Vermont is small, its winters are long, and a great many working days here cross into another state before lunch.
Currently accepting new clients
Request a Vermont appointmentVermont has few clinicians relative to its territory, and the ones nearest you may not do the particular work you need. That is the ordinary reason people here look further afield, and video makes the distance beside the point: a psychologist in Arizona can meet you weekly in Brattleboro or Rutland without anybody driving. We work with adults, couples, families, and students who are located in the state.
Continuity is the other reason. A course of therapy in a small state gets interrupted by a clinician retiring, a practice closing, or a new job that moves a household from the southern end to Burlington. Because none of our work is tied to a building, the same clinician stays with you through all of that, so long as you remain inside Vermont for the appointment itself, which is what the psychologist's authorization turns on.
These six areas cover most of what Vermont clients bring us. Suitability for remote work is discussed honestly at intake, including the situations where it is not the right choice.
Months of low mood are addressed practically and then thoughtfully: first sleep, daylight, movement, and company, and afterward the conclusions about yourself that accumulated while you were unwell.
Where reading, writing, or mathematics has never matched a person's evident ability, assessment can clarify why and what support is warranted. Which parts require an in-person session is determined case by case.
Treatment separates useful caution from anxiety that has outgrown its cause, then rebuilds the activities quietly abandoned along the way, one at a time and always by agreement.
Grief is given room rather than a schedule. Sessions can take in the care of a dying relative, the aftermath of a death, and the family arrangements that a loss tends to expose.
Exhaustion from work that never quite ends is treated as a condition with causes: hours, recovery, and the conviction that stopping would be self-indulgent. We examine all three of them.
Two partners meet with the clinician to address recurring argument, resentment over an unequal load, and the work of staying close through a long winter in a quiet house.
We prefer to explain and then agree, rather than to instruct. Early sessions establish what you want changed and how either of us would know it had changed. Our primary approach involves Cognitive Behavioral Therapy (CBT), which provides a structured framework for addressing the concerns you bring to us. Because meaningful therapy requires active participation, we do not offer a quick fix. From our firsthand experience working with students and faculty at Middlebury and UVM, alongside adults and professionals across the state, we recognize that schedules frequently involve travel or relocation. We discuss these transitions early so that your care remains consistent. The plan is revisited openly as our work progresses, so that finishing becomes as legitimate an outcome as carrying on.
Dr. Lusk provides the psychological services for Vermont clients. One clinician for the whole course of work is deliberate, and it is also what makes continuity possible when other things change.
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 Vermont.
Vermont clients see Della S. Lusk, Ph.D. She is a clinical psychologist, licensed and in practice for upward of twenty-five years, and this practice's clinical director. Her work takes in individual therapy, couples seen together, family sessions, groups, and psychological evaluation, with educational and neuropsychological questions among the referrals she accepts. She is bilingual in English and Spanish.
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.
Vermont takes part in PSYPACT®, the interstate telepsychology compact, and it is through that agreement that Dr. Lusk may treat a client located here. The authority is granted to her by the compact's commission. It is not a Vermont registration and it does not attach to your town, so a client in Brattleboro and a client in Burlington stand in exactly the same position.
What does affect it is where you are at the appointed hour. For anyone working in New Hampshire, New York, or Massachusetts, this needs a little planning: a session taken from a desk over the line is not the same as one taken from your kitchen in Montpelier, and the office can check a neighboring state's standing before you book. Mention a move early and continuity can often be arranged in advance.
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 state's institutions are few: the University of Vermont and Vermont State University publicly, with Middlebury College, Bennington College, Saint Michael's College, Champlain College, Norwich University, and Landmark College among the private ones. Where a campus is small enough that faces are familiar, a clinician holding no institutional role is often the only genuinely private option.
Our own experience runs deepest at Middlebury College and the University of Vermont, with undergraduates, graduate students, faculty and staff at both.
Appointments reach Burlington, Montpelier, Rutland, Brattleboro, Bennington, and Middlebury, and the towns around them. Nothing here is far in absolute terms; what makes an hour hard to keep is the road in February and a working day that ends late.
Not at all, though it shapes the schedule. The appointment has to find you inside Vermont, so the practical answer is usually an early hour, an evening, or a day you are working from home. Tell the office your pattern and it will be built around. What we cannot do is treat you while you sit in another state unless we have confirmed that it participates too.
It is one of the reasons people choose this arrangement. The same psychologist sees you for the whole course of the work, and because nothing depends on a local office staying open, an ordinary change of job, house, or town within the state interrupts nothing. Were you to move away, we would look at whether the work can follow you.
Yes, including students who want somebody wholly unconnected to their college. On a campus of a few hundred, the counseling office is visible to everyone, and that alone stops some students from using it. Faculty and staff come to us for much the same reason. Sessions carry on through the winter break and the summer as long as you are here.
Dr. Lusk conducts psychological and educational evaluations, and a learning question is a common referral. Whether the assessment you need can be completed remotely, partly remotely, or not at all is determined in consultation before anything is scheduled, because the answer depends on which instruments the question calls for.
One call to (844) 774-7997 is enough to start, or a message to info@psychotherapy.com where that suits you better. The office will listen to what has been going on, send the fee agreement before any appointment is made, and offer times. If we are not the right practice for it, staff will say so plainly.
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.
Getting started is a conversation rather than a form: what has been happening, what you have already tried, which hours you could hold. From there the office arranges a first Vermont appointment and sends the details you will need beforehand.
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
