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FOUNDER & CLINICAL DIRECTOR · A KEY THERAPY

Lex E. Santí

LCSW · MFA · DSW Candidate

Lex E. Santí has spent two decades chasing one question from every angle: what actually helps a person change? As founder and clinical director of A Key Therapy, and a generalist therapist at Cornell Health, he asks it in the therapy room. As a writer, editor, and DSW candidate, he asks it on the page and in the research literature — treating clinical work, scholarship, and storytelling as one inquiry, not three separate careers.

His path here wasn't a straight line. He served in the Peace Corps in Romania, worked in clinical roles including Family & Children's Service, spent seventeen years editing a literary journal, and earned an MFA in Creative Writing from George Mason University before becoming a Licensed Clinical Social Worker in 2021. Each turn sharpened the same interest — in identity, story, and the conditions that let people change.

That throughline runs through three overlapping bodies of work today: as a clinician, he built the Acceptance & Motivation Inquiry (AMI) framework that now shapes his own practice; as a DSW candidate at the University of Kentucky, he's formalizing that framework into research; and as a writer, seventeen years at the helm of a literary journal have grown into five published books. For Lex, therapy, scholarship, and story aren't separate projects. They're the same one, told three ways.

MFA 

George Mason

​LCSW

Licensed 2021

DSW 

Univ. of Kentucky

Licensed: New York · Delaware · New Jersey  · Virginia 
Accepted Insurance: Carelon Behavioral Health (VA, DE, NY) · Cigna (VA, NY) · Anthem EAP – Expanded (DE, NY) · Horizon BCBS of New Jersey (NY) · BCBS of Massachusetts (NY)

CLINICAL WORK

Therapy · Coaching · Supervision

  • Generalist therapist, Cornell Health (2022–present)

  • CBT, DBT, ACT, mindfulness & narrative therapy

  • Anxiety, identity & life transitions

  • Clinical supervision (LMSW)

  • Founder & clinical director, A Key Therapy

AUTHOR & EDUCATOR

Writing · Publishing · Teaching

  • Five books published (2023–2024)

  • Elephants and Giraffes; Homer's Last Line and Other Short Stories

  • Time Away (poetry); The Seasons from Perry City Road

  • Founder & Editor-in-Chief, Our Stories Literary Journal (2004–2021)

  • Interviewed George Saunders, Richard Bausch, Dorothy Allison

RESEARCH & FRAMEWORK

AMI · DSW · Innovation

  • Creator, Acceptance & Motivation Inquiry (AMI) framework

  • DSW candidate, Univ. of Kentucky — capstone: AMI framework

  • Conference presenter: AIEA, OSAC, URMIA, Terra Dotta

  • Invited speaker: Mancave Monthly Speaker Series, Charter Day (HWS)

  • AMI clinician training workshops

Looking for Lex's creative writing? Visit the author site: www.lexenricosanti.com
Therapy is not only about symptom reduction. It is about understanding patterns,
strengthening agency, and clarifying one's relationship to life.”

— Lex E. Santí, LCSW

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