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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.
Mental Health in Media
Film, TV, and podcasts through a mental health lens.


The Good Time Coming
By Lex Enrico Santí, LCSW, MFA, DSW-S. Clinical Director, A Key Therapy LCSW, PLLC. Co-founder, The Quad. In the 1840s, whenever Ezra Cornell came home to Ithaca between telegraph ventures, the town's merchants and mechanics brought him their bills: groceries, notions, the family's shoes, some unpaid for years. He was stringing lines from New England to Wisconsin. He asked for more time, made a small payment, or offered a note. His biographer Philip Dorf explains that the for
Lex Santí
Sep 2812 min read


The Problem with Pearl-Clutching Podcasts: When Storytelling Goes Nowhere
Lex Enrico Santí, LCSW, MFA I love podcasts, I think they're great, really. Lately, I’ve found myself exhausted by a particular brand of podcast storytelling—one that centers white sadness, nostalgia, and pain, only to ultimately arrive at… nothing. These stories follow a well-worn formula: a young podcaster embarks on a deeply personal journey, tracing the roots of some tragic figure from their past. Maybe it’s their mother’s ex-lover, a punk rocker turned drug dealer who wa
Lex Santí
Mar 19, 20254 min read


The Last of Us In the Post CoVid World
SPOILER ALERT: there are details revealed in a TV episode 5 of the Last of Us, below which may muck up your desire to keep reading if you haven't seen the episode. TRIGGER WARNING: This post discusses topics linked to suicide. I've been following the Last of Us on HBOMax for the past number of weeks. It's a brilliant show and riveting. Most recently episode 5 came out. Titled: Endure and Survive, it tells the story of two brothers who are survivors of a fascist society. A pos
Lex Santí
Feb 15, 20234 min read


STUTZ: a review and what it means to return to Pallas Fitness
Recently, a documentary on Netflix about mental health has gained a refreshing amount of positive attention. I'd like to add to that positive vibe and give it some additional thoughts as a mental health professional. STUTZ is a movie about a psychotherapist who has worked with the actor Jonah Hill over the span of his illustrious career. You may remember Hill from the Wolf of Wall Street or going way back, Superbad. The documentary is raw, emotional and shows the active proce
Lex Santí
Jan 22, 20235 min read
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