Anxiety
Worry that never quite switches off, treated with practical CBT so your days feel steadier.
Online Therapy in Washington State
East of the Cascades, winter often decides whether you can reach an office, so we offer video sessions with a psychologist instead, seeing seniors, couples, adults, and families who bring children or adolescents.
Currently accepting new clients
Request a Washington appointmentWashington is two very different places in which to look for a psychologist. In Seattle or Tacoma the obstacle is usually time; around Walla Walla, Pullman, and the smaller towns east of the mountains it is distance, and for part of the year the pass in between. Therapy here is provided by secure video to adults, couples, and families in every part of Washington, as well as to children and teenagers with a parent involved close by, making the season irrelevant to whether you are seen.
The people we work with here range from graduate students and working parents to older adults and retirees in Spokane or Olympia, and their reasons are ordinary ones: a child's worry at school, anxiety that has taken over the evenings, a long illness, or changes in later life. Sessions are held wherever you are, provided that where you are is inside Washington when the hour starts, because that physical location is what authorizes the psychologist to treat you at all.
Online Therapy Services in Washington
The six areas below are where most of our Washington work sits. Whether a video format serves your situation well is assessed together with you, and we will say if it does not.
Mindfulness & Burnout Prevention
Burnout from long hours and constant availability is treated as a set of conditions rather than a personal failing. We look at workload, recovery, boundaries, and the fear that slowing down will cost you something.
Depression & Mood Disorders
Where mood has been low through a long gray stretch, treatment restores basic routines and daylight while examining the thinking that keeps such a stretch running longer than it otherwise would.
Chronic Pain, Illness & Headaches
Pain and long-term illness reshape sleep, work, and relationships. Therapy addresses the psychological weight of all that, in coordination with your medical care where you want us in contact with it.
Anxiety, Stress & Social Phobia
Worry, tension, and avoidance are treated together, since each of them keeps the others going. The work is gradual, planned with you, and mindful of what your job realistically allows.
Identity Exploration & LGBTQ+ Support
Clients use these sessions to think through identity, relationships, and disclosure at their own speed, with a clinician who follows their language rather than supplying a framework for them.
Sleep Problems
Behavioral treatment for insomnia works on schedule, light, and the habits that form around long commutes or rotating shifts, and on the bargaining with the clock that keeps people awake at night.
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 Washington clients
The work is careful, collaborative, and reviewed out loud for general adults, career professionals, campus populations, and families. Drawing on Cognitive Behavioral Therapy (CBT), we set out early what the sessions are for and what would count as progress, then measure that against what is actually happening rather than against the plan. We are plain that we do not offer a quick fix, and we are equally clear about limits: where a client needs in-person medical assessment, a prescriber, or a service at a higher level of care, the clinician says so and helps identify one locally, which in this state occasionally means on the other side of the mountains.
Your Washington clinician
One clinician handles Washington. Dr. Lusk sees you from the first appointment through to the last, and any psychological evaluation is conducted by the same person who has been doing the therapy.
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 Washington.
Dr. Della S. Lusk carries the Washington caseload. She is a bilingual clinical psychologist, licensed and practicing for upward of twenty-five years, and the director of this practice. Her work covers therapy with individuals, couples, and families, group work, and psychological evaluation, including neuropsychological and educational assessment. Her doctorate in clinical psychology was earned in an APA-accredited program.
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 licensing works in Washington
Washington participates in PSYPACT®, the interstate compact governing telepsychology, and Dr. Lusk practices with clients here under the interjurisdictional authority it provides. That authority is issued to the psychologist by the compact's commission. It is not a state-by-state registration, so it makes no difference whether you live in Seattle or in a town with no psychologist within an hour's drive.
It does depend on where you are while a session runs. Being in Washington at the time is the whole of the requirement, and a trip to Oregon or Idaho on a session day is worth a note to the office beforehand, so the appointment can be shifted or that state's participation checked. If you are relocating, tell us once the plan is firm; continuity is often possible, and if it is not, we prepare a proper referral before you go.
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.
Washington students, faculty, and staff
Clients come to us from the University of Washington, Washington State University, Western Washington University, Central Washington University, and The Evergreen State College, and from private institutions including Gonzaga University, Seattle University, Whitman College, and the University of Puget Sound. A student in Pullman or Bellingham can keep the same clinician right through the summer.
All Washington campuses we have worked with
Public Universities
- University of Washington
- Washington State University
- Western Washington University
- Central Washington University
- Eastern Washington University
- The Evergreen State College
Private Colleges & Universities
- Gonzaga University
- Seattle University
- Seattle Pacific University
- Whitworth University
- Pacific Lutheran University
- University of Puget Sound
- Whitman College
- Walla Walla University
- Saint Martin’s University
- Northwest University
- Bastyr University
- Cornish College of the Arts
Washington communities we serve online
Sessions reach Seattle, Spokane, Tacoma, Olympia, Bellingham, Walla Walla, and Pullman, along with the smaller places between them. What the arrangement asks for is somewhere private at your end and a connection that will carry a video call for an hour.
Common questions from Washington clients
I am four hours and one mountain pass from the specialist I need. Does this help?
For therapy, yes: the weekly hour happens wherever you are, and the pass stops being part of the decision at all. For an evaluation, some components may still require an in-person session, and Dr. Lusk will tell you which ones before anything is arranged rather than after you have committed to it.
How does a first appointment differ from later ones?
The first is largely history and orientation. You will be asked what prompted the call, what has happened before, and which things you would want changed, and the clinician will explain confidentiality and where its limits lie. Later sessions are the work itself, and by the third or fourth you ought to be able to describe what it consists of.
Can students at Washington colleges be seen?
Yes, and many are. Campus services are often busy, and some students would rather see a clinician with no relationship to their institution whatever. Because the sessions are not tied to a campus, the work continues over the summer and through an internship elsewhere in the state without having to be restarted.
What about people who live alone and worry about being isolated?
That comes up often, and it is worth naming as part of the work rather than treating as background noise. Sessions can address the practical side, including what contact is realistic where you live, and the thinking that makes reaching out feel unreasonable. We are also clear about what a weekly hour cannot substitute for.
How do the fees work?
Our rates are sent in a fee agreement when you schedule an appointment. The office covers any out-of-network question before a first appointment is arranged, and nobody is asked to commit to anything before that conversation has happened. Ring (844) 774-7997 during business hours and staff will go through it with you and answer whatever you want to ask about how the practice runs.
How to get started in Washington
Start in our secure online scheduler, where you can request a first Washington appointment that fits your week. The office will explain how the video sessions work and send the fee agreement.
Prefer to talk first? Call or email the office.
Telehealth across other states
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