Many of our Virginia clients have working weeks that will not sit still; an appointment that travels with them is the kind that holds.
Currently accepting new clients
Request a Virginia appointmentVirginia covers a lot of ground and a lot of different working lives: a long commute out of Fairfax, a teaching post in Blacksburg, shift work in Norfolk, a household in Williamsburg where both adults travel. What those have in common is a schedule that punishes a fixed weekly drive. Secure video appointments remove the travel and leave the hour, which for a good many clients is what makes a course of therapy finishable at all.
We work with adults, couples, and families located in Virginia, and with adolescents where a guardian takes part. Some come about something specific, such as a marriage in trouble, a promotion that has gone badly, or a death. 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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
A first appointment starts with the office. Staff will ask what has been happening and what you want from therapy, explain how fees are dealt with, and offer Virginia appointment times, including hours before or after a commute.
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
