In Wyoming the nearest psychologist can be a hundred miles off, and in winter that distance decides whether treatment happens at all.
Currently accepting new clients
Request a Wyoming appointmentWyoming has very few psychologists for a very large amount of ground. Somebody in Gillette or Powell who wants weekly therapy may be facing a round trip of several hours, taken in winter, on highways that close without much warning. That is not a minor inconvenience; it is the reason a great many people in this state never begin. A secure video appointment asks for an hour and a private room instead.
Our Wyoming clients include adults, couples, and families, among them people whose jobs keep them away from home for stretches at a time. Because the appointment travels with you rather than belonging to a building, a course of therapy can hold together through a season of long shifts, provided you are inside the state when each session starts, since the psychologist's authority to treat you rests on that.
Six areas of frequent work appear below. If what you are dealing with is not among them, the office can say whether this practice is the right place to bring it.
Worry that has become constant is treated by identifying what sustains it and then reducing avoidance in steps, with attention to the physical side that often sends people to a doctor first.
A long flat stretch is worked on from both ends: reinstating sleep, activity, and human contact, and questioning the conclusions about your own worth that settled in while you were low.
A serious accident at work, violence, or harm in childhood can leave a person permanently braced. Stabilization comes first; the events are approached only when you say you are ready to approach them.
Insomnia is treated behaviorally, taking in the timing of sleep, exposure to daylight, the routines that grow up around rotating shifts and long drives, and the worry that surfaces once the day finally stops.
Sessions take up work that has become unsustainable, a move into supervision, or a decision about staying in an industry at all, weighing what you want against what each choice actually costs.
Partners are seen together on conflict that repeats, on the loneliness of long absences for work, and on rebuilding a shared routine afterward. Both of you need to be in Wyoming for the session.
We are unhurried, practical, and honest about limits, whether seeing a general adult, a licensed professional, a student, or a family. A plan drawing on Cognitive Behavioral Therapy (CBT) is agreed at the start and reviewed aloud. Because we do not offer a quick fix, if a method is not working after a stretch of weeks, we change it or say so. With clients here we also spend part of the first session on logistics: which hours you can genuinely protect, what to do about weeks away from home, and how to reach the office when the signal is poor. Treatment that ignores those things tends not to survive its second month.
All Wyoming work is carried by Dr. Lusk. For clients who have had to travel to different providers over the years, having one clinician for an entire course of treatment is usually the most noticeable 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 Wyoming.
Dr. Della S. Lusk is a licensed clinical psychologist, the director of this practice, and a clinician of more than twenty-five years' experience. Wyoming clients see her for individual therapy, for couples work with both partners present, for family sessions, and for psychological evaluation. She trained as a clinical psychologist in an APA-accredited doctoral program and 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.
Wyoming participates in PSYPACT®, the agreement that allows psychologists to practice by telehealth across the lines of participating states. The authority Dr. Lusk works under was conferred by the compact's commission and belongs to her as a clinician, which is why a client in Laramie or Casper can be treated by a clinician several states away without a local psychologist having to exist nearby at all.
The condition is your presence in the state. If work takes you into Montana or Colorado during a session week, the office needs to know, so that the hour can be moved or the other jurisdiction checked. The same conversation applies to a move: tell us as early as you can, and Dr. Lusk will either continue the work if the new state participates or put the time into finding somebody who can.
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.
Higher education here is concentrated in two institutions, the University of Wyoming and Wyoming Catholic College, and we see students and employees from both. A student in Laramie who wants a clinician with no campus connection can have one, and the same appointments continue over the summer.
Sessions reach Cheyenne, Laramie, Casper, Gillette, Powell, and Jackson, and homes and work camps at some distance from all of them. The only things needed at your end are a private space and a connection good enough to carry the hour.
For most therapy it is a genuine alternative rather than a compromise, and it is certainly better than the treatment nobody starts because of the drive. Where a psychological evaluation or a medical question needs a person in the room, Dr. Lusk will tell you so directly and help you think through where to have it done.
We plan for it. The clinician takes a telephone number at the outset and will call if the video fails, and a session that cannot be salvaged gets rescheduled rather than counted against you. Some clients find that audio alone works adequately on the worst days, which is worth discussing beforehand.
Not while you are outside Wyoming, unless the state you are in participates too and the office has confirmed it. What usually works is planning around the rotation: more frequent sessions while you are home, a pause while you are away, and a clear agreement about how the work picks up again.
Yes. Couples are seen with both partners taking part, and a family session can include a parent and an adolescent, or several adults discussing a shared problem. The location rule applies to everyone in the session, so where one person is out of state that week, we reschedule rather than proceed.
Contact the office on (844) 774-7997, or by email at info@psychotherapy.com. Staff will ask about the situation, explain how fees are dealt with before anything is agreed, and offer times. If the practice is not suitable for what you need, they will tell you on that first call.
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.
Begin with the office rather than the clinician: one call establishes what you are looking for, how sessions run, what the fee conversation involves, and when a first Wyoming appointment can be held. Nothing clinical is settled on that call.
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
