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A key therapy blog
Thoughts, ruminations, recommendations from a mindfulness therapist. My life has been a mix of literary exploration, government work, and global education. My journey has taken me across the world—from working with street children in Romania to teaching in South Korea—before returning home to focus on crisis management and therapy.

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All Posts


The Proposal Isn’t the Problem—The Problem Is Everything Around It
Lex E Santí, LCSW, MFA – Founder, A Key Therapy LCSW, PLLC Every few years, the federal government finds a new way to remind us that the “helping professions” aren’t actually meant to be helped. The newest example is the U.S. Department of Education’s proposal to reclassify certain master’s programs — education, nursing, public health, social work — so that they are no longer considered “professional degrees” for federal student loan purposes. The Department of Education insi
Lex Enrico Santí, LCSW, MFA
Nov 274 min read


Fifteen Books That Made Me
Lex Enrico Santí, LCSW, MFA Books have been my most loyal companions. I’ve been reading since I was old enough to understand that the world was bigger than my family, bigger than the town where I grew up, bigger even than the United States. Books were my way out and my way in. They taught me how to live, how to argue, how to be tender. They’ve never once ghosted me, though I’ve been guilty of ignoring them. Below are fifteen that shaped me. Not in some linear list, not as a c
Lex Enrico Santí, LCSW, MFA
Nov 246 min read


Literature Review: Acceptance and Motivation Inquiry
Literature Review Acceptance / Motivation Inquiry (AMI) Lex E Santí, LCSW, MFA Introduction Client engagement in psychotherapy is a...
Lex Enrico Santí, LCSW, MFA
Sep 1917 min read


Remembering Greg Eells, Six Years On
Reflection on Mourning in the Shadow of a Giant at Cornell By Lex Enrico Santí, LCSW, MFA On September 9, 2019, the Cornell community...
Lex Enrico Santí, LCSW, MFA
Sep 83 min read


Query Letters, Rejection, and the Midnight Rider
A Field Guide to Agents, Queries, and Other Creative Punishments Lex E. Santi, LCSW, MFA At one point in its life, Song of the Midnight...
Lex Enrico Santí, LCSW, MFA
Sep 34 min read


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 Enrico Santí, LCSW, MFA
Aug 293 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 Enrico Santí, LCSW, MFA
Aug 262 min read


Gatekeeping and Deportation
On Latinidad, fear, and who gets to belong I saw this meme recently — a hand-drawn fortress surrounded by moat after moat, each layer...
Lex Enrico Santí, LCSW, MFA
Aug 214 min read


Gaza, Grief, and the Ghosts of Our Wars
Lex E Santi, LCSW, MFA In the days after 9/11, there was a feeling in the United States that something irreversible had cracked open, not just buildings, not just lives, but the idea that war could ever be clean, swift, or justified by pain alone. We have been collectively fighting that system of fear and terror ever since. What followed: Afghanistan, Iraq, drone strikes, proxy wars, black sites, enhanced interrogations, the blank check of homeland security — taught us that v
Lex Enrico Santí, LCSW, MFA
Aug 154 min read
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