

ADHD affects executive function, impulse control, and emotional regulation differently for each person. Headway offers neurodivergent-affirming therapy in Salem featuring practical strategies, psychoeducation, and strengths-based approaches to help you build confidence and overcome procrastination and forgetfulness.
For the past 3.5 years, I’ve had the privilege of leading a multi-site inpatient unit, supporting individuals with persistent mental illness and substance use as they work toward stability and recovery. Now, I’m stepping into private practice and writing my next chapter. I’m licensed in Florida and passionate about making care accessible and meaningful. I’d love to connect—does this sound like a fit for you?
I have experience supporting adults, young adults, and adolescents across outpatient, school-based, and healthcare settings. My work often centers on anxiety, ADHD, neurodivergence, emotional regulation, identity development, relationship patterns, and life transitions. I also bring a background in art therapy, which informs my ability to offer flexible, creative, and reflective ways of working with clients. I especially enjoy supporting people who are trying to better understand themselves, build self-trust, and move through life with more clarity and authenticity.
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.
With over 20 years of experience, I bring a broad range of skills and perspectives to my work with individuals, families, couples and groups. I'm a believer that therapy is not a "one size fits all" process. I work with patients on their self-designed goals. My patients describe me as warm, down-to-earth, direct and empowering.
I’m a board-certified Psychiatric-Mental Health Nurse Practitioner with a background in pharmacy, giving me a well-rounded perspective on mental health care. I work primarily with children, adolescents, and young adults, while also supporting older adults. My practice is rooted in compassion, advocacy, and respect for each person’s unique journey.
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.


Headway helps you stay on track with expert-guided support for ADHD — from finding the right therapist or psychiatrist, to understanding costs, to scheduling with ease.
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