Anxiety
Worry that never quite switches off, treated with practical CBT so your days feel steadier.
Online Therapy Across Texas
Texas is wide enough that a specialist visit can eat most of a day in the car, so we bring the psychologist to your screen for children and their families, adolescents, adults, couples, and seniors.
Currently accepting new clients
Request a Texas appointmentThe distances across Texas have real clinical consequences. Somebody in Lubbock who needs a psychologist with a particular specialty may be looking at several hundred miles of interstate in each direction, and households in the smaller towns between the metropolitan areas frequently have no local option whatever. We provide therapy by secure video to children, adolescents, adults, couples, and families located anywhere in Texas, as well as older adults navigating later-life transitions, and psychological evaluation with the in-person portions of testing held at our Flagstaff office.
Language matters here too. Dr. Lusk is bilingual in English and Spanish, and an appointment may be conducted in whichever of the two you prefer, which for some households means an aging parent and an adult child take part in the same conversation without one translating for the other. Because the appointment reaches you wherever you are in the state, it also suits people who move between Houston, Dallas, and San Antonio for work more often than they are at home.
Online Therapy Services in Texas
Six areas of our Texas work appear below. Which of them fits your situation, and whether a video format is appropriate for it, gets worked out with the clinician at the start.
Immigration & Acculturation
The strain of moving between languages, countries, and family expectations is taken seriously in its own right. Sessions can be held in Spanish or in English, whichever lets you say what you actually mean.
Anxiety, Stress & Social Phobia
Worry that has settled into the body is treated by identifying what keeps the alarm running, then returning in agreed steps to the situations that were dropped one at a time over the years.
Psychological & Academic Evaluations
An evaluation is built around a referral question: a diagnosis to clarify, accommodations to document, an employment screening to complete. Which components require an in-person session is settled in consultation and never assumed.
Autism & ADHD (AuDHD) Testing
Adults and older adolescents who suspect an autistic or attentional profile, often after a child has been diagnosed, can discuss assessment with Dr. Lusk, who will explain what the process involves and what it cannot settle.
Depression & Mood Disorders
Treatment addresses the machinery and the meaning at once: sleep, activity, and appetite on one side, and on the other the conclusions a person reaches about their own worth during a long low stretch.
Couples & Relationship Health
Two partners meet together to work through recurring conflict, disagreement about children or money, and the distance that grows when one of them is on the road for most of the month.
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 Texas clients
We explain our reasoning and expect to be asked about it. Goals are set out early, in writing where that helps, and revisited so that carrying on is a decision rather than an assumption. The method behind that is Cognitive Behavioral Therapy (CBT): we look at the thoughts and habits that keep a problem running, then change them in steps you can see, week by week, rather than in one appointment expected to finish the work. In a state this large we also think practically about what cannot be done remotely: where a component of an evaluation, a medical consultation, or a higher level of care has to happen in person, the clinician says so and helps you locate it near you, instead of trying to do by video what is better done in person.
Your Texas clinician
Dr. Lusk provides all psychological services to Texas clients, in English or in Spanish, and handles both the therapy and any evaluation herself rather than sending assessment out to a stranger.
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 Texas.
Della S. Lusk, Ph.D., is bilingual in English and Spanish and has practiced clinical psychology for over twenty-five years. In Texas her work covers therapy with individuals, with couples, with families, and in groups. She also conducts psychological evaluations, including forensic, educational, employment screening, and neuropsychological assessment, administering in-person instruments at our Flagstaff office. She is this practice's clinical director, and her first degree, an A.B., came from Smith College, before doctoral training in clinical psychology at the California School of Professional Psychology–San Diego, where she was awarded honors for her dissertation research on the effects of prenatal exposure to stimulant drugs on the behavioral and social development of 4- to 6-year-old children.
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 authorization works in Texas
Texas takes part in PSYPACT®, the interstate agreement for telepsychology, under which a psychologist granted interjurisdictional authority may treat clients located in any participating state. Dr. Lusk holds that authority from the compact's commission. It belongs to her as a clinician, which means what governs your appointment is not where you keep a mailbox but which state you are physically in when the hour begins.
In a state whose residents cross borders for work as a matter of routine, that distinction does real work. A session you planned to take from Lubbock is fine; the same session taken during a day trip into New Mexico is not, unless we have checked that state's standing first. Let the office know your travel, and tell us early about a move, so the clinician can either carry the work forward or set up a proper referral.
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.
Texas campuses we work with
The list below runs long because Texas higher education does. Clients reach us from the University of Texas at Austin, Texas A&M University, Texas Tech University, and the University of Houston, and from private institutions including Rice University, Southern Methodist University, Baylor University, and Trinity University. Students and staff can see a clinician outside the campus system and keep the same one through a transfer.
All Texas campuses we have worked with
Public Universities
- University of Texas at Austin
- University of Texas at Arlington
- University of Texas at Dallas
- University of Texas at El Paso
- University of Texas at San Antonio
- University of Texas Rio Grande Valley
- Texas A&M University
- Texas A&M University–Corpus Christi
- Prairie View A&M University
- Tarleton State University
- West Texas A&M University
- Texas Tech University
- University of Houston
- University of Houston–Downtown
- University of North Texas
- Texas State University
- Sam Houston State University
- Stephen F. Austin State University
- Texas Southern University
- Texas Woman’s University
- Lamar University
- Angelo State University
- Sul Ross State University
- Midwestern State University
Private Colleges & Universities
- Rice University
- Southern Methodist University
- Baylor University
- Texas Christian University
- Trinity University
- Southwestern University
- Austin College
- University of Dallas
- St. Edward’s University
- Houston Christian University
- Dallas Baptist University
- Hardin-Simmons University
- Howard Payne University
- LeTourneau University
- Lubbock Christian University
- McMurry University
- Schreiner University
- St. Mary’s University
- Texas Lutheran University
- Texas Wesleyan University
- Wayland Baptist University
- Abilene Christian University
- Huston-Tillotson University
- Paul Quinn College
- Wiley University
- Our Lady of the Lake University
- University of the Incarnate Word
- Concordia University Texas
- East Texas Baptist University
- University of Mary Hardin-Baylor
Texas communities we serve online
Clients join from Houston, Dallas, Austin, San Antonio, Fort Worth, Lubbock, College Station, and Georgetown, and from towns hours away from any of them. The distances are the point: an appointment that arrives over a link is indifferent to how far apart two places sit.
Questions we hear from Texas clients
Can sessions be held in Spanish?
Yes. Dr. Lusk is bilingual, and a client here may work with her in Spanish, in English, or moving between the two as family conversations often do. For an evaluation, the language of testing is part of what gets decided beforehand, since it affects which instruments are appropriate and how the results ought to be interpreted.
I live four hours from a psychologist who does what I need. Does video close that gap?
For therapy, usually. A weekly hour over video removes a drive that would otherwise make treatment impossible, and the Cognitive Behavioral approach is the one we use in person. For assessment, the answer depends on the question being asked; some components can be handled remotely and some must be done in person at our Flagstaff office, and Dr. Lusk will tell you which applies to yours.
Are students and university staff part of your caseload?
Often. Campuses here are large and their counseling services are busy, and students also come to us wanting somebody outside their institution altogether. Graduate students and faculty tend to raise a particular version of that problem, where the person they would talk to on campus is also someone they work beside every day.
Do you see children and teenagers?
Yes, provided a parent or guardian takes part in consent and in the planning. With a younger child the parent is an active participant in the work. For a teenager, the clinician explains at the outset what she will keep private and what parents will be told, and that agreement is settled before the first session ends.
What are the fees?
Our rates are sent in a fee agreement when you schedule an appointment. Any out-of-network question you have is gone through with the office before a first appointment is held, so that nothing there surprises you afterwards. Dial (844) 774-7997 and somebody in the office will walk through the particulars with you. We would rather settle all of that at the beginning than leave it hanging over the clinical work.
How to get started in Texas
To begin, request a time with Dr. Lusk in our secure online scheduler; for clients in the far corners of the state, an early morning hour tends to work best. The office will talk through fees and confirm by email.
Prefer to talk first? Call or email the office.
Other states where we practice
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