Find a therapist in Arlington, MA — covered by insurance

With over 25 years of experience in the mental health field, I bring a steady, compassionate presence to individuals navigating anxiety, depression, and overwhelming stress. I believe healing happens in relationships that feel safe, respectful, and collaborative.

For the past two decades, I have worked with adults and older adults who have experienced loss, chronic disease , and patients who have experienced significant loss and grief. I have experience working in a primary care setting and long term care; my goal is to support both your body and mind and find hope, guidance and validation.

I’m Alison (Ali) Pugh, a Clinical Social Worker, USAF veteran, and mom of two. I help adults who are juggling work, family, caregiving, or major life changes that feel heavier than they look on the surface. If you’re feeling stretched thin, overwhelmed, or unsure of your next step, you’re in the right place. My style is calm, collaborative, and steady. There’s no pressure to have the perfect words.

Maybe what aches most is not the change itself, but the fear that someone you love is slipping out of reach — even if that someone is you. Everything feels different, yet somehow the same. One minute you are putting on pajamas, and the next you are spiraling because it is the first moment of quiet you have had all day. There is this gut feeling that your heart can no longer be bound with band-aids, but soul-searching is a lot before the alarm goes off tomorrow. You do not have to make sense of it all alone at midnight — that is what I am here for.

My therapeutic method is tailored to fit your temperament and individual experience. You may be facing a combination of personal, social, and institutional adversity. Discomfort may be unavoidable, but you are not alone; I can help you transform hardship or tragedy into resilience. My process is effective; it evolves as you do. If you experience negative feelings like inadequacy, grief, or shame, I can help you understand the origin of the discomfort and make changes toward ease. Sometimes, worry can be helpful; other times, anxiety and depression lie to us. Having worked in both economically-strained and prosperous communities, I have seen the impact of trauma and neglect on various people. I also understand being a white male can insulate me against the prejudice and discrimination commonly experienced by people of color, women, and the LGBTQ community; I trust my client’s experiences and take responsibility for my blind spots.

Many people come to therapy feeling overwhelmed by anxiety, trauma, relationship challenges, or life experiences that have left them feeling disconnected from themselves or uncertain about how to move forward. I believe that healing begins with feeling truly seen, heard, and accepted. I am passionate about helping clients recognize their strengths, reconnect with their authentic selves, and build lives that feel more grounded, meaningful, and aligned with who they are.

I earned my Master's degree from Springfield College in 2007 and bring nearly two decades of clinical experience across a wide range of settings, including outpatient clinics, in-home therapy, residential treatment, juvenile justice programs, school-based services, and as a school adjustment counselor. These experiences have given me a deep understanding of how trauma, relationships, and life experiences shape emotional well-being across the lifespan. While my background includes extensive work with children, adolescents, and families, my practice is primarily focused on supporting teens and adults who are navigating life's challenges. I am committed to providing culturally responsive, affirming care that honors each person's unique identity and lived experience.

Welcome! I provide individual therapy for college/ graduate students, professionals, and adults navigating anxiety, OCD, trauma, crises of meaning, and the deeper questions that arise in times of uncertainty. Many of my clients come in feeling stuck, overwhelmed, or disconnected- from themselves, others, or a clear sense of purpose. Our work together explores not just symptom relief, but what it means to live more fully and authentically. Together, we reconnect with your values, develop practical skills for navigating life's challenges, and explore the deeper patterns and past experiences that may be shaping your present.