Individual Therapy in Buffalo & Western New York
Collaborative, context-aware psychotherapy for adults navigating stress, change, emotional strain, and life complexity.
If something feels strained, stalled, or harder than it should be, therapy offers space to examine it carefully and move forward with intention.
Serving adults seeking anxiety therapy, stress management, and relationship support in Buffalo and throughout New York State.
Psychotherapy in Context
This is a private psychotherapy practice informed by a person-in-environment perspective, reflective dialogue, practical problem-solving, and respect for lived experience. As a Licensed Clinical Social Worker, I integrate psychotherapy with careful attention to the relational, occupational, and social structures shaping well-being.
People seek therapy for many reasons: anxiety, depression, relationship strain, burnout, grief, identity shifts, family stress, or the quiet sense that something is no longer working.
Whatever brings you in, the work is collaborative and practical.
Insight matters — and so does movement. The aim is not perfection or endless analysis, but greater coherence, adaptive range, and the capacity to respond to life’s challenges with intention.
Collaborative. Contextual. Responsive.
Here, psychotherapy is a process of understanding how habits, roles, expectations, and environments shape experience — and how new possibilities emerge through collaborative conversation.
Rather than applying a fixed formula, I approach this work as a shared inquiry. We begin by identifying what feels most pressing and exploring how it has taken shape within the broader context of your life.
In practice, this often involves:
Naming concerns in clear, accessible language
Exploring emotional patterns within relational and social contexts
Considering how roles and expectations contribute to strain
Articulating goals that feel proportionate and worthwhile
Noticing together how shifts in thinking, behavior, or environment affect daily life
Therapy may include revisiting communication patterns, strengthening boundaries, experimenting with new responses, or reconsidering long-held assumptions. At times the work is reflective and exploratory; at other times it becomes more focused and practical. The pace and direction are shaped together, with attention to your voice and choice.
My training includes clinical social work, ecological systems theory, strengths-based and solution-focused approaches, community-informed practice, and culturally responsive care. I integrate evidence-based methods as appropriate within a framework attentive to social roles and structural influences on well-being.
The work remains organized around clearly identified concerns while responsive to change — in you and in the environments you inhabit.
Situations That Often Bring People to Therapy
The concerns that bring people to psychotherapy often emerge at the intersection of personal experience and the broader contexts of daily life.
You do not need to be in crisis to benefit from psychotherapy. Often, people seek support when something feels persistently off — not catastrophic, but unsustainable.
A consultation offers space to consider whether this approach feels like a good fit.
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Chronic worry, overactivation, difficulty settling.
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Low mood, withdrawal, loss of direction.
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Recurring conflict, communication challenges, boundary concerns.
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Professional strain, emotional exhaustion, sustained pressure.
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Career changes, caregiving shifts, evolving roles.
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Competing priorities, uncertainty, difficulty moving forward.
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Complex family dynamics, responsibility, intergenerational strain.
Andrew Wilton, LCSW
Licensed Clinical Social Worker & Psychotherapist
I am a Licensed Clinical Social Worker based in Western New York, providing psychotherapy for adults near Buffalo and throughout New York State.
With nearly two decades of experience across clinical and community settings, teaching, and research, my work is informed by both practical experience and ongoing study. I have worked with over a thousand individuals navigating complex personal, relational, occupational, and systemic stressors.
Before entering social work, I studied architecture, urban planning, and sociology — disciplines concerned with how environments, roles, and institutional structures shape behavior and opportunity. Personal struggles rarely exist in isolation. They tend to emerge at the intersection of personal history, current demands, and broader social expectations.
I approach this work with curiosity and accountability, respecting individual agency and self-determination while acknowledging that environments and roles exert real influence. Effective psychotherapy should contribute to an expanded capacity to navigate complexity with greater clarity and confidence.
Professional Endorsements
Common Questions
Beginning therapy often raises practical questions. The information below outlines how the process works and what to expect.
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This practice may be a strong fit if you:
• Value engaged, focused conversation
• Want psychotherapy that integrates reflection with practical application
• Are open to examining both personal patterns and environmental contextMany people are unsure whether therapy is necessary. A brief consultation offers space to explore that question without obligation and determine alignment.
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Yes. I am based in Western New York near Buffalo and provide individual therapy for adults throughout Erie County and Western New York.
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I am a licensed therapist in New York State and provide secure online therapy for adults statewide.
Sessions are conducted through a HIPAA-compliant platform integrated into our client portal and accessible via desktop or mobile. Many clients appreciate the privacy, convenience, and continuity telehealth provides.
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Standard sessions are 50 minutes and typically begin on a weekly or biweekly basis, depending on your goals.
Ninety-minute sessions are available for more focused, in-depth work when clinically appropriate. We revisit pacing over time to ensure the process remains aligned, effective, and sustainable.
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This is a private-pay psychotherapy practice.
Private pay allows for greater autonomy and choice, discretion and privacy, clinical independence, and continuity of care.
50-minute session: $135
90-minute session: $240Payment is processed securely via autopay. Services are often eligible for HSA or FSA use, and superbills are available upon request for potential out-of-network reimbursement.
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You are welcome to schedule a complimentary 15-minute phone consultation to clarify goals, review logistics, and determine fit.
Schedule a complimentary 15-minute consultation and begin with clarity.
Schedule a complimentary 15-minute consultation
and begin with a conversation.
Confidential telehealth for adults in Buffalo, Erie County, and throughout New York State.