Evidence-Based Individual Therapy in Buffalo & Western New York
Strategic, individualized psychotherapy grounded in dignity, integrity, and respect for complexity.
Psychotherapy with Depth and Discernment
This is a private individual psychotherapy practice for adults who value clarity, discretion, and depth over excess. Based in Western New York near Buffalo, I provide secure online therapy for adults across New York State.
My work is integrative and evidence-based—drawing from cognitive, behavioral, and interpersonal science—while rooted in collaboration and genuine human connection. Therapy here is neither purely technical nor purely exploratory. It is deliberate, structured when useful, and relational at its core.
With nearly two decades of experience—including clinical practice and graduate-level teaching—I bring seasoned judgment to complex patterns. The aim is not simply symptom relief, but enduring change: greater coherence, flexibility, and a steadier internal foundation.
APPROACH
Collaborative, Science-Informed Therapy
Where clinical precision meets human connection.
Effective psychotherapy requires discernment—knowing when structured intervention is needed, when deeper exploration is useful, and when slowing down allows insight to emerge.
My approach integrates:
Attention to biological, psychological, and social factors
Cognitive, behavioral, and interpersonal science
Systems thinking and contextual awareness
The therapeutic relationship as an active ingredient in change
Psychotherapy outcome research consistently shows that lasting change develops when emotional safety, insight, and practical skill-building unfold together. Growth occurs where people feel understood, respected, and thoughtfully challenged.
Together, we examine how patterns evolve over time: how stress accumulates, how roles shape identity, and how coping strategies that once protected you may now reinforce distress.
Insight is developed carefully and applied deliberately—through structured problem-solving, behavioral change, and clearer decision-making—with the goal of increasing agency, stability, and self-trust.
A brief consultation allows us to determine whether the fit feels right.
FOCUS
Strengthening Agency, Autonomy, & Self-Efficacy
I maintain a limited caseload to ensure depth, continuity, and quality of care. I provide evidence-based individual therapy for anxiety, depression, burnout, life transitions, and high-functioning stress in adults in Buffalo and throughout New York State.
I primarily work with adults carrying significant family, professional, or community responsibility while experiencing strain that is not always visible to others.
Our work emphasizes:
Identifying recurring internal, relational, and behavioral patterns
Understanding how environment and systems influence distress
Expanding emotion regulation and behavioral flexibility
Supporting deliberate decision-making and constructive action
Anxiety, Fear, & Chronic Overwhelm
Persistent cognitive activation, vigilance, or over-responsibility can quietly narrow flexibility and drain mental bandwidth. Therapy focuses on regulation, pattern recognition, and steadier responses to pressure.
Depression, Low Mood, & Diminished Momentum
Depression often appears as exhaustion, disengagement, or high-functioning persistence without vitality. We address reinforcing cycles and rebuild momentum through insight paired with meaningful activity.
Stress, Burnout, & Responsibility Load
Sustained professional or family responsibility can erode clarity and energy over time. Therapy recalibrates demands, boundaries, and internal standards to restore sustainability.
Life Transitions, Pivots, & Adjustments
Career shifts, relationship changes, loss, or unexpected success can destabilize identity. Therapy supports grounded adaptation rather than reactive reinvention.
Identity, Self-Criticism, & Internal Pressure
Under strain, self-evaluation often hardens around performance and productivity. We loosen rigid frameworks and cultivate steadier self-trust.
Sleep Disruption, Insomnia, & Overactivation
When the nervous system remains activated, restorative sleep suffers. Therapy integrates behavioral strategies and regulation work to quiet cognitive overactivation.
ABOUT
Andrew Wilton, LCSW
Licensed Clinical Social Worker, Psychotherapist, & Practice Owner
I am a Licensed Clinical Social Worker and psychotherapist based in Western New York, licensed in New York State, with nearly two decades of experience in clinical and community practice, education, and research. I have worked with more than a thousand individuals navigating complex personal, relational, and professional pressures.
Before entering social work, I studied architecture, urban planning, and sociology—disciplines concerned with how built environments, social systems, and cultural structures shape behavior and opportunity. That lens continues to inform how I understand patterns, adaptation, and change in clinical practice.
My style is collaborative, thoughtful, and direct. I value conversations that move from insight to practical application, helping clients translate clarity into concrete change. Therapy here is structured without rigidity, reflective without abstraction, and attentive to both personal agency and systemic realities.
Good psychotherapy should leave people clearer, steadier, and more capable of navigating complexity with resilience and confidence.
Endorsed by Colleagues
Practicalities
Clear answers about structure, fees, and how therapy works.
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This practice tends to be a strong fit for adults in Buffalo and across New York State who:
Appear outwardly capable yet experience sustained internal strain
Value thoughtful, structured conversation alongside emotional depth
Prefer evidence-based therapy grounded in cognitive, behavioral, and interpersonal science
Are willing to examine patterns and apply insight deliberately
Want depth with direction—not endless processing
A brief consultation helps clarify whether this approach aligns with what you’re seeking.
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Yes. I am based in Western New York near Buffalo and work with adults throughout Erie County, including Buffalo, Amherst, Cheektowaga, Orchard Park, Tonawanda, and surrounding communities.
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Yes. I am licensed in New York State and provide secure telehealth therapy for adults statewide.
Sessions are conducted through a HIPAA-compliant platform integrated into the 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.
This structure allows for continuity, discretion, and clinical independence that insurance-driven models often constrain. It also allows the work to unfold without external limits on pacing or scope.
50-minute session: $135
90-minute session: $240Many clients find that focused, structured therapy allows progress to unfold efficiently and sustainably.
Payment is processed securely via autopay. Services are often eligible for HSA/FSA use, and superbills are available upon request for potential out-of-network reimbursement.
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You’re welcome to schedule a complimentary 15-minute phone consultation.
This brief conversation allows us to clarify what you’re looking for, discuss logistics, and determine whether working together would be a strong fit.
If the alignment feels right, we’ll schedule an initial session and outline next steps.
Schedule a complimentary 15-minute consultation
and begin with greater clarity.
Confidential telehealth for adults in Buffalo, Erie County, and throughout New York State.