Navigating Life Changes with Clarity & Support


Alison Pugh (she/her)

Licensed independent Clinical Social Worker

Licensed in Massachusetts, Rhode Island and Texas

Close-up of a smiling woman with shoulder-length brown hair and light skin, indoors with a blurred background.

You may be here because something in your life has shifted. A transition, increased responsibility, or a quiet sense that things no longer feel as steady or aligned as they once did. On the outside, you may be managing well. Internally, you might feel tired, uncertain, or disconnected from yourself. That is often what brings people here.

Therapy with me is calm, thoughtful, and collaborative. Sessions offer space to slow down, make sense of what is happening emotionally, and regain clarity during times of change. There is no pressure to have the right answers or to perform. We work at a pace that feels supportive and grounded.

My approach is evidence-based and respectful of your lived experience. I integrate cognitive behavioral therapy, mindfulness, life-review work, and strengths-based reflection. I work best with adults who value insight, steadiness, and practical tools, and who are looking for therapy that supports reflection, alignment, and intentional next steps.

My background & approach

I hold a master’s degree in clinical social work and am a licensed therapist. My clinical training includes work with adults and older adults across a range of concerns, including life transitions, stress, anxiety, mood changes, and adjustment to evolving roles and responsibilities. I have experience working with individuals navigating caregiving, career shifts, health-related changes, and later-life transitions.

My approach is grounded in evidence-based practice. I am trained in cognitive behavioral therapy and mindfulness-based interventions, and I incorporate strengths-based and life-review approaches to support reflection, meaning-making, and emotional clarity. This work is informed by a deep respect for each client’s lived experience, values, and personal history.

I have worked in outpatient and community-based settings, supporting clients through both acute stressors and longer-term transitions. Across settings, my focus has remained consistent. To offer steady, thoughtful care that helps clients feel supported, understood, and equipped to navigate change with clarity and intention.

    • Women

    • Veterans and Active Duty Members

    • LGBTQ+

    • EMS, Fire, First responders

    • Older Adults

    • Anxiety

    • Depression

    • Older Adult Mood Disorders

    • Life Transitions

    • Acceptance and Commitment (ACT)

    • Cognitive Behavioral (CBT)

    • Family Systems

    • Internal Family Systems (IFS)

    • Mindfulness-Based (MBCT)

    • Motivational Interviewing

    • Person-Centered

    • Solution Focused Brief (SFBT)

    • Somatic

    • Strength-Based Trauma Focused

    • University of Texas at Arlington, Master of Clinical Social Work

    • ASW-G: The ASW-G credential represents master’s level expertise for social workers specializing in gerontology. Masters level social workers specializing in gerontology possess knowledge and skill in the areas of: assessment of older adult needs, functional capacity, expertise regarding physical and mental health issues, case and care management, long-term care, elder abuse, quality of life issues, and advance care planning.

    • Certified Strength at Home Provider: Refers to a trained professional delivering the evidence-based Strength at Home (SAH) program, a trauma-informed intervention for Veterans and others struggling with Intimate Partner Violence (IPV), focusing on conflict management, communication, and assertiveness, often available virtually or in-person through the VA or specialized providers.

Ali is a Texas native, a mom, and a United States Air Force veteran. When she’s not in session, she’s with her family, likely fueled by a Bang energy drink.