Online Therapy in Tennessee

From Memphis to Johnson City, a psychologist and a counselor are both available by secure video, and we work with adults and couples, with families and their children, and with adolescents and seniors.

Currently accepting new clients

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Tennessee is long, and its main cities are far enough apart to belong to different worlds. Clients come to us from Nashville, Memphis, Knoxville, Chattanooga, and Murfreesboro, and from small places in between where taking a child or teenager to a psychologist would be a drive rather than an errand. We also work with older adults who prefer to stay off the highway, couples, and working adults who travel for a living, which turns a standing Tuesday appointment at a physical office into a fiction by about the third week.

Secure video sessions fit into your schedule whether you are at home in Nashville or Memphis, or working elsewhere in the state, such as Knoxville, Chattanooga, or Murfreesboro. You can connect from a quiet room in Sewanee or an office in Johnson City without losing time to a commute. One firm condition applies to every appointment with either our psychologist or our counselor: the client must be physically inside Tennessee when the session hour starts. As long as you are within state borders when we begin, you can access consistent care from wherever you are.

Online Therapy Services in Tennessee

The list below covers most of what we are asked for in Tennessee. If your concern is not on it, the office can tell you whether this is something the practice takes on.

Anxiety, Stress & Social Phobia

Dread that builds for days before a meeting, a flight, or a performance is treated by working on what sustains it and then through graded practice. Sleep and physical tension generally ease alongside.

Trauma, PTSD & Complex Trauma

This work begins with steadying the body: sleep, startle, the sense of being braced all the time. Only afterward, and only at the pace you set, do we take up the events themselves.

Career Planning & Professional Growth

For clients weighing a promotion, a relocation, or leaving a field altogether, sessions separate what you want from what you have been told you should want, and look honestly at what each option costs.

Couples & Relationship Health

Long stretches apart put a particular strain on a partnership. Two people are seen together to work on resentment that has gone unsaid, decisions taken alone, and the awkwardness of reconnecting after weeks away.

ADHD & Executive Functioning

Adults who have compensated all their lives often arrive when a promotion removes the structure they were leaning on. Work focuses on planning systems that survive travel, and on the shame that has accumulated.

Depression & Mood Disorders

A flattening of mood is worked on through daily structure, movement, and contact with people, alongside the harsh self-appraisal that depression hands over as though it were simple fact.

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.

Anxiety

Worry that never quite switches off, treated with practical CBT so your days feel steadier.

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.

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 Tennessee clients

The work is collaborative and explicit, suiting general adults, working professionals, university faculty, and families alike. We utilize Cognitive Behavioral Therapy (CBT) to help you build sustainable strategies over a period of months. You and the clinician agree early on what the sessions are for, and since we do not offer a quick fix, we review the plan aloud to decide whether to keep going, change tack, or finish. For clients who travel, we plan for interruption instead of pretending it will not happen: an hour moved rather than lost, and a clear understanding about long stretches spent out of the state. Where a problem calls for something this practice does not provide, we say so early.

Your Tennessee care team

Tennessee clients can work with Dr. Della S. Lusk for psychological services, including therapy and psychological evaluation, or with Alethea Braun-Dunagan, M.A., LPC, for individual counseling.

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 Tennessee.

Della S. Lusk, Ph.D., directs this practice and carries its Tennessee caseload herself. Licensed as a clinical psychologist for more than twenty-five years, she works with individuals, partners seen jointly, families, and groups. She also conducts psychological evaluations, including employment screening and forensic assessment, and has been qualified as an expert witness by the State of Arizona.

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Headshot of Ms. Alethea Braun-Dunagan
Counseling Services

Alethea Braun-Dunagan, M.A.

Licensed Professional Counselor

Ms. Braun-Dunagan provides counseling to clients located in Tennessee through the Counseling Compact™, and has availability for Medicare and TriCare West clients.

Alethea Braun-Dunagan, M.A., LPC, serves clients in Tennessee through her Counseling Compact™ privilege. As an intake specialist and therapist, she works with children, adolescents, and adults using Cognitive Behavioral techniques. Her clinical focus includes women's issues, postpartum support, relapse prevention, and youth trauma. While she does not conduct psychological testing, she provides dedicated counseling and has availability for Medicare and TriCare West clients.

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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 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.

How telehealth licensing works in Tennessee

Our clinicians serve Tennessee clients under established interstate agreements. Dr. Della S. Lusk provides therapy and psychological evaluation through PSYPACT®, which authorizes eligible psychologists to practice telepsychology across state lines. Alethea Braun-Dunagan, M.A., LPC, provides counseling services under the Counseling Compact™. While both clinicians offer talk therapy, all psychological testing and formal evaluations remain exclusively with Dr. Lusk.

Interstate practice rules depend on the client's physical location rather than permanent residence. For every appointment, you must be physically located in Tennessee at the start of the hour, whether you are in Nashville, Chattanooga, or Knoxville. If you plan to travel outside the state or move to a new address, please tell our office before your scheduled session so we can confirm whether we are authorized to meet with you at your destination.

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.

Tennessee students, faculty, and staff

Clients reach us from the University of Tennessee, Knoxville, the University of Memphis, Middle Tennessee State University, and East Tennessee State University, and from private institutions including Vanderbilt University, Rhodes College, Belmont University, and Sewanee: The University of the South, where a small student body makes an outside clinician easier to talk to honestly.

All Tennessee campuses we have worked with

Public Universities

  • University of Tennessee, Knoxville
  • University of Tennessee at Chattanooga
  • University of Tennessee at Martin
  • University of Memphis
  • Middle Tennessee State University
  • East Tennessee State University
  • Tennessee Technological University
  • Tennessee State University
  • Austin Peay State University

Private Colleges & Universities

  • Vanderbilt University
  • Sewanee: The University of the South
  • Rhodes College
  • Belmont University
  • Lipscomb University
  • Lee University
  • Union University
  • Carson-Newman University
  • Tusculum University
  • King University
  • Milligan University
  • Maryville College
  • Fisk University
  • Lane College
  • LeMoyne-Owen College
  • Christian Brothers University
  • Freed-Hardeman University
  • Trevecca Nazarene University
  • Cumberland University
  • Bryan College

Tennessee communities we serve online

We see clients in Nashville, Memphis, Knoxville, Chattanooga, Murfreesboro, Johnson City, and Sewanee, and in towns with no local practice at all. The appointment goes where you are, provided you are somewhere in Tennessee with a door you can close.

Common questions from Tennessee clients

I travel most weeks for work. Can therapy still be consistent?

It can, with some planning. A session can be taken from a hotel room or a borrowed office as long as you are still in Tennessee, and the office will work with an unpredictable calendar instead of holding you to one fixed hour forever. When a trip takes you over a state line, tell us in advance and we will decide together whether to move the appointment.

What actually happens in a video appointment?

A link arrives before the appointment; you open it on whatever device you have and the session starts. The clinician confirms your location and a telephone number in case the connection fails. The hour itself is a conversation. From your side, what is needed is privacy, a workable signal, and headphones if anybody else is nearby.

Do you offer psychological testing?

Dr. Lusk performs psychological evaluations, including educational, employment screening, forensic, and neuropsychological work. What a referral question actually requires, and which parts of an evaluation have to be done face to face, are decided in consultation with her beforehand. We will not claim that a particular battery suits a remote format merely because that would be convenient.

Is online therapy lawful for someone living in Tennessee?

Yes. Online therapy and counseling are lawful in Tennessee when clinicians hold valid interstate privileges. Dr. Della S. Lusk practices telepsychology under PSYPACT®, and Alethea Braun-Dunagan, M.A., LPC, practices under the Counseling Compact™. For clients, the practical rule remains straightforward: you must be physically in Tennessee when the session opens.

What if I need something between appointments?

Call the office at (844) 774-7997 with anything practical and it will get to your clinician. The practice does not provide crisis or emergency services, so where a situation is urgent the national crisis and emergency lines are the right call rather than a message to us. Early on we will also identify local resources you could use if a night goes badly.

How to get started in Tennessee

The first step is a request in our secure online scheduler with either of our Tennessee clinicians. Staff will send the fee agreement, answer anything out-of-network, and confirm an appointment time that can survive your actual week.

Schedule online

Prefer to talk first? Call or email the office.