Specialized online therapy for high-functioning adults and veterans navigating anxiety, trauma, and life transitions in TX, MA, NH, and RI. Schedule a free consultation today.

Hey- I’m Ali, a therapist who works with people who are used to carrying a lot. Most of my clients are high-functioning, high-achieving adults who look put together on the outside but are juggling anxiety, old trauma, or relationship patterns underneath it all. I offer a space where you can finally slow down, breathe, and be fully yourself — no pressure, no judgment, no need to hold everything together. My approach blends CBT, mindfulness, solution-focused strategies, and trauma-informed care to help you feel more grounded, understood, and supported as you move toward the life you want.

As a wife, working mom, oldest daughter and veteran I understand the complexities of life and will work with you create realistic and manageable goals so can get to where YOU want to be.

Serving Texas, Massachusetts, New Hampshire and Rhode Island

  • Licensed Clinical Social Worker (LCSW) — Texas

  • Licensed Independent Clinical Social Worker (LICSW) — Massachusetts, New Hampshire, Rhode Island

  • Specialized training in trauma‑informed care, anxiety treatment, and work with veterans

  • Professional experience supporting adults across diverse backgrounds, life stages, and transitions

About Alison Pugh, LCSW, LICSW, ASW-G

You’ve tried everything you can think of to feel better, but nothing’s working.


At the core of my approach is a belief that people heal best when they feel genuinely seen, heard, and understood. I offer a space where you can show up exactly as you are — without pressure, judgment, or the expectation to hold everything together. Together, we slow things down, explore what’s happening, and build tools that support real, sustainable change. My work is practical, collaborative, and trauma-informed. Some sessions focus on understanding the deeper patterns that shape your reactions, emotions, and relationships. Others focus on practical strategies you can use right away — ways to regulate your nervous system, communicate more clearly, set boundaries, or navigate stress with more steadiness.

My method isn’t about perfection, pressure, or quick fixes. It’s about creating a space where you can understand yourself , heal at a pace that feels right, and build a life that feels more aligned with who you truly are.

Whatever you’re experiencing is valid- and we can work through it together, one step at a time.

Line drawing of a flowering plant with three flower clusters and four leaves.

I accept insurance and private pay


Texas- BCBS of Texas, BCBS Texas Medicare Advantage. Aetna, Cigna, Carelon, Curative, UHC (Optum), EVRY Health, Aetna Medicare Advantage and Humana Medicare Advantage, Ascension (Smart Health), Providence Health Plan

Massachusetts- Providence Health Plan, Aetna, Cigna, Carelon, Curative, Providence Health Plan

New Hampshire-Aetna, Anthem BCBS, Carelon, Cigna

Rhode Island- Aetna, Cigna, Providence Health Plan, Independence Blue Cross Pennsylvania


If change was easy, we’d all be perfect.

I want you to know that you’re not alone. Most of us are out here winging it.


My Education & Experience


Accepting new virtual clients

—Schedule your free consultation or reach out using the contact me section

Accepting new virtual clients —Schedule your free consultation or reach out using the contact me section