Chilton Counseling — ADHD, Anxiety & Ketamine-Assisted Psychotherapy

About

Raleigh Chilton, LMHC

I didn't start out as a therapist.

Fifteen years ago, I was working in sales for a technology startup. I was stressed, disconnected from myself, and increasingly aware that both the job and the larger career I had built no longer fit. I wasn't searching for a new path. I was trying to get through what was in front of me.

Someone close to me suggested meditation, so I signed up for an introductory mindfulness class. It turned out that much of what I thought I knew about meditation was wrong. It was far more approachable than I had expected. I went back, and then I kept going.

Over time, mindfulness helped me become more present in my own life and more honest about what needed to change. I trained through the UMass Center for Mindfulness, studied Zen, sat retreats, served as a Zen practice leader, and began teaching Mindfulness-Based Stress Reduction.

At age 50, I walked away from a career and identity I had spent decades building and started over. I didn't leave my first career behind entirely. The systems thinking I developed in technology still shapes how I work as a therapist. I look for patterns and connections, and I tailor the work to how each person actually functions rather than forcing them into an approach that doesn't work for them.

I specialize in working with adults with ADHD and anxiety. My approach draws from mindfulness-based therapy, cognitive behavioral approaches, practical strategies, and a systems perspective. Mindfulness can be transformative, but it is not magic, and I'm not interested in reducing it to vague advice about being present.

I'm also trained in ketamine-assisted psychotherapy. My understanding of this work is both professional and personal. For some people, talk therapy can bring them a long way while still leaving certain patterns stubbornly intact. Ketamine-assisted psychotherapy can offer another way into the work.

I won't sit there and nod at you for fifty minutes. I'm active and engaged in the conversation. I listen closely, remember the details, ask direct questions, and speak up when something important needs to be said. Therapy can involve hard truths, real grief, and shared laughter, sometimes within the same hour.

I know firsthand that meaningful change can require courage long before it brings relief. I also know that even a deeply established life is not fixed. My role is to help you see more clearly and move toward a life that's actually yours.

I'm a father and grandfather, as well as a longtime martial artist. Outside the therapy room, I'm usually roasting coffee, riding my e-bike, getting absorbed in a video game, or taking a long walk outdoors.

I work with adults throughout Massachusetts via telehealth and accept commercial insurance through Headway.

Credentials

LicenseLicensed Mental Health Counselor (LMHC), Massachusetts
DegreeM.Ed., Counseling, Cambridge College (now Bay Path University)
DegreeB.A., Accounting and Business, Gordon College
DegreeMBA / M.S., Management Information Systems, Boston University
TrainingMBSR Teacher Training, UMass Center for Mindfulness
TrainingKetamine-Assisted Psychotherapy

Services

How we can work together

ADHD Therapy Anxiety Therapy Ketamine-Assisted Psychotherapy

ADHD Therapy

Attention doesn't respond well to willpower alone — it responds to understanding how your mind actually works and building strategies around that, instead of against it.

I understand this from more than a professional angle. I'm neurodivergent and have lived with ADHD myself for as long as I can remember, and the approach I use with clients — combining mindfulness with systems thinking — comes from what has actually worked in my own life, not just from a textbook.

I work with adults who've spent years trying to force themselves into systems that weren't built for how they think. We focus on practical, individualized strategies: recognizing patterns before they take over, building structures that work with your brain instead of against it, and adjusting the approach as we go rather than following a generic template.

Anxiety Therapy

Anxiety doesn't get solved by trying harder to stop feeling anxious — it responds to understanding the patterns underneath it and building a different relationship to discomfort.

Using mindfulness-based approaches alongside cognitive behavioral therapy, I work with adults to recognize anxious patterns before they take over, build tolerance for the discomfort anxiety creates instead of avoiding it, and develop strategies that hold up in the actual situations where anxiety shows up — work, relationships, decisions, whatever form it takes for you.

This isn't generic breathing-exercise advice. Sessions are structured around what's actually happening in your life, and we adjust the approach as we go.

Ketamine-Assisted Psychotherapy (KAP)

For clients who've done real work in traditional talk therapy and still feel stuck, KAP offers another avenue worth exploring.

Ketamine works differently than typical antidepressants — rather than acting on serotonin, it works through the brain's glutamate system, often creating a temporary window of cognitive flexibility: an easier time stepping outside rigid patterns and seeing things from a new angle. The medication itself, delivered as an oral troche under the supervision of my collaborating prescribing nurse practitioner, is only one piece of the process.

The psychotherapy around it is where the real work happens. Preparation sessions beforehand help clarify what you're hoping to work through and address any concerns before a dosing session. Afterward, integration sessions take whatever surfaced during the experience and translate it into something usable in your actual life — insight tends to fade without this step, which is often what separates a meaningful KAP experience from one that doesn't lead anywhere.

KAP isn't a first-line treatment and isn't right for everyone. During an initial consultation, we'll talk honestly through your history and goals to determine whether it's a good fit before moving forward.

Insurance & Fees

Insurance and private pay, whichever fits

Using insurance

I accept commercial insurance through Headway, which handles verification and billing so you're not stuck untangling that yourself. Reach out and I'll help you confirm your specific coverage before your first session.

Private pay

$250 / session

A few clients prefer this route even when insurance is available, for reasons that have nothing to do with cost: no mental health diagnosis attached to your insurance record, no insurer determining how long or how often sessions should be, and no risk of a utilization review interrupting care partway through treatment. A limited number of sliding-scale spots are available — ask about this during your consultation.

Getting started

The first step is a brief consultation to talk through what you're looking for and whether we're a good fit. Sessions are conducted via telehealth, and I currently work with adults across Massachusetts.

Mindfulness-based therapy for ADHD and anxiety, built on systems that actually work.