Individual Therapy in Buffalo & Western New York
Evidence-Based, Systems-Oriented Psychotherapy Grounded in Real-World Conditions
PRACTICE
Context-Aware Psychotherapy—with Depth and Discernment
This is a private clinical social work practice offering individual psychotherapy for adults who value clarity, discernment, and depth over excess.
My work integrates the person-in-environment perspective of social work with evidence-based psychotherapy—drawing from cognitive, behavioral, and interpersonal science while attending carefully to context.
Rather than focusing solely on internal experience, we examine how role demands, workplace pressures, family systems, and institutional realities shape stress and decision-making.
With nearly two decades of clinical, community, and graduate-level teaching experience, I bring seasoned judgment to complex patterns. The aim is not simply symptom relief, but increased stability, clearer decision-making, and more effective navigation of the systems you inhabit.
Based near Buffalo, NY, I work with adults throughout Western New York and across New York State via secure telehealth.
APPROACH
An Active, Collaborative Process
Where contextual awareness meets practical action.
Effective therapy requires discernment—knowing when to focus on internal patterns, when to examine environmental pressures, and when concrete action is the most stabilizing intervention.
This approach integrates clinical social work with structured psychotherapy:
A person-in-environment perspective
Systems thinking and contextual awareness
Cognitive, behavioral, and interpersonal science
Resource identification and navigation
The therapeutic relationship as a collaborative alliance
Stress rarely develops in isolation. It accumulates across responsibilities, expectations, and institutional structures. In our work, we examine:
How contextual pressures contribute to strain
How roles and expectations shape identity
How coping strategies—initially adaptive—can begin to reinforce exhaustion
Where environmental adjustments may be more effective than additional internal processing
This is an active, collaborative process. I bring clinical training, systems literacy, and practical strategy. You bring lived experience and knowledge of your circumstances. Together, we clarify what is within your control, what requires deliberate change, and where boundary-setting or acceptance may be necessary.
A brief consultation allows us to determine whether the fit feels right and gives you space to ask practical questions before committing.
Common Areas of Focus
Anxiety & Chronic Overload
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Anxiety often presents as sustained vigilance or responsibility saturation rather than acute panic. We examine physiological regulation alongside workplace demands, relational expectations, and environmental stressors. As clarity improves, bandwidth returns.
Depression, Flatness, & Diminished Momentum
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Low mood frequently develops in contexts of prolonged strain or constrained agency. We assess mood within its broader context and identify practical leverage points for renewed engagement.
Stress, Burnout, & Responsibility Imbalance
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Burnout frequently affects conscientious individuals accustomed to carrying more than their share. Therapy includes structured recalibration—mapping demands, examining dynamics, and establishing sustainable boundaries.
Life Transitions & Periods of Reassessment
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Career shifts, caregiving, relocation, aging, or unexpected change can destabilize identity and routine. We approach transition both emotionally and practically—integrating internal adjustment with practical planning.
Under persistent strain, identity can narrow around productivity or self-criticism. We examine how professional, cultural, and family contexts shape internal standards—and restore flexibility.
When the nervous system remains activated under chronic demand, rest suffers. We combine behavioral strategies with examination of the environmental drivers sustaining activation.
Identity, Performance Pressure, & Internalized Standards
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Sleep Disruption & Persistent Activation
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FOCUS AREAS
Strengthening Agency, Stability, & Coherence
I maintain a limited caseload to ensure depth, continuity, and thoughtful care. I primarily work with adults who carry visible responsibility—within families, workplaces, and communities—while experiencing strain that is not always apparent to others.
Rather than focusing only on symptom reduction, our work emphasizes:
Clarifying role strain and competing demands
Identifying situational contributors to stress
Expanding regulation capacity under pressure
Recalibrating unsustainable expectations
Making decisions aligned with long-term stability
Professional Endorsements
ABOUT
Andrew Wilton, LCSW
Licensed Clinical Social Worker, Psychotherapist, & Practice Owner
I am a Licensed Clinical Social Worker based in Western New York with nearly two decades of experience in psychotherapy, education, and community practice. 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—fields concerned with how environments and institutions shape opportunity and behavior. That ecological systems lens continues to inform my work today.
My style is collaborative, thoughtful, and direct. I value scientific rigor alongside respect for contextual complexity. Therapy here is structured without rigidity, practical without superficiality, and attentive to both personal agency and systemic realities.
Effective social work practice should leave people steadier, clearer about their options, and more capable of navigating complexity with confidence.
Working Together
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:
Carry visible responsibility yet experience sustained internal or structural strain
Are open to examining both internal patterns and environmental pressures
Prefer structured, evidence-based psychotherapy grounded in real-world conditions
Appreciate systems thinking alongside behavioral tools
Want clarity and forward movement—not indefinite processing
A brief consultation helps clarify alignment.
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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 beyond.
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Yes. I provide secure online therapy for adults across New York State through a HIPAA-compliant platform integrated into the client portal. Many clients appreciate the discretion, convenience, and continuity this structure allows.
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Standard sessions are 50 minutes and typically begin weekly or biweekly, depending on your goals. Ninety-minute sessions are available for more focused, in-depth work when appropriate.
We revisit pacing over time to ensure alignment, effectiveness, and sustainability.
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This is a private-pay social work practice. This structure allows for continuity, discretion, and independence from insurance-driven constraints on scope or pacing.
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 insurance reimbursement.
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You’re welcome to schedule a complimentary 15-minute phone consultation.
This conversation allows us to clarify your goals, discuss logistics, and determine whether working together would be useful.
If the alignment feels right, we 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.