Grief counselors and therapists in Lexington, MA

I earned my Bachelor of Nursing from University of Connecticut (Go Huskies!) before moving to Boston to start my career in bedside nursing in 2019. After serving as an RN and Director of Nursing at a residential treatment center, I earned my PMHNP at Regis College to specialize in mental health. Since then, I’ve gained diverse experience providing cutting-edge ketamine therapy in outpatient clinics and managing complex cases in inpatient psychiatry. Now, I’m bringing that clinical expertise—along with post-graduate training in CBT—to my full-time private practice, where I provide comprehensive, compassionate care for patients navigating anxiety, depression, OCD and ADHD in the South Boston area.

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.

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.

I help high-achieving, heart-centered adults break free from subconscious patterns, release self-doubt, and create deeply fulfilling relationships—with themselves and others. As a licensed psychotherapist and certified spiritual life coach, I offer a grounded yet transformative space where psychology meets soul work.

I am an experienced therapist helping individual clients cope with addictions, trauma, low self-esteem, anxiety, depression, and relationship challenges. I also work with couples on common struggles such as conflict resolution, lack of connection, and reduced physical intimacy. I use evidence-based methods enabling clients to achieve their desired goals.

Licensed Independent Clinical Social Worker | Certified Dementia Practitioner

Boston, MA | In-Person & Telehealth Sessions

I am a Licensed Independent Clinical Social Worker (LICSW) and Certified Dementia Practitioner (CDP) with more than two decades of clinical experience helping adults navigate complex emotional, relational, and medical challenges. I hold a Master’s in Clinical Social Work from Boston College and have dedicated my career to providing thoughtful, evidence-based care rooted in authenticity, compassion, and the belief that genuine change is possible at every stage of life.

My areas of specialization include anxiety, depression, trauma, chronic pain, medical conditions, LGBTQ+ identity and relationships, grief and loss, end-of-life issues, and advanced care planning. My integrative approach draws from Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and a Humanistic framework. I believe that movement is medicine, and that healing emerges through the mind–body connection — where awareness, purpose, and action intersect.

As a gay clinician, I am deeply committed to creating an affirming, inclusive space where clients can explore identity, relationships, and resilience with honesty and respect. I strive to help each person cultivate balance, clarity, and a renewed sense of possibility in their lives.