Anxiety
Worry that never quite switches off, treated with practical CBT so your days feel steadier.
Online Therapy in Pennsylvania
From city neighborhoods to rural counties and small towns across Pennsylvania, you can talk with our psychologist from home, and we work with children, adolescents, adults, couples, families, and seniors.
Currently accepting new clients
Request a Pennsylvania appointmentPeople across Pennsylvania often look for a psychologist who is not a forty-minute drive in each direction across mountain roads or city traffic. In our practice, we meet with parents in Allentown seeking support for a child, an adolescent in Gettysburg, and couples or families balancing busy schedules in Carlisle. We also see working adults, doctoral students in Philadelphia or Pittsburgh, and older adults in Swarthmore who prefer having a confidential hour at home. Each person or household is served in the same unhurried way and with the same steady attention.
The shape of the commonwealth matters as well. Philadelphia and Erie sit at opposite ends of a long day's driving, and the counties between them are not evenly supplied with psychologists. A client in State College or Carlisle may have local options; someone an hour outside either may have none. Video levels that out, and it also keeps treatment intact when a person or a working family relocates within the state partway through a course of work, provided you are in Pennsylvania when your appointment begins.
Online Therapy Services in Pennsylvania
These six areas account for most of our Pennsylvania work. Your clinician will discuss with you whether a concern fits a video format or would be better handled somewhere in person.
ADHD & Executive Functioning
Unfinished reading and missed deadlines are approached through structured work on planning, time estimation, and follow-through, together with the self-criticism that tends to pile up after years of being described as careless.
Psychological & Academic Evaluations
An evaluation is arranged around a specific referral question, often diagnosis or documented support needs for a student. Which components require an in-person session, if any, is determined in consultation rather than assumed either way.
Anxiety, Stress & Social Phobia
Seminars, presentations, and departmental meetings can become genuinely frightening. Treatment separates the fear from the setting, builds tolerance for it in graded steps, and attends to the sleep loss that usually travels alongside.
Identity Exploration & LGBTQ+ Support
These hours give a client room to consider identity, disclosure, and how a family may respond, without the conversation circulating through a small campus or congregation. The pace and the vocabulary are yours to set.
Mindfulness & Burnout Prevention
Academic and professional exhaustion is treated as a working condition rather than a personal failing. We examine workload, recovery, and the internal standards that can make an evening of rest feel like negligence.
Couples & Relationship Health
With both partners present, the work takes up arguments that repeat without resolving, disagreements about money or in-laws, and the slow drift that long hours produce. Both people need to be inside the state when the session runs.
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 Pennsylvania clients
Our approach is collaborative and explanatory, never strictly directive. We believe you should fully understand why a specific therapeutic strategy is being suggested, and you should always feel comfortable declining it. While our primary method is Cognitive Behavioral Therapy (CBT) tailored to the everyday realities of living and working in Pennsylvania, we do not offer a quick fix. Instead, after a few weeks of working together, we evaluate whether the treatment is producing meaningful progress—and we will be candid with you if it is not. Because life can be demanding, we proactively plan around busy professional seasons, travel, and family commitments to ensure these natural rhythms do not interrupt your care. We also recognize that mental health is deeply connected to your overall physical well-being. To provide comprehensive support, we can collaborate with your Primary Care Physician (PCP) and other healthcare providers. If you are consulting other medical specialists, your clinician will always discuss with you beforehand exactly what information ought to be shared to best support your care.
Your Pennsylvania clinician
All psychological services for clients in Pennsylvania are provided by Dr. Lusk, so intake, therapy, and any evaluation stay with one clinician who holds the history rather than passing between members of staff.
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 Pennsylvania.
Clients here work with Della S. Lusk, Ph.D., the clinical director of this practice, whose clinical experience now runs past twenty-five years. Her Pennsylvania caseload covers one-to-one therapy, couples seen together, whole-family sessions, and groups. She also conducts educational and forensic evaluation, with testing that requires a controlled room done in person at our Flagstaff office; the State of Arizona has qualified her as an expert witness. She is bilingual in English and Spanish, and a session can be held in either language.
Request an appointment
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 Pennsylvania
Pennsylvania belongs to PSYPACT®, a compact through which a psychologist granted the Authority to Practice Interjurisdictional Telepsychology (APIT™) may deliver telepsychology to clients situated in any other participating state. Dr. Lusk works under that authority. It is conferred on the psychologist by the PSYPACT® Commission rather than issued state by state, and none of it depends on where you happen to keep a permanent address or which campus you attend.
In practice the authorization tracks your body. A Pennsylvania appointment assumes you are in Pennsylvania when it opens, so a term abroad, a conference elsewhere, or a summer at a parent's house in another state all change the answer, and we need the dates in advance. Students who transfer or graduate out of the commonwealth should raise it early: continuing is often possible where the new state also participates, and where it does not, the clinician will help you find care there.
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.
Working with Pennsylvania students and faculty
Few states carry this many campuses, and our clients come from across the range. Pennsylvania State University, the University of Pittsburgh, Temple University, and West Chester University stand on the public side; Swarthmore College, Haverford College, Bryn Mawr College, Dickinson College, Gettysburg College, Carnegie Mellon University, and Villanova University on the private. On a small residential campus especially, an outside clinician keeps the work private.
All Pennsylvania campuses we have worked with
Public Universities
- Pennsylvania State University
- University of Pittsburgh
- Temple University
- Lincoln University
- West Chester University
- Indiana University of Pennsylvania
- Kutztown University
- Shippensburg University
- Slippery Rock University
- Millersville University
- East Stroudsburg University
- Commonwealth University of Pennsylvania
- PennWest University
- Cheyney University
Private Colleges & Universities
- University of Pennsylvania
- Carnegie Mellon University
- Drexel University
- Villanova University
- Lehigh University
- Lafayette College
- Bucknell University
- Swarthmore College
- Haverford College
- Bryn Mawr College
- Franklin & Marshall College
- Dickinson College
- Gettysburg College
- Muhlenberg College
- Ursinus College
- Allegheny College
- Washington & Jefferson College
- Juniata College
- Susquehanna University
- Moravian University
- Lebanon Valley College
- Elizabethtown College
- Messiah University
- Duquesne University
- La Salle University
- Saint Joseph’s University
- Widener University
- Wilkes University
- King’s College
- Lycoming College
- Grove City College
- Geneva College
- Thiel College
- Waynesburg University
- Seton Hill University
- Point Park University
- Robert Morris University
- Gannon University
- Mercyhurst University
- Saint Vincent College
- Albright College
- Alvernia University
- DeSales University
- Misericordia University
- Chatham University
- Arcadia University
- York College of Pennsylvania
Pennsylvania communities we serve online
Clients join from Philadelphia, Pittsburgh, Allentown, and Erie, and from the college towns: State College, Swarthmore, Carlisle, Gettysburg. Whether your borough has a dozen psychologists or none, the appointment arrives the same way, over a link you open when the time comes.
Common questions from Pennsylvania clients
Is online therapy with an out-of-state psychologist legal here?
Yes. Pennsylvania is among the participating states in PSYPACT®, and Dr. Lusk holds the interjurisdictional authority that compact provides, which is what lets her treat a person located in the commonwealth. You can check the current roster of participating states at psypact.gov. The requirement that follows is simple enough: be here when your appointment begins.
I am a student. Can I keep the same therapist over the summer?
Frequently, yes. Going home to another Pennsylvania county changes nothing at all. If home is a different state, continuity depends on whether that state takes part in the compact, so tell us your plans a few weeks ahead and we will check it. When the answer is no, your clinician will help arrange something local rather than leave the work hanging.
Do you see couples and families?
We do. Couples are seen together, and a family session can include a teenager with one or both parents. The practical constraint is location: everyone in the session needs to be inside Pennsylvania at the time, which occasionally means one partner joining from a private office rather than both from the same room. That gets sorted before the first meeting.
What happens in a first appointment?
The first meeting is mostly listening. You will be asked what brought you in now, what the history behind it is, what has helped before, and what you would want to be different in a few months. Consent, privacy, and the limits of confidentiality are covered in the same hour, and you should finish it with a plain description of what the work would involve.
How are fees handled?
Our rates are sent in a fee agreement when you schedule an appointment. The office settles any question about out-of-network arrangements with you ahead of a first appointment; it is a conversation that belongs before treatment starts rather than after. Call (844) 774-7997 and a staff member will take you through it and answer what you ask. Paperwork and scheduling live there as well, instead of inside clinical time.
How to get started in Pennsylvania
Begin in our secure online scheduler, where you can see open times with Dr. Lusk; for many clients here the workable slots turn out to be early morning or between classes. The office will answer any questions about fees and confirm.
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 Missouri Montana Nebraska Nevada New Hampshire New Jersey North Carolina North Dakota Ohio Oklahoma Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming