Evidence-Based Individual Therapy in Buffalo & Western New York
Integrative, personalized psychotherapy for adults navigating anxiety, depression, stress, and complex life change.
Serving adults seeking anxiety therapy, stress management, burnout recovery, and sleep support in Buffalo and throughout New York State.
PRACTICE
Psychotherapy — with Clarity, Discernment, and Depth
This is a private psychotherapy practice for adults who value clarity, discretion, and depth over excess.
Based in Western New York, I provide secure online therapy in Buffalo and throughout New York State. I maintain a limited caseload to ensure accessibility, continuity, and quality of care.
Therapy here is integrative and evidence-based—drawing from cognitive, behavioral, and interpersonal science—while centered 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.
The aim is not simply symptom relief, but enduring change: greater coherence, flexibility, and a steadier internal foundation.
APPROACH
Personalized. Collaborative. Evidence-Based.
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
Structured problem-solving and solution-building
The therapeutic relationship as an active ingredient in change
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—with the goal of increasing agency, stability, and self-trust.
A brief consultation allows us to determine whether the fit feels right.
FOCUS
Specialized Therapy for Anxiety, Depression, and the Stress of Life Demands
I provide specialized, evidence-based individual therapy for anxiety, depression, stress, burnout, and life transitions in adults in Buffalo and throughout New York State.
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.
-
Anxiety often presents not as acute panic, but as persistent cognitive activation, vigilance, or over-responsibility. Therapy examines both psychological and physiological components while clarifying the situations that activate anxiety.
-
Depression may appear as disengagement, exhaustion, diminished direction, or high-functioning persistence without vitality. Therapy explores the interaction between mood, cognition, environment, and relationships.
-
Burnout frequently affects conscientious individuals accustomed to carrying more than their share. Therapy offers structured recalibration—examining external demands, internal standards, and relational expectations.
-
Career shifts, relationship changes, loss, aging, or unexpected success can destabilize identity. Therapy supports integrating change both emotionally and practically, so forward movement feels grounded rather than reactive.
-
Under sustained strain, self-evaluation often narrows and hardens. We examine the cognitive frameworks sustaining self-criticism while attending to underlying emotional experience.
-
When the nervous system remains activated, restorative sleep suffers. Using evidence-informed behavioral strategies alongside stress-regulation work, therapy aims to restore a more regulated baseline.
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 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.
My style is collaborative, thoughtful, and direct. I value scientific rigor and respect the complexity inherent in human lives. Therapy here is structured without rigidity, reflective without abstraction, and attentive to both personal agency and systemic realities.
Effective psychotherapy should leave people clearer, steadier, and more capable of navigating complexity with confidence.
Common Questions
Clear answers about structure, fees, and how therapy works.
-
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.
-
Yes. I am based in Western New York near Buffalo and provide individual therapy for adults throughout Erie County and Western New York.
-
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.
-
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.
-
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.
-
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 clarity.
Confidential telehealth for adults in Buffalo, Erie County, and throughout New York State.