Strategic, Individualized Psychotherapy
Grounded in Science & Human Connection
Evidence-Based Individual Therapy in Buffalo, Western New York, and Across New York State
Welcome to a private psychotherapy practice for adults who value clarity, discretion, and depth without excess. Our work is integrative, evidence-based, and intellectually honest, with an emphasis on understanding patterns, exercising judgment, and making durable change.
Based in Western New York near Buffalo.
Services are provided exclusively via secure telehealth for adults located in New York State.
APPROACH
Integrative, Evidence-Based Therapy—Done Deliberately
Where clinical rigor meets clear thinking.
Effective psychotherapy is not formulaic. It requires discernment—knowing what matters, what doesn’t, and when to intervene.
My approach integrates contemporary cognitive, behavioral, and interpersonal science with systems-level thinking and practical judgment. We look carefully at how patterns operate over time: how stress accumulates, how responsibility shapes behavior, and how attempts to cope can quietly reinforce the very problems you’re trying to solve.
The work is contained and focused. We examine what’s relevant, test assumptions, and apply strategies that support durable, real-world change—without unnecessary excavation or emotional excess.
This is therapy for people who want to think clearly, function well, and relate to themselves and others with greater flexibility and intention.
SERVICES
Supporting Agency, Autonomy, & Self-Efficacy
I work primarily with adults who are capable, responsible, and outwardly functional—and who are experiencing strain beneath the surface. Rather than treating isolated symptoms, we focus on restoring clarity, steadiness, and effective self-direction.
I intentionally work with a limited number of clients, allowing the work to remain thoughtful and responsive—without the diffusion that comes from high-volume care. It ensures that each client receives sustained attention, focused thought, and continuity over time.
Common areas of focus include:
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Anxiety doesn’t always announce itself dramatically. Often, it shows up as constant mental noise, urgency, vigilance, or difficulty disengaging from responsibility. Our work focuses on understanding what sustains anxiety and developing more deliberate, regulated responses—so attention and energy are no longer perpetually hijacked.
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Depression is not always sadness. It can appear as exhaustion, disengagement, or a sense of moving through life on autopilot. Therapy focuses on restoring traction by examining internal patterns, environmental pressures, and the gradual erosion of meaning or agency.
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Burnout often affects people who are competent, conscientious, and accustomed to carrying more than their share. Over time, this becomes unsustainable. Therapy offers a structured space to recalibrate—supporting recovery, clearer boundaries, and a more sustainable way of operating without disengaging from what matters.
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Career changes, relationship shifts, aging, loss, or success that feels unexpectedly hollow can destabilize even resilient people. Therapy supports you in making sense of transition, clarifying values, and moving forward with greater coherence and confidence.
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Periods of stress often narrow how we see ourselves. Therapy helps loosen rigid self-definitions, reduce corrosive self-criticism, and restore a more flexible, grounded sense of identity—one not solely organized around performance or expectation.
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When the nervous system remains on high alert, rest suffers. Using evidence-informed approaches, we address the cognitive and physiological patterns that interfere with sleep, supporting more reliable and restorative rest.
ABOUT
Andrew Wilton, LCSW
Psychotherapist & Practice Owner
“High-quality psychotherapy requires more than technique.It requires discernment, rigor, and respect for complexity.”I am a Licensed Clinical Social Worker in New York State with nearly two decades of experience across psychotherapy, social work, education, and research. Over the course of my career, I have worked with more than 1,000 individuals navigating the psychological demands of modern life.
Before entering social work, I studied architecture, urban planning, and sociology—fields focused on how environments, systems, and constraints shape human behavior. That systems-oriented lens eventually shifted from buildings to people: how we adapt, cope, and function within the structures around us.
Today, my work integrates that same perspective with a deep understanding of human behavior, strategic thinking, and research-informed practice. My style is collaborative and direct, rooted in mutual respect and clear thinking. I aim to offer therapy that is both humane and disciplined—focused on supporting change of substance without unnecessary excess.
Schedule your complimentary 15-minute consultation and
begin with clarity.
Frequently Asked Questions
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This practice tends to be a strong fit for adults who:
Function well externally but feel internally strained or dissatisfied
Value thoughtful, structured conversation over emotional performance
Prefer a collaborative, strategic approach
Are willing to examine patterns and apply insight deliberately
Want depth with direction and momentum
This practice structure is not designed for emergency or crisis care, or for management of serious and persistent mental health conditions.
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Yes. As a Licensed Clinical Social Worker in New York State, I work with adults located anywhere in the state. All services are provided via secure telehealth.
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Sessions are conducted through a secure, HIPAA-compliant telehealth platform integrated into the client portal. No downloads are required, and sessions are compatible on desktop or mobile devices. Telehealth allows for privacy, continuity, and flexibility while maintaining a focused therapeutic relationship.
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Sessions are 50 minutes and initially occur weekly or biweekly, depending on your goals and preferences. 90-minute intensive sessions are also available for deeper, focused work. We continue to revisit pacing and usefulness over time to remain aligned with your needs.
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This practice is intentionally small-panel and private-pay, which allows for greater focus, continuity, and discretion than high-volume or insurance-driven models.
Individual psychotherapy sessions are $135 for 50 minutes and are billed via secure autopay using major debit or credit cards. Intensive sessions are $240 for 90 minutes and are available by request to support deeper, focused work. Services are often eligible for reimbursement through Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).
I do not participate in insurance networks. This allows the work to remain individualized and clinically directed rather than administratively constrained, and helps preserve privacy, flexibility, and continuity of care. Superbills are available by request to assist with personal out-of-network reimbursement.
I am concluding a gradual transition out of insurance participation and remain in-network with Aetna and select subsidiaries at this time.
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You may schedule an complimentary 15-minute phone consultation using the links on this page. The consultation provides an opportunity to discuss what you’re looking for, ask questions, and determine whether this approach is a strong fit.