to help adults, students, and families navigate everyday problems. Because distance can complicate access, we maintain a reliable telehealth schedule and develop strategies that you can apply between appointments. True change requires practice, and we do not offer a quick fix. We instead commit to a measured, culturally aware approach that respects your environment and guides you toward long-term coping strategies, adjusting our work as your needs evolve over time.

Your Montana care team

Clients in Montana are seen by Dr. Della S. Lusk, the practice's Clinical Director, who holds the authorization that permits a psychologist to practice across participating states. She conducts the intake conversation herself.

Headshot of Dr. Della Lusk
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 Montana.

Dr. Lusk is a Licensed Clinical Psychologist of more than twenty-five years' experience, bilingual in English and Spanish. She earned her A.B. at Smith College and her doctorate in Clinical Psychology from the California School of Professional Psychology–San Diego, an APA-accredited program. With Montana clients she sees individuals, couples, families and groups, and conducts psychological evaluations including educational, employment screening, forensic and neuropsychological assessment.

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Full biographies, training, and areas of expertise are listed on our providers page. You can also read Dr. Lusk’s licensure and credentials in full. You are welcome to ask any clinician directly about their qualifications and experience.

How telehealth licensing works in Montana

Psychological practice is authorized by the state where the client is physically sitting, not by the state where the psychologist keeps an office. Montana participates in the Psychology Interjurisdictional Compact, known as PSYPACT®, which allows a psychologist holding the Authority to Practice Interjurisdictional Telepsychology (APIT™) to provide services by telehealth to residents of other participating states. Dr. Lusk holds that authority, issued by the PSYPACT® Commission, and it is what permits her to see you at home in Montana.

In practice this means your location on the day of the appointment is what matters. If you are in Helena for one session and visiting family out of state for the next, tell us where you will be and we will confirm whether the appointment can go ahead as scheduled. Participating states and the current status of the compact are published by the commission at psypact.gov, and we are glad to answer questions about how the arrangement applies to you.

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.

Supporting Montana students and faculty

Montana's campuses are spread across the state, and a student who goes home for a break often leaves their counseling center behind. We see undergraduates, graduate students, and faculty from the public universities and private colleges listed below, and a semester of work can continue through the summer without a handoff.

Public Universities

  • University of Montana
  • Montana State University
  • Montana State University Billings
  • University of Montana Western
  • Montana Technological University
  • Montana State University–Northern

Private Colleges & Universities

  • Carroll College
  • Rocky Mountain College
  • University of Providence

Montana communities we serve online

We meet with clients in Bozeman, Missoula, Billings, Helena, Great Falls, Kalispell and Butte, and with people who live well outside those towns. A reliable internet connection and a private room are all that a session requires.

Common questions about online therapy in Montana

What if I live hours from the nearest psychologist?

That is the situation many of our Montana clients are in. Video sessions do not depend on how far you live from a clinic, only on a connection good enough to hold a conversation. If your connection is unsteady, we can work by telephone for part of a session. We will also talk during intake about local medical care, since therapy works best alongside a primary care provider you can actually reach.

Does winter weather affect my appointments?

Not the way a drive to an office would. Sessions are kept from wherever you are, so a closed pass or an icy road is not a reason to miss one. If a power or internet outage does interrupt a session, call the office at (844) 774-7997 and we will reschedule. Regular weekly contact through the darkest part of the year is often the point of the work.

I travel for work. Can I keep the same therapist?

Often, yes. Your appointment is tied to Dr. Lusk rather than to a location, and continuity of care is one of the real advantages of telehealth for people whose work moves them around. What we need to know is which state you will be physically in, because that determines whether a given session can take place. Let the office know your schedule and we will plan around it.

Do you offer psychological testing to Montana clients?

Dr. Lusk conducts psychological evaluations, including educational, employment screening, forensic and neuropsychological assessment. Whether a particular evaluation can be carried out remotely depends on the instruments involved and on the question being asked, so suitability is determined in consultation rather than promised in advance. Call the office and we will tell you what a given assessment would involve.

How do I arrange a first appointment?

Call (844) 774-7997 or write to info@psychotherapy.com and describe briefly what you are looking for. The office will take some details, answer questions about scheduling, send the fee agreement, and go over any out-of-network questions with you before the first appointment, so that nothing about the arrangement is a surprise. The session itself is a conversation about history and goals.

Payment and insurance for Montana telehealth

We accept all major credit and debit cards, and we gladly accept HSA, FSA, and HRA cards so you can use pre-tax dollars toward your care. Our practice generally operates out-of-network. This allows us to protect your privacy, keep care highly personalized, and avoid insurance-mandated session limits.

Our rates are sent in a fee agreement when you schedule an appointment. Please check with your insurance company regarding your out-of-network benefits. As a courtesy, we will submit claims on your behalf upon request, and any reimbursement will be sent directly to the insured. Call (844) 774-7997 or email info@psychotherapy.com if you have questions.

Our services are by appointment only, during normal business hours. Evening, weekend, and early morning appointments are sometimes available for established clients.

How to get started in Montana

Reaching out is the part people put off longest. A short call to (844) 774-7997, or an email to info@psychotherapy.com, is enough to begin; the office will gather what it needs, send the fee agreement, and set a time with Dr. Lusk that fits a Montana schedule.

If you need urgent help

We do not offer crisis, walk-in, or inpatient services of any type, and this page is not a substitute for emergency care.

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 Missouri 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

This page provides general information about telehealth psychotherapy and psychological services. It is not medical or psychological advice, does not create a clinician–client relationship, and does not diagnose or treat any condition. Whether a particular service is appropriate for you is determined with a clinician during a confidential consultation. Telehealth authorization depends on your physical location at the time of each appointment; participating jurisdictions are published at psypact.gov and, for counseling, at CompactConnect. Arizona Behavioral Health Associates, P.C., 710 N Beaver Street, BLDG 4, Flagstaff, AZ 86001-3139 · (844) 774-7997