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Family therapy and counseling in Lexington, MA


Top family therapists in Lexington, MA
Strengthen family bonds in Lexington with evidence-based therapy from 678 licensed providers. Our therapists specialize in family conflict resolution, parent-teen communication, and attachment repair using approaches like Attachment-Based Family Therapy. Connect virtually or in-person with flexible scheduling and insurance coverage.
JULY openings! I believe good mental health is the key to happiness and balance in life. Seeking help can be one of the hardest parts, and finding a “good fit” can be even more challenging! I’ve been practicing for 15 years, but in the last decade, have shifted my main focus to adults and couples that are working to improve their mental health and communication.
I have been a SW for 29 years. I received my bachelors of social work from Southern University and A&M College and my masters of social work from Southern at New Orleans. As a SW, at DCFS/CW, I have served as in Investigations, Foster Care, Family Service, Adoption, and as a Child Welfare Supervisor, CW Trainer, and a CW Manager. PRN work included working in MH/SA, hospitals, hospice and school SW. I am a TBRI Pract. & adoption competent. I help people who seek help! I retired from DCFS on 01/21/2026. Please see link below on the impact I’ve made on people across the state and allow me to help you too. Please message me for an appointment. Thank you.
https://youtu.be/XQ9RdZwCRW8
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.
As a therapist rooted in Buddhist principles, my approach respects the innate wisdom each individual possesses. I believe clients are their own best experts in healing, and my role is to support them in uncovering their truths and navigating their journeys toward healing and self-discovery.
I hold a Master's in Counseling for Mental Health and Wellness from New York University, which has enriched my understanding and practice of therapeutic techniques. I strive to create a safe, compassionate space where clients can explore their thoughts and feelings without judgment. Within this sanctuary, we work collaboratively to shift perspectives, fostering greater happiness and joy.
Ultimately, my deepest aspiration as a therapist is to facilitate a healing environment where individuals feel seen, heard, and valued.
I believe that everyone deserves to be heard, regardless of their background or circumstances. Whether you are struggling with excessive worry or negative thoughts, overwhelmed by schoolwork as a student, supporting a family member with autism or developmental disability, or facing challenges as a member of a marginalized group in society, it is common to feel hopeless and worthless at times. However, you do not have to give in to these feelings.
Frequently asked questions


Find the right counselor for your family
Headway makes it easier to find family-focused support — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing a Family Therapist in Lexington
Finding family therapists in Lexington starts with identifying what your family is navigating and what kind of support fits those needs. Family therapy can address parenting conflict, adolescent struggles, blended family dynamics, divorce-related changes, and communication breakdowns across generations. Marriage family therapists are trained to look at patterns across the relational system, not only one person’s concerns. As you compare options, look for a therapist whose bio mentions family and marriage counseling, counseling for family problems, parent-child relationships, or experience with the specific concerns you want to work through.
In a smaller city like Lexington, the number of local in-person family therapists may be more limited than in larger Massachusetts markets. Virtual appointments can expand your options while still letting you choose a therapist licensed in your state. Family therapy may involve the full family, parents or caregivers, siblings, couples, or individual family members, depending on the goals of care. Before booking, review each therapist’s profile for scheduling options, session structure, therapeutic approach, and whether they offer a free phone consultation to talk through fit.
Family therapy in Lexington can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway helps you find family therapists, many of whom accept insurance, are accepting new patients, and offer virtual or in-person appointments. You can compare profiles, see estimated out-of-pocket costs after entering your insurance details, and book directly when you’re ready.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
If anyone in your family is experiencing or worried about abuse, threats, or coercion, joint family or couples therapy usually isn't the right starting point — individual support is safer. The Childhelp National Child Abuse Hotline (1-800-422-4453) and National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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