Anxiety
Worry that never quite switches off, treated with practical CBT so your days feel steadier.
Online Therapy in Virginia
Many Virginians balance work and caregiving, so sessions with our psychologist happen at home on video for seniors and the adults caring for them, for couples, and for families raising children or adolescents.
Currently accepting new clients
Request a Virginia appointmentVirginia covers a lot of ground and a lot of different lives: a long commute out of Fairfax, a teaching post in Blacksburg, shift work in Norfolk, or a household in Williamsburg where parents are raising young children while both adults travel. What those situations have in common is a schedule that punishes a fixed weekly drive. Secure video appointments remove the road and leave the hour, which for a good many people is what makes a course of therapy possible to sustain.
We work with adults, couples, and families located in Virginia, with children and adolescents when a guardian takes part, and with older adults navigating retirement or late-life loss in places like Richmond and Lexington. Some come about something specific, such as a marriage in trouble, a promotion that has gone badly, or a death in the family. Others come with a question that has been open for years. Because authorization for a session depends on your being in the state at the time, we plan around travel instead of being surprised by it.
Online Therapy Services in Virginia
Six of the areas we work in most with Virginia clients are set out below. What suits a video format and what does not is something we discuss frankly at the start.
Career Planning & Professional Growth
Sessions take up a stalled career, a decision about promotion or relocation, and the strain of work that has taken more of a person than they meant to give. Values and obligations get weighed together.
Couples & Relationship Health
Partners are seen together on recurring conflict, on trust after a breach, and on the slow separation that two demanding careers can produce. Both people need to be inside Virginia during the hour.
Anxiety, Stress & Social Phobia
Anxiety is treated as a cycle with parts that can be interrupted: attention, avoidance, and physical arousal. The work proceeds in steps you approve, at a pace you can sustain through a busy month.
Trauma, PTSD & Complex Trauma
Where a single event or years of harm still governs sleep, temper, and trust, therapy starts with regaining footing and moves to the memories themselves only when you judge yourself ready for them.
ADHD & Executive Functioning
Adults whose systems have stopped coping under increased responsibility work on planning, prioritizing, and follow-through, along with the accumulated sense of being unreliable that usually travels with it.
Emotional Regulation & Anger Management
Irritability that spills onto a family or colleagues is mapped for its warning signs and triggers, with practice in interrupting the sequence and in repairing what has already been damaged by it.
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 Virginia clients
Our method is direct without being brisk. When treating adults, traveling professionals, university students, or households, we name what we see, propose a way of working on it using Cognitive Behavioral Therapy (CBT), and revise the plan when it turns out to be wrong. Sessions are usually weekly at the outset. Because we do not offer a quick fix, we would rather reduce frequency deliberately over time than have you drift away from a schedule that no longer fits. For clients whose work travels, the practical arrangements matter as much as the clinical ones: which hours are genuinely protected, what happens across a fortnight away, and how to resume without losing the thread.
Your Virginia clinician
Virginia clients are seen by the practice's clinical director throughout. The person who takes your history is therefore the person who does the work and, where one is needed, the assessment.
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 Virginia.
Della S. Lusk, Ph.D., holds the Virginia caseload. A licensed clinical psychologist of over twenty-five years' standing, she provides individual therapy, couples and family sessions, and group work, together with psychological evaluations that take in forensic, employment screening, and neuropsychological assessment. She has been qualified as an expert witness in Arizona, and she is bilingual in English and Spanish.
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.
The licensing basis for Virginia appointments
Virginia is among the jurisdictions participating in PSYPACT®, the compact that allows a psychologist holding interjurisdictional authority to provide telepsychology across participating state lines. Dr. Lusk holds that authority, issued by the compact's commission rather than by any single state, and it is the reason a clinician based in Flagstaff can treat a client sitting in Richmond or Norfolk.
Because the authority follows the client's location, every appointment carries the same small obligation: be in Virginia when it begins. Commuters who cross into Maryland or the District of Columbia during the day should schedule accordingly, and anyone traveling for work should give the office the dates. For a permanent move, ask early. Where the destination participates, the work usually continues; where it does not, we arrange a referral rather than leave you unsupported.
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 Virginia students and faculty
Our clients include students, faculty, and staff from the University of Virginia, Virginia Tech, the College of William & Mary, James Madison University, George Mason University, and Old Dominion University, and from private institutions such as Washington and Lee University, the University of Richmond, and Hampden-Sydney College. An outside clinician is frequently the more private option.
All Virginia campuses we have worked with
Public Universities
- University of Virginia
- Virginia Tech
- College of William & Mary
- Virginia Commonwealth University
- George Mason University
- James Madison University
- Old Dominion University
- Radford University
- Longwood University
- Christopher Newport University
- University of Mary Washington
- Virginia Military Institute
- Norfolk State University
- Virginia State University
- University of Virginia’s College at Wise
Private Colleges & Universities
- Washington and Lee University
- University of Richmond
- Hampden-Sydney College
- Randolph-Macon College
- Sweet Briar College
- Hollins University
- Roanoke College
- University of Lynchburg
- Bridgewater College
- Eastern Mennonite University
- Ferrum College
- Emory & Henry University
- Randolph College
- Shenandoah University
- Mary Baldwin University
- Averett University
- Bluefield University
- Regent University
- Liberty University
- Hampton University
- Virginia Union University
- Virginia Wesleyan University
Virginia communities we serve online
Clients join from Richmond, Virginia Beach, Norfolk, Fairfax, Charlottesville, Williamsburg, Blacksburg, and Lexington. This format asks only for privacy at your end and a connection that holds; after that, the state's geography stops mattering much.
Questions from Virginia clients
My work takes me out of state some weeks. How is that handled?
By planning rather than improvisation. An appointment needs to find you in Virginia, so weeks away are either rescheduled or, where the state you will be in participates as well, confirmed in advance by the office. Clients who travel a great deal often settle into booking a fortnight at a time, which works better than a standing hour nobody can keep.
Do you offer psychological testing?
Yes, through Dr. Lusk. Evaluations are arranged around a specific question, whether that is diagnostic clarity, documented accommodations, or a forensic or employment matter. Which elements can be conducted remotely depends on the instruments involved, and it is settled in consultation with her beforehand instead of promised at the outset.
Do you see couples?
Regularly, with both partners in the session. Some couples sit together at one screen and others join from separate rooms; either can work so long as both are inside the state. The first joint appointment covers how the sessions will run, including what happens when one partner wants to raise something the other has not heard before.
Is this lawful without a Virginia license?
The interstate compact exists precisely for this. Dr. Lusk practices under the interjurisdictional authority it grants, which covers a client located in a participating state, and current participation is published at psypact.gov for anyone who wishes to verify it. The practical requirement is your physical presence here at the time of each session.
What if something comes up between sessions?
Practical matters go through the office on (844) 774-7997 and are passed to your clinician. The practice does not provide emergency or crisis services, so an urgent situation calls for the national crisis and emergency lines, or a local hospital, instead. Where between-session contact is likely to matter clinically, we plan for it explicitly and early.
How to get started in Virginia
Request a first appointment in our secure online scheduler, including hours before or after a commute. Staff will explain how fees are dealt with and confirm your Virginia appointment time.
Prefer to talk first? Call or email the office.
Other states we practice in
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 Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Washington West Virginia Wisconsin Wyoming