Episode
Why Private Practice Looks So Different Now | Lex E Santí | TPOT 433
- Published
- May 18, 2026
- Duration seconds
- 2322
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Summary
Private practice has changed a LOT over the last few years… and therapists are still trying to figure out what comes next. In this episode, Gordon talks with Lex E. Santi about the evolution of therapy after telehealth, online platforms, insurance shifts, and changing client expectations. They dive into why more clinicians are entering private practice, why clients still crave in-person connection, and how companies like BetterHelp, Alma, and Headway are reshaping the profession. They also explore the pressure therapists feel to market themselves, build niches, and create an online presence in a rapidly changing industry. Toward the end of the conversation, Lex shares how writing, narrative therapy, mindfulness, and storytelling intersect in his clinical work and creative life. Resources Mentioned In This Episode Subscribe to YouTube Read the show notes here Watch on YouTube Use the promo code "GORDON" to get 2 months of Therapy Notes free Consulting with Gordon The PsychCraft Network Follow us on Instagram Meet Lex E Santí Lex Enrico Santí is a therapist, clinical supervisor, and the founder of A Key Therapy PLLC, where he works at the intersection of evidence-based practice and the deeper human questions that bring people into therapy in the first place. Trained as a licensed clinical social worker and currently completing his doctorate at the University of Kentucky, Lex brings a grounded, integrative approach to his work — drawing on modalities like CBT, ACT, and mindfulness alongside his own framework for healing he calls the AMI model. The son of Cuban immigrants and a former Peace Corps volunteer in Romania, Lex carries a lifelong fluency in crossing cultures — literally and emotionally. He speaks three languages and brings that same attunement to difference, dis…