Where We Are Located in Wyoming and Virginia

Dynamic Reflections is a Wyoming-based practice in Sheridan. Our in-person office address is 1949 Sugarland Dr., Suite 200, Sheridan, WY 82801. We also provide telehealth across PSYPACT states, with a focus on Wyoming and Virginia.

We are licensed in Wyoming and Virginia specifically which means, we can accept insurance in Wyoming and Virginia. PSYPACT sessions are self-pay for all PSYPACT states. Please review our financial disclosure. You can also learn more about PSYPACT here: PSYPACT information.

Map of PSYPACT participating states that allow telehealth for licensed psychologists — PSYPACT participating states vary over time. This image is for quick reference.

In-Person Therapy vs Telehealth: How to Choose

Many people ask which format is best. In general, both options can work well. However, your best fit often depends on privacy, comfort, and where you’re located as well as your access to transportation. Therefore, we help you choose a format you can attend consistently.

Client and therapist seated in an in-person therapy office — In-person therapy in Sheridan, Wyoming

Client attending a telehealth therapy appointment by video — Telehealth therapy in Wyoming, Virginia, and PSYPACT states

Why Choose In-Person Therapy

You want a dedicated, private space outside your home.
You prefer face-to-face presence and fewer tech steps.
You benefit from a structured arrival and exit routine.
You feel more grounded in a clinic setting.
You’re located near Sheridan or can travel reliably.

Why Choose Telehealth Therapy

You want care from home in Wyoming or Virginia.
You have limited transportation or a tight schedule.
You’re located far from specialty services.
You want fewer weather and driving barriers.
You do better with steady weekly attendance.

What Research Says Across Populations

Recent research supports telehealth outcomes across ages and concerns. Symptom improvement is often similar to in-person care when evidence-based models are used. Also, alliance and treatment fidelity matter more than format (Trusty et al., 2025; Lilliengren et al., 2025).

For youth, telehealth shows strong results for trauma, tic disorders, and emerging personality symptoms (Feusner et al., 2025; Grenyer et al., 2025; Mills et al., 2025). For adults, large routine-care data show equivalent improvement between telehealth and in-person therapy (Trusty et al., 2025). In addition, telehealth can support distress linked to chronic illness (Holloway et al., 2025). Newer remote formats may still preserve comfort and disclosure (Jang et al., 2025). For families, telehealth can be effective for parent-child interventions and behavior-focused care (Shiri et al., 2025; Fongaro et al., 2025; Begeja & Sauku, 2025). For couples, direct comparisons remain limited. Even so, evidence supports telehealth when core relational processes are well supported (Lilliengren et al., 2025).

Telehealth is typically as effective as in-person care when evidence-based models are used. Therefore, the right choice is often the one you can attend consistently and privately (Trusty et al., 2025; Lilliengren et al., 2025).

References

Begeja, A., & Sauku, E. (2025). Technology-enhanced parent–child interaction therapy: Access, engagement, and outcomes.
Feusner, J. D., et al. (2025). Therapist-delivered video habit-reversal training: Real-world outcomes across children and adults.
Fongaro, J., et al. (2025). Telehealth-delivered Child and Family Traumatic Stress Intervention: Randomized trial evaluation.
Grenyer, B. F. S., et al. (2025). Telehealth-assisted psychotherapy for adolescents with borderline personality disorder: Pilot outcomes and acceptability.
Holloway, A., et al. (2025). Telehealth low-intensity psychotherapy for chronic illness–related distress: Emotional outcomes compared to usual care.
Jang, K., et al. (2025). Avatar-based telepsychotherapy: Alliance, comfort, and self-disclosure in qualitative analysis.
Lilliengren, P., et al. (2025). Psychotherapy mechanisms and outcomes: The roles of alliance and model fidelity across delivery formats.
Mills, K., et al. (2025). Telehealth versus in-person trauma-focused CBT for adolescents and young adults: Multicenter non-inferiority trial protocol.
Shiri, S., et al. (2025). Telehealth family-based behavior therapy for autism: Child behavior outcomes and parenting self-efficacy.
Trusty, W. T., et al. (2025). Routine-care outcomes for telehealth versus in-person psychotherapy in a large adult sample.

Insurance and Coverage

We accept insurance in Wyoming and Virginia. PSYPACT telehealth is self-pay.