Strategic, Individualized Therapy
Grounded in Science & Human Connection

Evidence-Based Individual Therapy in Buffalo, Western New York, & Across New York State

Personalized. Evidence-based. Intentionally designed.

Welcome to an individual therapy practice that integrates the precision of modern science with the relational depth of skilled psychotherapy.

Our work is personalized, evidence-based, and intentional—designed to help you think more clearly, respond more flexibly, and build confidence in your own capacity for change.

Progress here isn’t just something you talk about. It’s something you experience.

Based in Western New York near Buffalo. Offering online therapy for adults in New York State—delivered via secure telehealth.

Schedule a Consultation

Integrative, Science-Informed Psychotherapy for the Modern World

Where clinical precision meets human understanding.

Therapy isn’t a formula—it’s a living, adaptive process that evolves as you do.

My integrative approach considers the whole person and their context, acknowledging the biological, psychological, social, and ecological factors that shape struggle and resilience. We focus not solely on insight, but on how change happens over time—drawing from contemporary cognitive, behavioral, and interpersonal science, combined with strategic problem-solving and genuine human understanding.

Together, we’ll identify what’s keeping you stuck and incorporate time-tested methods that support lasting, real world change.

City of Buffalo, New York downtown neighborhood representing clarity, structure, and the modern world

Areas of Focus

Therapy for anxiety, burnout, and life in overdrive—designed to restore clarity and control.

Specializing in evidence-based online therapy for adults experiencing:

  • Anxiety can quietly take over—creating constant urgency, tension, and mental noise. Therapy helps you understand what fuels anxiety, strengthen emotional regulation, and develop practical ways to respond with steadiness rather than reactivity.

  • Depression doesn’t always look like sadness. It can show up as exhaustion, numbness, or disconnection from yourself or your life. Our work focuses on restoring momentum, meaning, and emotional engagement by addressing both internal patterns and external stressors.

  • Burnout often affects capable, responsible people who are used to pushing through. Over time, the cost becomes harder to ignore. Therapy offers space to recalibrate—supporting sustainable boundaries, emotional recovery, and renewed capacity without running on empty.

  • Even positive change can feel destabilizing. Career shifts, relationship changes, loss, parenthood, or new life stages can stir anxiety or self-doubt. Therapy supports you in making sense of change and moving forward with clarity and confidence.

  • Periods of stress or transition often challenge how we define ourselves. Therapy helps you develop a grounded, flexible sense of identity, soften harsh self-criticism, and reconnect with who you are beyond roles, expectations, or achievement.

  • When the nervous system stays on high alert, sleep often suffers. Using evidence-informed approaches, therapy addresses the mental and physiological patterns that interfere with rest—supporting healthier, more restorative sleep.

★★★★★

  • "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."

    —Private Practice Owner & Licensed Clinical Social Worker

  • "Andrew is a skilled clinician who truly seeks to walk alongside clients on their personal journey. His years of experience, as well as his calm and friendly nature, put you at ease as you partner together to navigate life's challenges."

    —University Counseling Center Director

  • "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."

    —University Professor & Community Mental Health Clinician

  • "Andrew is a very talented psychotherapist who is warm and welcoming. I highly recommend him to anyone looking to meet their goals and address life challenges."

    —Private Practice Owner & Licensed Clinical Social Worker

  • "Andrew is a knowledgeable, experienced therapist who provides a holistic and strengths-based approach. I highly recommend him as a partner and guide to help you navigate life’s challenges."

    —Private Practice Owner & Community Mental Health Clinician

  • "Andrew is a highly skilled clinician who is trained in CBT and SFBT. He is warm, understanding, and assists clients in addressing life's challenges. I highly recommend Andrew to anyone looking for a therapist."

    —Private Practice Owner & Licensed Clinical Social Worker

Andrew Wilton LCSW, Individual Therapist in Buffalo, Western New York, and Across New York State

Andrew Wilton, LCSW

Psychotherapist, Practice Owner, & Former Professor


I am a Licensed Clinical Social Worker in New York State with nearly two decades of experience across psychotherapy, community social work, education, and research. Over the years, I’ve supported more than 1,000 individuals navigating the demands of a complex world.

Before entering social work, I studied architecture and urban planning—drawn to how environments shape behavior, connection, and adaptation. That systems-oriented perspective eventually shifted from buildings to people: how we cope, adapt, and relate within the structures around us.

Today, I integrate that same design-informed lens with a deep understanding of human behavior, strategic thinking, and evidence-based practice. My style is collaborative, grounded, and deeply human—focused on helping you build insight and skills that remain useful long after therapy ends.

Schedule your complimentary 15-minute consultation and
take the first step with clarity.

Schedule a Consultation

Frequently Asked Questions

  • This approach tends to be a strong fit for adults who:

    • Are thoughtful, reflective, and ready to actively engage in therapy

    • Want a collaborative, strategic approach

    • Value science-based support without a one-size-fits-all mindset

    • Are navigating complexity, responsibility, or high internal standards

    • Want insight and tools they can carry forward

    The work is collaborative and structured, balancing emotional understanding with clear strategy and practical application. Therapy here involves reflection, experimentation, and applying insights between sessions. If you’re looking for a space that combines depth with direction and momentum, this approach may be well aligned.

    This practice is not designed for acute crisis care, emergency services, or management of severe and persistent mental health conditions.

  • Yes. As a Licensed Clinical Social Worker in New York State, I’m able to work with individuals located anywhere within the state—from Western New York and the Finger Lakes to New York City, Long Island, and beyond.

    All services are provided via secure telehealth.

  • Sessions are held through a secure, HIPAA-compliant telehealth platform integrated into the client portal. No software download is required, and the platform works well on both desktop and mobile devices.

    Online therapy allows you to engage from a private, comfortable location that fits naturally into your schedule, while still maintaining a strong, personal therapeutic connection.

  • Individual sessions are 50 minutes and typically occur weekly or biweekly, depending on your goals, preferences, and circumstances. Some clients choose to meet more frequently at the start, while others prefer a slower, more spacious pace.

    The length of therapy varies. Some people seek focused, short-term support around a specific challenge, while others value ongoing work as their goals evolve. We’ll regularly revisit what’s working and adjust as needed to ensure therapy remains useful and aligned with your life.

  • This practice operates primarily on a private-pay basis, allowing for greater flexibility, privacy, and continuity of care.

    Individual therapy sessions are $120 for 45 minutes and are billed via secure autopay using major debit or credit cards. Therapy is often eligible for reimbursement under Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).

    I am currently transitioning out of in-network insurance participation and remain in-network with Aetna and select subsidiaries at this time.

  • If you’re considering therapy, I’d be glad to connect. A complimentary 15-minute consultation offers an opportunity to discuss your goals and ensure a strong fit. You can use the buttons on this page to scheduled your first consultation for the coming days, or reach out by email or phone.