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The Writing Hub
A collection of essays, reflections, and clinical thought from the A Key Therapy team — exploring psychology, presence, and the evolving practice of care.
Essays
Long-form reflections on psychology, identity, and lived experience
Thought Leadership
Clinical insight at the intersection of practice, research, and culture.
Archive
Selected writings tracing the evolution of ideas over time.
Narrative
Stories exploring meaning, memory, and the complexity of becoming.
Reflections
Brief meditations on presence, growth, and everyday awareness.
Therapy


So You Want to Start a Private Practice? Here’s the Roadmap (2 of 2)
Beginning your private practice, step-by-step... It's been 6 years since I started my private practice and I love it. If the first part...
Lex Santí
Aug 29, 20253 min read


Why I Love Having a Private Practice (And Why You Might Too) (1 of 2)
A therapist’s joy in small rooms with big conversations Lex E. Santi, LCSW, MFA One of the wonderful things about becoming a therapist —...
Lex Santí
Aug 26, 20252 min read


The Meditation That Got Derailed by a Trip to Wegmans
Lex Enrico Santi, LCSW MFA I tell this story a lot, purposefully, as beginning a meditation project is brutal and stories and while...
Lex Santí
Aug 6, 20254 min read


How a Simple Worksheet Helped Me Find My Life’s Purpose
There was a moment in my life when everything on paper looked right. I had built a career I was proud of—one that had taken me around the...
Lex Santí
Jul 23, 20253 min read


A Supervision Journey: From Listening to Liberation
Some thoughts about being a supervisor of others By Lex E. Santí, LCSW, MFA I didn’t become a therapist in the traditional way. In fact,...
Lex Santí
May 8, 20254 min read


The Will of the Heart: Releasing the Fear of “What If”
Lex Enrico Santi, A Key Therapy LCSW, PLLC (With gratitude to Matt Kahn) In my practice, one of the teachings I return to most...
Lex Santí
Apr 29, 20253 min read


Top 5 Traits of a Great Therapist
Lex Enrico Santi, LCSW MFA Walking in my woods in Trumansburg, NY. Photo credit: Jesse Winter I did not always want to be a...
Lex Santí
Apr 16, 20254 min read


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...
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...
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 Santi, LCSW, MSW – A Key Therapy LCSW PLLC In an age dominated by technology, the challenges of mental health have...
Lex Santí
Feb 28, 20256 min read


NARRATIVE THERAPY: Writing the Letter
How to Write a Letter to Someone Who Hurt You: A Guide to Letting Go Writing a letter to someone who has hurt you can be one of the most...
Lex Santí
Feb 21, 20254 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...
Lex Santí
Sep 5, 20246 min read


Introducing the AMi Scale: A New Tool for Understanding Motivation and Acceptance in Mental Health
As the creator of the AMi (Acceptance/Motivation) Scale, I, Lex Enrico Santí, LCSW, MFA, am excited to introduce a groundbreaking tool...
Lex Santí
Sep 2, 20244 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...
Lex Santí
May 25, 20244 min read


5 Days at Memorial: A Stark Reflection on Post-COVID Workforce Realities
Lex E Santí, LCSW, MFA Last summer I fell into 5 Days at Memorial on Apple TV—one of those late-night binges that sneaks up on you—but what the series opened in me was not casual entertainment. It was a revelation about a question I haven’t stopped turning over: what can an organization ask of a human being, and what should forever be beyond its reach? The show never frames itself as a meditation on work, on duty, on the slow erosion of the private self by institutional expe
Lex Santí
Feb 4, 20244 min read


Reframing Mental Health Therapy: The Integral Role of Motivation and Acceptance in Mental Health
Lex Enrico Santí, LCSW, MFA Abstract This research-based article underscores the critical role of motivation and acceptance in managing...
Lex Santí
May 26, 20234 min read


Creative Writing and Therapy
What would it mean to combine these two worlds? I have published 6 books of creative writing as an editor. Published fiction and poetry....
Lex Santí
Feb 13, 20231 min read


How I Got Here: A Social Worker's Road to Practice
Lex Enrico Santi, LCSW, MFA I didn’t always know I’d be a therapist. In fact, my path here started with words—stories, poems, voices that...
Lex Santí
Apr 30, 20203 min read


Men and Relationships
When I work with men the question arises. How do I get over her? It's been a while since I thought about this but let me put some things...
Lex Santí
Apr 19, 20203 min read
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