North Carolina Online Therapy and Evaluations

Secure video sessions with a licensed clinical psychologist for students, faculty, and families in every corner of North Carolina.

Currently accepting new clients

Request a North Carolina appointment

North Carolina holds a dense concentration of colleges and universities, and a large share of the people who write to us are attached to one of them: an undergraduate in her second semester away from home, a doctoral candidate whose funding clock is running, a faculty member carrying a teaching load and a young family at the same time. We also see people with no campus connection at all — parents, couples, retirees, and adults who have decided that this is the year to deal with something they have carried for a while.

Video makes the practice equally reachable from Chapel Hill and from Wilmington, and it makes care continuous in a state where people move for school and then move again for work. A student can begin in the fall and keep the same psychologist through a summer at home, an internship, or graduation, so long as she is in a participating state when the session takes place. Faculty and staff can hold an hour between obligations without crossing a campus to do it. The conditions are explained below.

Therapy and Assessment Services in North Carolina

We provide these services to North Carolina clients by video, drawing on evidence-based methods and adapting the work to a person's age, culture, and circumstances.

Depression & Mood Disorders

When motivation, sleep, and interest have all flattened, treatment addresses both the behavior that maintains low mood and the beliefs underneath it, with attention to how long the pattern has been present.

Psychological & Academic Evaluations

Testing with Dr. Lusk answers a specific question: why a capable student is struggling, what accommodations are warranted, or how a mixed diagnostic picture holds together. Suitability for remote work is determined in consultation.

Autism & ADHD (AuDHD) Testing

Adults and adolescents who recognize themselves in descriptions of neurodiverse learning profiles can pursue a careful assessment rather than a label, with recommendations written for school, work, and home.

Identity Exploration & LGBTQ+ Support

Sessions offer an unhurried place to think about identity, disclosure, family response, and belonging, conducted with cultural awareness and without an agenda for where the conversation ought to arrive.

Mindfulness & Burnout Prevention

Faculty, clinicians, graduate students, and others running on depleted reserves learn to notice the early signals of burnout and to build recovery into a schedule that resists it.

Trauma, PTSD & Complex Trauma

Work on trauma moves at a pace you set, beginning with stability and skills well before any detailed account, whether the events were recent or reach back into childhood.

Our approach with North Carolina clients

Therapy here starts with diagnostic clarity, whether you are building a career in the Raleigh-Durham area or navigating a significant life transition. While our firsthand experience with Duke University gives us a clear understanding of academic pressures, our practice is built to assist everyday people from all backgrounds with everyday problems. We apply Cognitive Behavioral Therapy (CBT) through a personalized treatment plan to help you recognize unhelpful patterns and make practical changes. Because meaningful progress requires honest work, we do not offer a quick fix. Instead, we set goals you recognize as your own and build reliable coping strategies that support your sustained personal growth.

Who provides care in North Carolina

All North Carolina appointments are with the practice's Clinical Director, Dr. Della S. Lusk. One clinician means one relationship to maintain, which matters most when the work spans several years or several moves.

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 North Carolina.

A Licensed Clinical Psychologist with over 25 years in practice, Dr. Lusk holds an A.B. from Smith College and a doctorate from the California School of Professional Psychology–San Diego, which is APA-accredited. She is bilingual in English and Spanish, has been qualified by the State of Arizona as an expert witness, and offers individual, couples, family, and group therapy alongside forensic, educational, 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.

Licensing and telehealth rules that apply in North Carolina

Telepsychology across state lines is governed by PSYPACT®, an agreement among participating states that recognizes a home-state license for remote practice. North Carolina participates, and Dr. Lusk's Authority to Practice Interjurisdictional Telepsychology, granted by the PSYPACT® Commission, is the credential that makes these appointments lawful. Because membership changes over time, the Commission maintains the current roster at psypact.gov, which is a better reference than any list we could keep ourselves.

The rule that surprises people is the one about place: what counts is where you are during the hour, not where your driver's license was issued. A Duke University graduate student visiting family in a state outside the compact cannot simply keep the appointment from there, while the same student sitting in Durham is on firm ground. Tell us before you travel and we will either confirm the session or find another time for it.

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.

Students and faculty across North Carolina

Campuses in this state range from large research universities to small liberal arts colleges: the University of North Carolina at Chapel Hill, North Carolina State University, Davidson College, Wake Forest University, and Elizabeth City State University among them. We work with undergraduates, graduate assistants, and faculty at the public and private institutions listed here, and the relationship can hold through a transfer or a summer away.

Duke University is one where our experience is particularly specific, covering students as well as the people who teach and work there.

Public Universities

  • University of North Carolina at Chapel Hill
  • North Carolina State University
  • University of North Carolina at Charlotte
  • University of North Carolina at Greensboro
  • East Carolina University
  • Appalachian State University
  • University of North Carolina Wilmington
  • Western Carolina University
  • North Carolina Central University
  • North Carolina A&T State University
  • Fayetteville State University
  • Winston-Salem State University
  • Elizabeth City State University
  • University of North Carolina at Pembroke
  • University of North Carolina at Asheville
  • University of North Carolina School of the Arts

Private Colleges & Universities

  • Duke University
  • Wake Forest University
  • Davidson College
  • Elon University
  • Campbell University
  • High Point University
  • Queens University of Charlotte
  • Wingate University
  • Barton College
  • Belmont Abbey College
  • Brevard College
  • Catawba College
  • Chowan University
  • Greensboro College
  • Guilford College
  • Johnson C. Smith University
  • Lees-McRae College
  • Lenoir-Rhyne University
  • Livingstone College
  • Mars Hill University
  • Meredith College
  • Methodist University
  • Montreat College
  • North Carolina Wesleyan University
  • Pfeiffer University
  • Salem College
  • Shaw University
  • Warren Wilson College
  • William Peace University

Where our North Carolina clients live

Clients join us from Charlotte, Raleigh, Durham, Chapel Hill, Greensboro, Asheville, Wilmington, and Winston-Salem, and from towns too small to list here. What a session asks of you is a private space and a workable connection, nothing beyond that.

Questions North Carolina clients often ask

Do you work with college students and faculty in North Carolina?

Yes, and it is a substantial part of the practice here. We see undergraduates, graduate and professional students, postdoctoral fellows, and faculty and staff, whether the difficulty is performance anxiety, a depressive episode, a relationship, or the slow erosion that follows years of overwork. Campus counseling centers do good work and are often the right first stop; we tend to be useful when someone wants longer-term care or a formal evaluation.

Can teenagers and younger children be seen this way?

Many can. Adolescents in particular often speak more freely from their own room than in an unfamiliar office, and we involve parents at a level suited to the young person's age and the reason for referral. With younger children the format has real limits, so we talk through what is realistic before starting, and a good deal of the work is usually with the parents on the systems around the child.

Do you offer psychological testing, and can it be done remotely?

Dr. Lusk conducts psychological evaluations: educational, employment screening, forensic, and neuropsychological. Whether a particular assessment can be administered by video depends on the instruments the referral question calls for, and that is settled in consultation before anything is scheduled. Reports are written to be usable by whoever asked for them, whether that is a school, an attorney, or a physician.

What if I move away from North Carolina?

Then we look at where you are going. If the new state belongs to the compact, the work continues without a break, which is often the whole reason people choose telehealth to begin with. If it does not, we will say so early and help arrange a referral rather than let care lapse quietly. Continuity of care is part of the treatment, so raise a possible move as soon as you know of it.

How do we begin?

Reach the office at (844) 774-7997 or by email at info@psychotherapy.com. We will ask what has been happening, how long it has gone on, and what you hope will change, and the office will send the fee agreement and go over any out-of-network questions with you before a first appointment is arranged. If you are seeking an evaluation rather than therapy, mention any deadline you are working toward.

Payment and insurance for North Carolina 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 North Carolina

A first appointment begins with a phone call to (844) 774-7997 or a message to info@psychotherapy.com. Tell us what is going on and whether you are looking for therapy, an evaluation, or are not yet sure; fees and out-of-network questions are settled with the office in advance.

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.

Other states we serve online

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 Montana Nebraska Nevada New Hampshire New Jersey 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