Confidential sessions with a licensed psychologist for New Hampshire residents, including students and people who work across a state line.
Currently accepting new clients
Request a New Hampshire appointmentA great many people in New Hampshire live in one state and work or study in another. Commuters from Nashua and Manchester cross a border twice a day; students in Hanover, Durham and Keene arrive from elsewhere and leave again in May. That pattern makes continuity of care harder to hold than it sounds, because a clinician licensed in one state cannot always follow a client into the next. Our practice is arranged for exactly this problem.
Arizona Behavioral Health Associates, P.C. works under the name Psychotherapy.Com℠ from an office in Flagstaff, Arizona, and provides psychological and counseling services by secure video to individuals of all ages. Clients here include working adults, couples, teenagers, graduate students and retired people. Some come about a specific difficulty such as panic or insomnia; others about a life transition that has unsettled more than they anticipated. Sessions are confidential and unhurried, and we explain what we are doing rather than leaving you to guess.
What follows is a selection of the areas we cover; these six are the ones New Hampshire clients ask about most, and each is delivered as part of an individual plan.
Generalized worry, performance anxiety, and fear of social evaluation. We look at what you have begun avoiding and rebuild tolerance for it in steps small enough to complete.
Work with school-age children and teenagers on anxiety, mood, friendships and behavior, with parents kept appropriately involved and school difficulties treated as part of the picture.
For people reconsidering a field, negotiating a promotion, or recovering confidence after a difficult job. We separate what you want from what you have absorbed as expectation.
Support through the first year after a birth, including low mood, intrusive worry, sleep loss, and the strain a new baby places on a partnership.
For adults and older adolescents whose self-judgment has narrowed what they are willing to attempt. Sessions examine the standards being applied and where those standards came from.
Testing for academic accommodation, employment screening, forensic questions and neurodiverse learning profiles. Whether an evaluation suits a remote format is settled in consultation before anything is scheduled.
A first session is largely diagnostic: what brought you here, what has already been tried, what you want to be different. From there we set out a personalized treatment plan in language you would use yourself, and we check as we go whether it is doing anything. We see clients across the lifespan, from professionals managing career transitions in Manchester to Dartmouth students navigating intense academic environments in Hanover. Our primary modality is Cognitive Behavioral Therapy (CBT), applied with cultural awareness to fit your specific circumstances. We focus on building lasting coping strategies that endure long after your initial symptoms fade; we do not offer a quick fix for the challenges you are facing.
New Hampshire clients work with Dr. Della S. Lusk, who directs the practice clinically and holds the interjurisdictional authorization that makes cross-state telehealth possible. Intake calls come to her as well.
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 New Hampshire.
With more than twenty-five years in practice, Dr. Lusk is a Licensed Clinical Psychologist who works in English and Spanish. Her clinical doctorate came from the California School of Professional Psychology–San Diego, an APA-accredited program, following an A.B. at Smith College, and she has been qualified as an expert witness by the State of Arizona. New Hampshire clients see her for therapy at any age and for psychological evaluation.
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 in full. You are welcome to ask any clinician directly about their qualifications and experience.
This matters more here than in most places, because so many residents spend their working hours outside the state. Authorization to practice psychology follows the client's physical location during the session. New Hampshire participates in PSYPACT®, the compact that permits a clinical psychologist with the Authority to Practice Interjurisdictional Telepsychology to see clients who are physically present in a participating state. That authorization was issued to Dr. Lusk by the PSYPACT® Commission.
So a session taken at your kitchen table in Concord and a session taken from an office over the state line are treated differently, and which of them is permitted depends on whether the state you are sitting in takes part. We ask commuting clients to tell us where they intend to be, and we check beforehand rather than afterward. Participating states and the conditions of the authority are listed by the commission at psypact.gov; the office can walk you through what it means for your week.
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.
The state's colleges bring in students from well outside it, and each summer a good part of that population leaves. Work that began in the fall term need not stop in May. We see undergraduates, graduate students, staff and faculty from the public and private institutions listed below, and appointments continue wherever a participating state allows.
Dartmouth College is the campus we know best here. We have worked with its undergraduates, its graduate and professional students, and members of its faculty and staff.
We see clients in Manchester, Durham, Hanover, Nashua, Concord, Keene and Plymouth, and in the smaller communities around them. Because the appointment is virtual, the distance between you and our Flagstaff office makes no practical difference to the session.
The one you are physically in when the session takes place. If you are at home in Nashua, New Hampshire's participation in the compact applies. If you join from a desk over the line, that state's status governs instead, and it may or may not take part. This is why we ask commuting clients to tell us in advance where they will be; we confirm it before the appointment, not after.
Regularly. Students often want to keep the same clinician through a summer at home or a semester away, and faculty sometimes prefer a therapist with no connection to their institution. We treat the academic calendar as part of the clinical picture, since term deadlines, funding decisions and the emptying of a college town in May all affect how a person is doing.
Often, yes, and it is one reason people choose telehealth. If your new state takes part in the compact, appointments can carry on with the same clinician and no handoff. If it does not, we will tell you as soon as we know and help you plan a transfer instead of leaving it to the final week. Either way, raise the move early.
Mostly listening and questions. Dr. Lusk will ask what prompted the call, how long it has been going on, what has helped or failed to help before, and something about your health, family and work. By the end you should have an initial impression of what is happening and a proposal for how to proceed. You are welcome to ask about method and experience.
Call (844) 774-7997 or write to info@psychotherapy.com. The office will take a few details, discuss when you could be seen, and talk through the fee arrangement, including out-of-network questions, ahead of a first session. If you have had testing or treatment before, it helps to have those records to hand, though nothing prevents you from starting without them.
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.
Getting started takes one call. The office, reached at (844) 774-7997, will ask a few questions, send the fee agreement before anything is booked, and arrange a first session with Dr. Lusk at a time that accounts for a commute or a term schedule. Email to info@psychotherapy.com works equally well.
We do not offer crisis, walk-in, or inpatient services of any type, and this page is not a substitute for emergency care.
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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
