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Press, speaking, and referral partnership information About A Key Therapy A Key Therapy LCSW, PLLC is a mindfulness-based group therapy practice offering secure telehealth across New York, New Jersey, Delaware, and Virginia. Founded by Lex E. Santí, LCSW, the practice works with students, young adults, and adults navigating anxiety, depression, grief, burnout, life transitions, and identity questions — with mindfulness-based therapy as the specialty, not a side offering. The

The mindfulness-based telehealth practice, founded by Ithaca clinician Lex E. Santí, LCSW, is licensed in New York, New Jersey, Delaware, and Virginia, and is hiring. TRUMANSBURG, N.Y., August 18th, 2026. A Key Therapy LCSW, PLLC, a mindfulness-based group practice, will officially launch September 4th, 2026, from Trumansburg. Its clinicians and coaches see clients in New York, New Jersey, Delaware, and Virginia by secure telehealth. The website is found at www.akeytherapy.co

Lex E Santí, LCSW, DSW-S, Clinical Director of A Key Therapy Every therapist has experienced it. A client attends an intake session, perhaps one follow-up, and then disappears. Phone calls go unanswered. Emails receive no reply. The case is closed with a familiar notation: client discontinued treatment. We often ask why clients leave therapy after they are gone. A more important question may be whether they ever felt understood in the first place. Research consistently shows

Developing boundaries as a therapist needs to happen before it is too late. Lex E Santí, LCSW, Clinical Director, A Key Therapy It was Halloween. Six, maybe seven years ago. I was driving home on Perry City Road, about three miles from my house, coming off a shift at Family and Children's of Ithaca. It might have been my first year working there, before A Key Therapy, this private practice, before the novel, before most of what has since become my life. I was learning somethi

The lineage that my novel comes from, The Song of the Midnight Rider, goes directly to the original road movie, Thunder Road from 1958. A movie so powerful and fierce that it took Robert Mitchum producing it himself to make it work.

On Pallas, the people, and why this place keeps calling me home by Lex E. Santí, LCSW, MFA On May 3rd, from 2 to 4 in the afternoon, I’m doing something vulnerable: my first real public reading of The Song of the Midnight Rider at Pallas Fitness. My debut novel. The one I’ve been working on, in one form or another, for twenty years. I’m doing it here—not a bookstore, not a library, not a stage with a podium and strangers in folding chairs—because this gym has shaped the last

Lex E. Santí, My old iPod is sitting on my desk again, or at least it will be when the charger arrives. I ordered it on eBay without thinking too hard about why, the way you sometimes reach for something instinctively, like calling an old number you’re not sure still works. I know the playlists are still on it. A while back, I hacked the battery and upgraded it. I even tried to buy a mod for a Bluetooth plugin and then gave up. I'm looking forward to having it in my life aga

On fingerprints, snapping turtles, and the grace of small mercies Lex E. Santí · A Key Therapy LCSW, PLLC I was late. It was raining. The drive to Odessa is a little windy going from Tburg, and I had somewhere to be — the kind of official somewhere that does not forgive tardiness: fingerprints and a background check, the formal machinery of a New Jersey license, another state in the slow accumulation of permissions that will let me do the work I’ve been doing for years. You k

Lex E Santí, A Key Therapy LCSW, PLLC There are shows that pass through your life like a rest stop on the highway — you pull in, get what you need, pull out, and forget the exit number by the next mile marker. And then there are shows that stay with you — not because they're prestige television or because someone told you they were important, but because they did something to you. They changed the way you see. The way you drive, metaphorically speaking. The way you sit with