Psychotherapy Grounded in
Science & Human Connection
Evidence-Based Individual Therapy in Buffalo & Western New York
Welcome to a private psychotherapy practice for adults who value clarity, discretion, and depth over excess.
Our work is integrative, evidence-based, and intellectually honest, with an emphasis on understanding patterns, exercising judgment, and making durable change.
This is therapy for people who want to think clearly, function well, and make changes that hold up beyond the therapy room.
Based in Western New York near Buffalo.
All services are provided via secure telehealth for adults located in New York State.
PHILOSOPHY
Where clinical precision meets human understanding.
Effective psychotherapy is not mechanical. It requires discernment—knowing what matters, what doesn’t, and when intervention is useful.
My approach integrates contemporary cognitive, behavioral, and interpersonal science with systems-level thinking and practical judgment. Together, we examine how patterns operate over time: how stress accumulates, how responsibility shapes behavior, and how well-intended coping strategies can quietly reinforce the very problems you’re trying to solve.
This is a strategic, collaborative process. We test assumptions, examine trade-offs, and apply insight deliberately—always with an eye toward durable, real-world change.
WORKING TOGETHER
Strengthening Agency, Autonomy, & Self-Efficacy
I work primarily with adults who are capable, responsible, and outwardly functional—and who are experiencing strain beneath the surface.
Rather than focusing solely on symptom reduction, the work emphasizes:
Understanding recurring internal and relational patterns
Regaining flexibility where things have become rigid or reactive
Making decisions with greater confidence and self-trust
I intentionally work with a limited number of clients so the work remains thoughtful, responsive, and continuous over time. This allows for sustained attention, careful formulation, and a depth of engagement that is difficult to maintain in high-volume models of care.
Common areas of focus include:
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Anxiety often shows up not as panic, but as constant mental noise, urgency, or vigilance. Our work focuses on understanding what sustains anxiety and developing more regulated, deliberate responses—so attention and energy are no longer perpetually hijacked.
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Depression is not always sadness. It can present as disengagement, exhaustion, or a sense of moving through life on autopilot. Therapy focuses on restoring traction by examining internal patterns, environmental pressures, and the gradual erosion of meaning or agency.
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Burnout often affects people who are conscientious and accustomed to carrying more than their share. Over time, this becomes unsustainable. Therapy offers a structured space to recalibrate—supporting recovery, clearer boundaries, and more sustainable ways of operating.
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Career changes, relationship shifts, loss, aging, or even success that feels unexpectedly hollow can destabilize resilient people. Therapy supports making sense of transition and moving forward with greater coherence.
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Under stress, self-evaluation often narrows and hardens. Therapy helps loosen rigid self-definitions, reduce corrosive self-criticism, and restore a more flexible sense of identity not organized solely around performance.
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When the nervous system remains on high alert, rest suffers. Using evidence-informed approaches, we address the cognitive and physiological patterns that interfere with sleep.
ABOUT
Andrew Wilton, LCSW
Psychotherapist & Practice Owner
“High-quality psychotherapy requires more than technique.It requires judgment, rigor, and respect for complexity.”I am a Licensed Clinical Social Worker in New York State with nearly two decades of experience across psychotherapy, social work, education, and research. Over the course of my career, I have worked with more than 1,000 individuals navigating the psychological demands of modern life.
Before entering social work, I studied architecture, urban planning, and sociology—disciplines concerned with how environments, systems, and constraints shape human behavior. That systems-oriented lens now informs how I think about people: how patterns form, how adaptations persist, and how change occurs.
My style is collaborative and direct. I aim to offer therapy that is both humane and disciplined—work that supports substantive change without unnecessary excess.
Schedule a complimentary 15-minute consultation and
begin with clarity.
Frequently Asked Questions
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This practice tends to be a strong fit for adults who:
Function well externally but feel internally strained or dissatisfied
Value thoughtful, structured conversation over emotional performance
Prefer a collaborative, strategic approach
Are willing to examine patterns and apply insight deliberately
Want depth with direction and momentum
An initial consultation can help determine whether this approach aligns with what you’re seeking.
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Yes. As a Licensed Clinical Social Worker in New York State, I work with adults located anywhere in the state. All services are provided via secure telehealth.
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Sessions are conducted through a secure, HIPAA-compliant telehealth platform integrated into the client portal. No downloads are required, and sessions are compatible on desktop or mobile devices. Telehealth allows for privacy, continuity, and flexibility while maintaining a focused therapeutic relationship.
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Sessions are 50 minutes and initially occur weekly or biweekly, depending on your goals and preferences. 90-minute intensive sessions are also available for deeper, focused work. We continue to revisit pacing and usefulness over time to remain aligned with your needs.
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This practice is private-pay, which allows for greater focus, continuity, and discretion than high-volume or insurance-driven models.
Individual psychotherapy sessions are $135 for 50 minutes. Intensive sessions are $240 for 90 minutes and are available by request to support deeper, focused work. Services are billed via secure autopay using major debit or credit cards, and are often eligible for reimbursement through Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). Superbills are available upon request for clients seeking out-of-network reimbursement.
I am concluding a gradual phase-out of insurance network participation at this time.
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If you are interested in working together, I encourage you to reach out. I offer a complimentary 15-minute phone consultation to discuss what you’re looking for, ask questions, and determine whether this approach is a strong fit.