"A journey of a thousand miles begins with a single step."
-Lao Tzu
Welcome to a therapy practice shaped by presence, precision, and a belief in the quiet power of reflective change.
With nearly two decades of experience walking alongside individuals through uncertainty and growth, I offer psychotherapy that integrates relational depth with evidence-based tools, philosophical grounding with real-world strategy. Whether you’re navigating anxiety, depression, burnout, relationship concerns, life transitions, or deeper existential shifts, this is a is a space to slow down, explore, and reconnect with what matters most.
Integrative, evidence-based therapy for adults across Buffalo, Western New York, and all of New York State—securely online.
Psychotherapy for the Human Experience
Grounded in presence. Guided by reflection. Held in trust.Life brings complexity—joy and heartache, clarity and confusion, momentum and standstill. Therapy offers a space not to perform or fix, but to be, inquire, and realign.
This work centers your voice and values while drawing from a wide-ranging, evidence-based clinical framework. My approach is transdiagnostic, integrative, and process-based, guided by the mechanisms that foster real, lasting change. We might explore avoidance and rigidity, emotional regulation, identity development, or interpersonal dynamics—always through a collaborative, thoughtful lens.
Rooted in empathy, informed by research, and shaped by reflective dialogue, this therapy is both emotionally attuned and technically grounded—a place where insight becomes movement and presence becomes possibility.
Andrew Wilton LCSW
Integrative Therapist Serving Buffalo & All of New York
Psychotherapist. Former educator. Longtime listener to stories, steel strings, and the quiet voice within.
Before becoming a therapist, I studied architecture, drawn to how structure, space, and beauty shape the way we live. Over time, I realized my true focus wasn’t buildings, but people: how we grow, relate, and find meaning through life’s seasons.
For nearly twenty years, I’ve worked across mental health, social work, education, and research. From young children to elders over a century old, every life I’ve encountered has reinforced my belief in the dignity and resilience of the human spirit.
Clinically, I draw from a wide and evolving toolkit—mindfulness-based, cognitive-behavioral, and relational methods—all adapted responsively, with your unique context and values at the center.
I’ve taught at the podium and driven rust belt backroads with a thermos, a playlist, and too much on my mind. As a therapist, I bring mindful attention, careful thought, and a sense of reverence for your story, whether it’s sung, screamed, or yet to be told. My approach is reflective rather than reactive—steady, considered, and always centered in the belief that you hold more wisdom than you may yet know.
Therapy As a Fluid, Adaptive Process
Not a performance. Not a prescription. Just the kind of open space where something real can emerge.Therapy here isn’t about quick fixes or clinical detachment. It’s about the courage to slow down and examine the processes beneath the surface: emotion, thought, story, avoidance, meaning. We begin where you are, with what’s real, and build from there.
What emerges is not a one-size-fits-all method, but a fluid, adaptive process. This is therapy as inquiry and change—a reflective space with real tools for real-life complexity.
Anxiety & Fear
Still the noise. Regain your footing.
Anxiety often builds in response to uncertainty, pressure, or experiences that have left you feeling out of control. Therapy provides space to understand anxiety triggers, explore patterns, and reconnect with what helps you feel anchored and supported.
What Brings People to Therapy
Therapy that meets you where you are and walks with you from there.
People often come to therapy with specific concerns—anxiety, depression, burnout, relational patterns—but beneath the surface, the work often touches on broader processes: how we respond to emotion, how we define identity, how we relate to uncertainty or control. Whether you’re feeling stuck or stirred by transition, therapy offers a place to shift meaning from motion, and realign with what truly matters.
Life Transitions & Adjustments
Find clarity in the unfamiliar.
Whether it’s a career shift, relationship transition, relocation, phase of life adjustment, or loss, change can feel disorienting. Therapy provides a reflective space to understand what matters most and make choices aligned with your values.
Relationships & Boundaries
Deepen connection without losing identity.
From people-pleasing to conflict avoidance, relational patterns often reflect past experiences and cultural expectations. Therapy helps you clarify your needs, set healthy boundaries, and build more mutual, fulfilling relationships.
Self-Esteem & Confidence
Reclaim courage and self-trust.
Self-criticism and comparison often take root in early messaging or social pressure. In therapy, we’ll explore where those beliefs came from and work toward a more compassionate, confident understanding of yourself.
Depression & Disconnection
Rediscover meaning and momentum.
When life feels heavy or flat, therapy offers a space to make sense of what’s been lost and reconnect with what gives life a sense of purpose. We’ll approach the process gently, with curiosity and care.
Stress & Burnout
Recalibrate. Realign. Restore.
Stress and burnout often result from long-term imbalance. In therapy, we’ll identify what’s draining you, explore what sustains you, and create space to establish a healthier, more sustainable rhythm.
Other reasons people come to therapy:
Grief and loss, trauma recovery, sleep disruption and insomnia, existential and spiritual conflict, fears and phobias, inattention and distraction, identity concerns, and more.
My Approach: Personal, Reflective, and Attuned
This practice is rooted in the belief that therapy should be both relationally genuine and technically sound. I offer a transdiagnostic, integrative, and pluralistic approach that is shaped by your lived experience and guided by a flexible framework of evidence-based tools and theoretical perspectives.
Drawing from process-based models, we focus not just on symptoms, but on the psychological processes that sustain distress and support growth—like cognitive flexibility, values alignment, avoidance patterns, and relational dynamics.
I draw from an evolving toolkit of cognitive-behavioral, mindfulness-based, and relational methods, including CBT, ACT, and DBT skills, psychoeducation, and humanistic-existential approaches. These methods are not applied by rote, but adapted responsively, always in conversation with your context, needs, and values.
My style is existentially real and humanistic at heart: grounded in authenticity, empathy, and unconditional positive regard. I bring motivational attentiveness to ambivalence and honor the broader systems that shape your experience—cultural, historical, relational.
Together, we’ll explore what’s emerging in your life and integrate insight, skill, presence, and action toward meaningful, sustainable change.
Trusted by colleagues. Built for connection.
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A partner and guide to help you navigate life's challenges.
“Andrew is a knowledgeable, experienced therapist who provides a holistic, strengths-based and person-centered approach. His philosophical and inquisitive style encourages introspection and self-discovery. I highly recommend him as a partner and guide to help you navigate life’s challenges.”
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A collaborative, action-oriented path to clarity and change.
“Andrew offers more than analysis; he provides a collaborative, action-oriented path to clarity and change. His approach taps into your strengths, building practical strategies for real progress. If you seek meaningful change, Andrew's your partner.”
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Truly seeks to walk alongside you on your personal journey.
“Andrew is a skilled clinician who truly seeks to walk alongside his clients on their personal journey. As a colleague, Andrew is extremely intelligent and is a wonderful resource. Andrew's years of experience, as well as his calm and friendly nature, put you at ease as you partner together to navigate life's challenges. I highly recommend Andrew as a clinician.”
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Cares deeply about your growth and change.
“Andrew is a valued and highly respected colleague. He is an excellent psychotherapist who cares deeply about his clients growth and change. I would recommend him without hesitation to anyone considering therapy.”
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Talented, warm, and welcoming.
“Andrew is a very talented psychotherapist who is warm and welcoming to his clients. He is experienced in SFBT, CBT, and DBT. I highly recommend Andrew to anyone looking for a therapist.”
Why This Practice May Resonate
✔️ Nearly 20 years of experience across mental health, social work, education, and research
✔️ Over 1,000 individuals supported through life’s complexities over that time
✔️ A therapy setting that values thoughtfulness, presence, context, and human depth
✔️ Steady, compassionate support delivered with quiet excellence
✔️ Secure telehealth technology accessible across New York State
✔️ A practice shaped by integrity and time-tested wisdom, not trend
An invitation to begin.
Therapy is a collaborative, unfolding process—a space for precision and presence, structure and soul. If you’re looking for therapy that is reflective, evidence-informed, and tailored to you, I invite you to begin with a conversation.
Let’s talk. I offer a free 15-minute phone consultation to see if we’re a good fit.
No pressure. No performance. Just a place to begin again.
Frequently Asked Questions
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Most clients begin with weekly or biweekly sessions. Over time, we’ll adjust the rhythm based on your needs, goals, and what’s unfolding in your life.
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Therapy is a collaborative process. In our first sessions, we’ll take time to get to know one another and explore what brings you in, whether something specific or harder to name.
I’ll offer reflections, ask thoughtful questions, and support your process with care and curiosity. There’s no pressure to perform or rush to solutions. As the process unfolds, we’ll creatively draw from an array of research-supported tools, always adapted to your needs and preferences.
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I offer therapy via secure, HIPAA-compliant telehealth technology. Sessions can be accessed from your computer or mobile browser anywhere in New York State.
Many clients find that online therapy offers flexibility, comfort, and depth without compromising connection or the quality of care.
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That’s completely okay. You don’t need to have it all figured out to begin. Many people start therapy feeling stuck, uncertain, or simply curious about what could be different.
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Session fees typically range from $0 to $160, depending on your insurance coverage and eligibility. The standard self-pay rate is $130 per 45-minute session.
If using insurance, I’m in-network with Aetna, All Savers, Allied Benefit Systems, Christian Brothers Services, GEHA - United Healthcare Shared Services, Harvard Pilgrim, Health Plans Inc., Health Scope, Medica, Meritain, Nippon, Optum, Oscar, Oxford, Surest, Trustmark Health Benefits, Trustmark Small Business Benefits, United Healthcare, and UMR. Out-of-network reimbursement may also apply.
I accept health savings accounts (HSA), flexible spending accounts (FSA), and some wellness cards.
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You’re welcome to start by scheduling a free 15-minute phone consultation. It’s a chance to connect, ask questions, and see whether the fit feels right.