Psychotherapy, for the human experience.
Individual therapy for adults in Buffalo, Western New York, and throughout New York State, in the humanistic and existential traditions.
Available in-person in Western New York and securely online across New York State.
The Complexity of Being a Person
Psychotherapy offers a place to think carefully about the life you are living: the experiences that have shaped you, the relationships that matter to you, the difficulties that have become hard to resolve on your own, and the possibilities you would like to develop more fully.
I approach psychotherapy through the humanistic and existential traditions, with attention to how people live, develop, and change. I work with adults seeking a deeper understanding of themselves and their experience, greater freedom in how they live and relate, and a life that feels more authentically their own.
The challenges that bring someone to therapy are often best understood in the context of the life in which they occur. Questions of identity, relationship, meaning, responsibility, loss, uncertainty, and direction often lie beneath more immediate concerns. Our work allows time to understand how these dimensions of experience have taken shape and what may now be ready to shift.
Here, we make room for the full complexity of being a person: our histories and circumstances, our relationships and longings, the choices available to us, the limits we encounter, and the lives we are still in the process of making.
Psychotherapy for the experiences, relationships, and realities that shape a life
People come to therapy for many reasons: anxiety, depression, relationship difficulties, questions of identity and direction, major life transitions, and longstanding patterns that have become limiting or painful. Some arrive with a clear problem they want to address. Others simply want the opportunity to think more deeply, understand their lives more fully, and live with greater intention.
Whatever brings you here, our work centers the whole person, making space to explore what is happening within you, between you and others, and within the broader circumstances of your life.
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Our sense of who we are can shift over time, sometimes gradually and sometimes unexpectedly. We may find that familiar roles, expectations, or ways of understanding ourselves no longer fit, raising questions about who we have been, who we are becoming, and what it means to live in a way that feels genuinely our own.
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There are times when the direction of our lives feels clear, and others when what once gave us purpose no longer seems sufficient. Dissatisfaction, disillusionment, changing priorities, or a sense that something is missing can lead us to reconsider what matters to us, what we value, and how we want to spend the time we have.
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Much of life unfolds without guarantees about what will happen or whether the choices we make will turn out as hoped. Uncertainty about relationships, health, work, the future, or circumstances beyond our control can bring anxiety to the surface, confronting us with the limits of certainty and the challenge of moving forward without knowing what comes next.
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We do not choose many of the circumstances that shape our lives, but neither are our lives entirely determined by them. Difficult decisions, competing responsibilities, external expectations, or a sense of feeling stuck can bring questions of choice and agency into sharper focus, asking us to consider what is ours to decide and how we want to shape the life that is available to us.
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Our relationships can be sources of closeness, meaning, and belonging, while also exposing us to vulnerability, conflict, disappointment, and loss. Difficulties with intimacy, recurring patterns, changing relationships, or tensions between our own needs and those of others can lead us to examine how we connect, what we need from one another, and how we remain ourselves in relationship.
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Being with other people does not always protect us from feeling alone. Loneliness can emerge from disconnection, feeling unseen or misunderstood, difficulty finding a sense of belonging, or the recognition that some parts of our experience are ultimately ours alone, raising questions about what it means to know others, be known by them, and find our place among them.
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Some changes are chosen, while others arrive without our consent. A new relationship, separation, parenthood, empty nest, move, career change, illness, aging, or other shift in circumstances can alter familiar roles and expectations, requiring us to reconsider how we understand ourselves and what comes next.
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Loss takes many forms, from the death of someone we love to the ending of a relationship, changes in health or ability, unrealized possibilities, and the passage of time itself. These experiences can bring us into contact with what cannot be recovered or controlled, confronting us with impermanence and inviting questions about what matters in the time that remains.
Andrew Wilton, LCSW
Psychotherapist & Clinical Social Worker
I’m Andrew Wilton, Licensed Clinical Social Worker (LCSW) and psychotherapist in New York State with nearly two decades of experience in clinical work, community practice, research, and higher education.
I discovered psychotherapy in a rather unconventional way.
As a student of architecture and urban planning, I became interested in how the environments we inhabit shape opportunity, belonging, interaction, identity, and the possibilities we imagine for ourselves.
I carried that perspective into the study of sociology, and later into social work. Since then, my work has spanned public health, community outreach, mental health, university teaching, mentorship, and private practice. Along the way, I’ve been involved in social research, person-centered peer counseling, anti-stigma education, and a range of community and professional groups and initiatives.
These experiences established the foundation for how I understand psychotherapy today—with depth, breadth, and an appreciation for the richness of the human experience.
Working Together: Common Questions
More details about individual psychotherapy and how to begin.
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I am pleased to announce the relocation of my practice to its new location at 501 John James Audubon Parkway in Amherst, NY, where I will open for in-person appointments beginning in November 2026. This location is central to Erie and Niagara Counties, near University at Buffalo’s north campus, and accessible via I-290, I-990, and NFTA-Metro bus.
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Yes, I offer secure online therapy for adults in New York State.
Telehealth provides the flexibility of meeting from a location that works for you while maintaining the consistency, privacy, and depth of an ongoing therapeutic relationship.
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The frequency of therapy depends on your goals, needs, circumstances, and the type of support you are seeking. Many clients begin with weekly or biweekly sessions to establish momentum, continuity, and build a strong therapeutic relationship.
As therapy progresses, the frequency of sessions may evolve based on your needs and preferences. We will regularly discuss what feels most appropriate for your circumstances.
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I operate as a private-pay practice, allowing for greater privacy, flexibility, autonomy, and continuity of care.
50-minute session: $135
90-minute session: $240
Payment is processed securely via autopay using any major credit or debit card. Health Savings Account (HSA) and Flexible Spending Account (FSA) funds may be used for eligible services, depending on your plan and account type.
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This is a private-pay practice and I do not participate directly with insurance plans. Depending on your plan, you may have out-of-network benefits that provide partial reimbursement for psychotherapy services.
Because plans vary considerably, I recommend contacting your insurance provider before beginning therapy to confirm your behavioral health benefits, reimbursement rates, deductible requirements, and any documentation they require.
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Getting started begins with scheduling a complimentary 15-minute phone consultation. This brief conversation provides an opportunity to discuss what brings you to therapy, ask questions, and determine whether working together may be a good fit.
If we decide that it may be a good match, we will schedule an initial session and begin developing an understanding of your goals, experiences, and the areas you would like to explore.
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The first session is an opportunity to begin understanding what brings you to therapy, explore your goals, and consider how we might work together. We will discuss your history, current circumstances, and what you hope to gain from therapy while allowing space for questions about the process.
Schedule a complimentary consultation and begin the conversation.
It would be a pleasure to meet you. A complimentary 15-minute phone consultation provides an opportunity to discuss what brings you to therapy, ask questions, and determine whether working together may be a good fit.