Anxiety
Worry that never quite switches off, treated with practical CBT so your days feel steadier.
Online Therapy in Wyoming
When the nearest clinic can be a hundred miles away and winter has its say, a psychologist and a counselor are both available online for couples, seniors, adults, and families with children or adolescents.
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. Whether you are arranging care for a young child, helping a teenager through a difficult school year, or looking for steady support as an older adult in Casper, a secure video appointment asks for an hour and a private room instead.
Our Wyoming clients also include working adults, couples, and families, among them people whose jobs in Cheyenne or Jackson keep them away from home for stretches at a time. Because the appointment travels with you rather than belonging to a building, we can meet with you on your own or with a partner, and a course of therapy can hold together through a season of long shifts. The hour is covered only when you are physically in Wyoming as the session starts, and this requirement holds true for both the psychologist and the counselor.
Online Therapy Services in Wyoming
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.
Anxiety, Stress & Social Phobia
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.
Depression & Mood Disorders
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.
Trauma, PTSD & Complex Trauma
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.
Sleep Problems
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.
Career Planning & Professional Growth
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.
Couples & Relationship Health
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.
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 Wyoming clients
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.
Your Wyoming care team
We serve Wyoming through two distinct disciplines: Dr. Della S. Lusk provides clinical psychology, including therapy and psychological evaluation, while Alethea Braun-Dunagan, M.A., LPC, offers professional counseling.
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 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, and for family sessions. She conducts psychological evaluations as well, with in-person testing scheduled at our Flagstaff office. She trained as a clinical psychologist in an APA-accredited doctoral program and is bilingual in English and Spanish.
Request an appointment
Counseling Services
Alethea Braun-Dunagan, M.A.
Licensed Professional Counselor
Ms. Braun-Dunagan provides counseling to clients located in Wyoming through the Counseling Compact™, and has availability for Medicare and TriCare clients.
Alethea Braun-Dunagan, M.A., LPC, practices in Wyoming under a Counseling Compact™ privilege. She counsels children, adolescents, and adults using Cognitive Behavioral techniques, with attention to women's issues, postpartum care, relapse prevention, and youth and trauma. As our intake specialist, she helps new clients get started with care and currently has availability for Medicare and TriCare clients.
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 and Ms. Braun-Dunagan’s licensure and areas of focus in full. You are welcome to ask any clinician directly about their qualifications and experience.
How telehealth authorization works in Wyoming
Our clinicians serve Wyoming residents through two distinct interstate agreements. Dr. Della S. Lusk practices under PSYPACT®, which authorizes her to provide telepsychology across state lines. Because psychological testing and formal evaluation belong exclusively to the practice of psychology, all diagnostic assessment work stays with Dr. Lusk. Meanwhile, Alethea Braun-Dunagan, M.A., LPC, provides her counseling services in the state under the authority of the Counseling Compact™.
Under both compacts, your physical location at the start of the hour controls our authorization to work together. Whether you are logging in from Laramie, Casper, Gillette, or Powell, you must be inside Wyoming when your appointment begins. If your schedule takes you across state lines, please tell our office before travel or a move so we can verify that our authority covers your new location.
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.
Wyoming students and staff
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.
Public Universities
- University of Wyoming
Private Colleges & Universities
- Wyoming Catholic College
Where Wyoming clients join from
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.
Questions from Wyoming clients
There is no psychologist in my county. Is video an adequate substitute?
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.
What happens if the connection is poor where I live?
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.
My job takes me out of state for weeks. Can I keep my appointments?
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.
Do you see couples and families?
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.
How do I arrange the first appointment?
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.
How to get started in Wyoming
Begin in our secure online scheduler, choosing a clinician and a first Wyoming appointment time. The office follows up on how sessions run and what the fee agreement involves; nothing clinical is settled before you meet.
Prefer to talk first? Call or email the office.
Telehealth in the other states
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 Virginia Washington West Virginia Wisconsin