Alison Pugh, LCSW, LICSW

Alison Pugh, LCSW, LICSW Hey! I’m Alison (Ali) Pugh — a Clinical Social Worker, veteran, and mom of two.

If you’re looking for therapy that feels steady, thoughtful, and genuinely supportive during a season of change, I’m here.

Calling all overwhelmed Moms 🌟🌟Ready for real life strategies to manage the constant stream of to-do lists and meet othe...
04/04/2026

Calling all overwhelmed Moms 🌟🌟

Ready for real life strategies to manage the constant stream of to-do lists and meet other moms in the same boat?

Slots will go fast, reach out today!

04/01/2026

04/01/2026

In foster care, loss is not a single event. It is a landscape. Loss of a birth family, a home, a school, a sibling, a beloved caregiver, a sense of self. As Jeanette Yoffe reminds us, "Even when that family was unsafe, children grieve."

For clinicians, the instinct is often to move a child forward, toward stability, toward safety, toward healing. But Yoffe challenges us to pause before we push. The therapeutic task, she says, is not to rush past grief, but "to help children hold it, name it, and share it."

This is slow, tender work. It asks clinicians to resist the pull toward resolution and instead create the conditions for grief to be witnessed. Not fixed. Not reframed too quickly. Witnessed.

Children in foster care are rarely given permission to mourn what they've lost, especially when what they lost was complicated or painful. Our role is to offer that permission. To sit in the room with the loss alongside them. To say, with our presence: this grief is real, it belongs to you, and you do not have to carry it alone.

The most powerful intervention isn't a technique. It's a relationship spacious enough to hold what the child has never been allowed to feel.

Read the full blog and learn how to bring this into your practice 👇
🔗 https://www.pesi.com/blogs/posts/a-transformative-tool-for-healing-foster-youth-trauma/

04/01/2026

Mistakes have a way of revealing more than just what went wrong.

They show you how you treat yourself when things do not go as planned.
They expose the tone of your inner voice when you are not at your best.

And that voice matters.

Because growth does not come from getting everything right.
It comes from how you respond when you do not.

You can turn a mistake into shame…
or you can turn it into understanding.

You can make it mean something about your worth…
or you can let it simply be part of learning.

The way you speak to yourself in those moments shapes what happens next.

Not the mistake itself,
but what you choose to believe about it.

So be honest with yourself,
but also be kind.

Because the relationship you build with yourself in hard moments
is the one that stays with you in every moment after.

03/28/2026

Loving Someone with ADHD: The Unspoken Truth
When you love someone with ADHD, you’re not just loving a person — you’re loving a whirlwind of thoughts, emotions, and energy.
You’re loving someone who feels everything intensely, who’s always trying, and who often battles their own brain just to show up in the world.
Dr. Kelly Vincent’s words beautifully remind us that ADHD isn’t a lack of love, attention, or care — it’s a difference in how the brain processes, reacts, and prioritizes.
If you’ve ever felt confused, frustrated, or hurt while loving someone with ADHD, this is what you need to remember 👇
🧠 They’re Not Ignoring You
When your partner zones out mid-conversation, it’s easy to take it personally.
But it’s not that they don’t care — it’s that their brain just opened five tabs at once.
Their attention isn’t gone; it’s just split. They might be thinking about something you said five minutes ago, something they forgot to do yesterday, and a random memory that popped up out of nowhere — all at the same time.
ADHD brains are constantly pinging. It’s not about disinterest — it’s about overstimulation.
So when they ask, “Wait, what did you just say?” — take a breath.
They’re still here. Their mind just took a detour.
💌 Forgetting Things Doesn’t Mean They Don’t Care
They didn’t forget to text back because you don’t matter.
They didn’t miss your birthday because they’re careless.
They just have a different kind of memory — one that’s often cluttered with distractions, emotions, and mental to-do lists.
Think of their brain like a file cabinet that’s constantly being opened, slammed, and reorganized while the papers are still flying.
It’s not personal. It’s neurological.
Reminders, gentle notes, and compassion go much further than frustration ever could.
🌪️ They’re Not Zoning Out Because They’re Disinterested
Sometimes their eyes glaze over while you’re talking. But inside, their brain is alive with a dozen thoughts at once.
They’re not ignoring you — they just drifted for a second, caught by the current of a new idea or thought.
It’s not that you’re boring — it’s that their brain is constantly scanning the horizon for stimulation.
Bring them back gently. A light touch, a kind word, or even humor can re-ground them.
🔥 When They Hyperfocus
Hyperfocus is one of ADHD’s double-edged gifts.
When they’re deep into a project or hobby, hours vanish. They might forget to eat, text, or even breathe. It’s not that they’ve chosen something over you — it’s that their brain has locked in, and they’ve lost track of time and space.
Don’t take it as rejection — take it as passion.
They can pour that same intensity into love, creativity, and connection — when their brain finally comes up for air.
🧗‍♀️ Transitions Are Hard
Something as small as getting off the couch to do the dishes can feel like scaling a mountain.
ADHD brains struggle with task initiation — that’s not laziness, it’s executive dysfunction.
Going from “thinking about it” to “doing it” is a neurological hurdle, not a motivational one.
The key? Compassion over criticism.
Encouragement, structure, and understanding make that mountain smaller.
💔 They Already Feel Bad
If they forgot, snapped, or lost track — trust this:
They already feel awful about it.
ADHD comes with chronic guilt and shame — not because they did something wrong, but because they know they did, and they can’t always control it.
A little grace goes a long way. You can’t punish someone into better focus — but you can love them into more self-trust.
💬 They’re Not Being Dramatic
Rejection hits harder when you have ADHD.
There’s something called Rejection Sensitive Dysphoria (RSD) — it’s when small criticisms or perceived disapproval feel physically painful.
It’s not “overreacting.” It’s a genuine neurological response.
So when they shut down, tear up, or take something to heart, remind them:
“You’re safe with me. You don’t have to be perfect to be loved.”
🧷 They Genuinely Want to Remember
They want to follow through. They want to keep their promises. They want to be consistent.
But their executive function — the brain’s management system — sometimes has other plans.
They forget not because they don’t care, but because their mental system short-circuits under too many tabs, too much pressure, or too little dopamine.
That’s why small, visual cues (like sticky notes or calendar alerts) can make a huge difference. Love them through the chaos — not around it.
😞 They’re Not Unmotivated
ADHD isn’t a lack of motivation — it’s a struggle to access it on demand.
They’re not lazy. They’re overwhelmed.
They see the entire mountain at once and freeze, unsure where to start climbing.
You can help by breaking things down, by asking:
“What’s one small step we can take right now?”
Support looks like collaboration, not control.
💛 Love Is Patience — and Post-It Notes
Loving someone with ADHD means loving out loud.
It means reminders. Grace. Gentle redirections.
It means knowing they’re trying — even when it doesn’t look like it.
It means celebrating the small wins.
The text they remembered. The appointment they made. The day they didn’t give up.
It means understanding that “I forgot” isn’t “I don’t care.”
Because underneath the distraction, the impulsivity, and the mess — is someone who loves you deeply, wholeheartedly, and differently.
❤️ Final Thought
ADHD love isn’t calm — it’s cosmic.
It’s loud, colorful, sometimes chaotic, but always real.
If you can love them through the noise, you’ll find something rare —
A heart that’s endlessly curious, fiercely loyal, and constantly trying to do better — even when their brain makes it hard.
So remember this:
Patience isn’t pity.
Understanding isn’t weakness.
And love — real love — is sometimes spelled in reminders, grace, and sticky notes.

I'm currently accepting new telehealth clients 🌟🌟. Visit my website to book a free consultation or your first appointmen...
03/25/2026

I'm currently accepting new telehealth clients 🌟🌟.

Visit my website to book a free consultation or your first appointment and unlock your journey to becoming the best version of yourself.

Professional telehealth therapy for adults and seniors in Texas and Rhode Island, providing compassionate support to navigate life transitions with clarity and resilience.

03/16/2026

Joy isn't fussy. It asks only that you notice.

03/16/2026

So often we tighten our grip when life feels uncertain.

But control doesn’t bring peace - it just gets exhausting..

Letting go isn’t giving up.

It’s remembering who you are beneath the tension.

It’s honoring your needs and choosing presence over pressure.

Sometimes the most powerful thing you can do

is soften your hold and let yourself come home to yourself again.

Drop some 🪽🪽🪽if you’re ready to feel lighter.

03/16/2026

Me at least once a day 🤣

03/16/2026

Me in my office lol

03/16/2026

Nobody dissociates for the hell of it. Nobody dissociates to annoy or inconvenience someone. And nobody dissociates because they are afraid or "weak."

If someone dissociates, the only thing we can assume is that they've been trapped in inescapable situations— repeatedly.

Address

Midlothian, TX

Opening Hours

Monday 8am - 7pm
Tuesday 8am - 7pm
Wednesday 8am - 7pm
Thursday 8am - 7pm
Friday 8am - 7pm
Saturday 9am - 11am

Alerts

Be the first to know and let us send you an email when Alison Pugh, LCSW, LICSW posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Featured

Share

Category