Chilton Counseling — ADHD, Anxiety & Ketamine-Assisted Psychotherapy

About

Raleigh Chilton, LMHC

I didn't start out as a therapist. Before entering the mental health field, I spent more than two decades in the software industry, working in coding, database systems, consulting, project management, presales, and enterprise sales. I earned a degree in business and accounting and a master's in information systems from Boston University.

Along the way, mindfulness practice became increasingly central to my life, eventually leading me to build a second career around helping people understand themselves, respond differently to difficult patterns, and create meaningful change.

I specialize in working with adults with ADHD and anxiety, using mindfulness-based therapy, cognitive behavioral approaches, and practical strategies tailored to how each person actually functions. I am also trained in ketamine-assisted psychotherapy for clients who feel that conventional talk therapy has taken them only so far.

My clinical work is informed by more than a decade of personal mindfulness practice, seven years as a practice leader at a Zen temple, numerous meditation retreats, and formal MBSR teacher training through the UMass Center for Mindfulness. I have also directed a small counseling center.

In therapy, I combine careful listening, candor, humor, and practical tools. Mindfulness can be valuable, but I do not treat it as a cure-all or reduce it to vague advice about being present. We use it to notice patterns more clearly, create space around automatic reactions, and make choices that better reflect the life you want to live.

My connection to this work is also personal. I understand the confusion, self-doubt, and emotional cost that can develop within chronically unstable or manipulative relationships. That experience informs my work with clients trying to understand difficult relationship dynamics, rebuild trust in their own perceptions, establish boundaries, or decide what comes next.

I'm a father and grandfather, as well as a longtime martial artist, although it has been a while since I've been on the mat. Outside the therapy room, I'm usually roasting coffee, riding my e-bike, getting absorbed in a video game, or taking a long walk somewhere outdoors.

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

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.