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A Key to Something
Where therapy meets writing.
Essays and reflections on mindfulness, identity, and the practice of paying attention — from Lex E. Santí, LCSW, and the A Key Therapy team.
Anxiety & Depression
Anxiety, depression, and the mind-body connection.


The Bagel That Broke the Cycle: A Personal Story of Gut Health and Anxiety
Lex Enrico Santí, A Key Therapy LCSW, PLLC The intricate relationship between gut health and mental well-being has garnered significant attention in recent years. Emerging research suggests that the state of our digestive system can profoundly influence our psychological health, particularly concerning anxiety. This connection is often referred to as the gut-brain axis, a complex communication network linking the gastrointestinal tract and the brain. While I am a licensed the
Lex Santí
Apr 14, 20256 min read


The Battle Between the Heart and Mind: Finding Balance in Healing
Lex Enrico Santí, LCSW, MFA As a therapist working on a college campus, I see daily the battle between the heart and the mind play out in students, faculty, and staff. Academia is a space that deeply values intellect—the ability to analyze, critique, and rationalize. In many ways, this environment conditions people to depend on their minds above all else, often at the expense of their hearts. I work with students and professors who are deeply entrenched in this way of being,
Lex Santí
Mar 29, 20254 min read


Healthy Gamer and Yogic Chitta: A Dual Framework for Understanding the Mind’s Response to Modern Addictions and Emotional Distress
By Lex Enrico Santí, LCSW, MSW – A Key Therapy LCSW PLLC In an age dominated by technology, the challenges of mental health have shifted, particularly with respect to phone addiction, gaming addiction, and the rapid rise of anxiety and depression in the digital age. Understanding these mental health issues requires a comprehensive approach that examines both modern and ancient perspectives on the mind. This article seeks to connect two seemingly disparate frameworks: the He
Lex Santí
Feb 28, 20256 min read


Holding Our Breath: Anxiety, Panic, and the Oxygen Connection
As children, across various cultures, races, and genders, many of us found ourselves competing in one simple game—holding our breath underwater. Whether in lakes, swimming pools, or oceans, the goal was always the same: to outlast the other kids in this self-imposed contest. Based on my informal tally of childhood experiences shared through anecdotes, interviews, and personal memories, this game is nearly universal. It crosses borders, transcending age, ethnicity, and gender—
Lex Santí
Sep 5, 20246 min read


The Interconnection of Anxiety, Depression, and Genetic Utility Through Time
Author: Lex Enrico Santí, LCSW, MFA Introduction Anxiety and depression, two of the most prevalent mental health conditions, are often perceived negatively due to their debilitating effects. However, a growing body of research suggests that these conditions may have evolutionary underpinnings that conferred survival advantages to our ancestors. This paper explores the interconnection between anxiety, depression, and their potential genetic utility, proposing that these mental
Lex Santí
May 25, 20244 min read


Surviving the Gray of Ithaca
Reposted from the Cornell daily Sun, November 2012 At the time of finishing this article I have not seen the sun for 10 straight days. As a lifelong Ithacan I can tell you a few things about the gray that accompanies the winter here in town and it is my hope that it helps pull you through the next months. While there may be a certain Tea Party fanaticism as to the validity of global warming I can tell you this: Ithaca no longer gets much of the brutal blizzard cold that we go
Lex Santí
Nov 1, 20124 min read
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