
FOUNDER & CLINICAL DIRECTOR · A KEY THERAPY
Lex E. Santí
LCSW, DSW-S · MFA
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, he asks it in the therapy room and working with his supervisees. 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 Services of Ithaca and Cornell University. He 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 through line 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.
MSW
Washington University in St. Louis
MFA
George Mason University
DSW (in progress)
University of Kentucky
Looking for Lex's creative writing? Visit his author site, lexsanti.com, or read about his novel, The Song of the Midnight Rider.
Licensed: New York · Delaware · New Jersey · Virginia
Accepted Insurance (billed through Headway): Aetna · Cigna · Carelon Behavioral Health (NY, NJ, DE, VA) · Anthem Blue Cross and Blue Shield (VA) · Anthem EAP (NY, DE). In credentialing: Horizon BCBS of New Jersey · UnitedHealthcare · Oscar · Oxford.
“ 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, DSW-S
