Texas is wide enough that a specialist appointment can cost most of a day in the car, while a video hour costs an hour.
Currently accepting new clients
Request a Texas appointmentIn Texas the distances have 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 families in the smaller towns between the metropolitan areas frequently have no local option whatever. We provide therapy and psychological evaluation by secure video to adults, adolescents, couples, and families located anywhere in Texas.
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 a 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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, along with psychological evaluations that include forensic, educational, employment screening, and neuropsychological assessment. 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 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.
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.
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.
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.
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.
For therapy, usually. A weekly hour over video removes a drive that would otherwise make treatment impossible, and the work itself is the same work. For assessment, the answer depends on the question being asked; some components can be handled remotely and some cannot, and Dr. Lusk will tell you which applies to yours.
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.
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.
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.
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.
To begin, telephone (844) 774-7997, or send a note to info@psychotherapy.com. Staff will ask what you need, talk through fees, and offer times; for clients in the far corners of the state, an early morning hour tends to work best.
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
