Evidence-Based Individual Therapy in Buffalo & Western New York
Strategic, individualized psychotherapy grounded in science and human connection.
PRACTICE
Psychotherapy with Discernment and Depth
This is a private psychotherapy practice for adults in Buffalo and throughout New York State who value clarity, discretion, and depth over excess.
My work is integrative and evidence-based—grounded in contemporary cognitive, behavioral, and interpersonal science—while also rooted in careful listening and authentic human engagement. 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 professional experience—including extensive clinical practice and graduate-level teaching—I bring seasoned clinical judgment to complex emotional and behavioral patterns. The aim is not simply symptom relief, but durable change: greater coherence, psychological flexibility, and a steadier internal foundation.
Based in Western New York near Buffalo.
Providing secure telehealth therapy for adults across New York State.
CLINICAL APPROACH
A Collaborative, Science-Informed Process
Where clinical precision and human connection work together.
Effective psychotherapy requires discernment—knowing when patterns need structured intervention, when deeper exploration is necessary, and when simply slowing down allows something essential to emerge.
My approach integrates:
Cognitive and behavioral science
Interpersonal and relational perspectives
Systems thinking and contextual analysis
The therapeutic relationship as an active ingredient in change
Decades of outcome research consistently demonstrate that meaningful change occurs when insight and emotional safety develop together. People grow in environments where they feel understood, respected, and challenged in thoughtful ways.
In our work, we examine how patterns operate over time:
How stress accumulates
How responsibility shapes identity
How coping strategies—though adaptive at first—can begin to quietly reinforce the very problems you’re trying to solve
This is an engaged, collaborative process. I bring clinical expertise and structured formulation. You bring lived experience, perception, and internal complexity. Insight is developed carefully and applied deliberately—never imposed—with the goal of increasing clarity, flexibility, and self-trust.
FOCUS AREAS
Strengthening Agency, Autonomy, & Self-Efficacy
I intentionally work with a limited number of clients so the work remains thoughtful, responsive, and continuous over time. This allows for sustained attention and relational depth rarely possible in high-volume models of care.
I primarily work with adults who carry significant responsibility—personally or professionally—and experience strain beneath the surface.
Rather than focusing solely on symptom reduction, our work emphasizes:
Identifying recurring internal, relational, and behavioral patterns
Expanding emotional awareness and regulatory capacity
Restoring flexibility where life has become rigid or reactive
Making decisions with greater clarity and internal alignment
Common Areas of Focus
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Anxiety often presents not as acute panic, but as persistent cognitive activation, urgency, or vigilance. We examine both the psychological and physiological components of anxiety while also exploring the contexts in which it developed. As patterns clarify and regulation improves, mental bandwidth often returns.
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Depression may appear as disengagement, exhaustion, or diminished direction. Therapy explores the interaction between mood, cognition, environment, and relational experience. Change develops through both insight and renewed engagement with meaningful action.
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Burnout frequently affects conscientious individuals accustomed to carrying more than their share. Therapy offers structured recalibration—examining external demands, internal standards, and relational expectations. Sustainable boundaries and adaptive operating patterns are built over time.
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Career shifts, relationship changes, loss, aging, or unexpected success can destabilize identity. Therapy supports integrating change emotionally and practically, so forward movement feels grounded rather than reactive.
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Under strain, self-evaluation often narrows and hardens. We examine the cognitive frameworks sustaining self-criticism while attending to underlying emotional experiences. Over time, identity becomes more flexible and less exclusively organized around performance.
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When the nervous system remains activated, rest suffers. Using evidence-informed behavioral strategies alongside stress regulation work, we aim to restore a more regulated baseline and improved sleep continuity.
Professional Endorsements
ABOUT
Andrew Wilton, LCSW
Psychotherapist & Practice Owner
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 a thousand individuals navigating the complex emotional and relational demands.
Before entering social work, I studied architecture, urban planning, and sociology—fields concerned with how systems and environments shape behavior. That systems-oriented lens continues to inform how I conceptualize patterns, adaptation, and change.
My style is collaborative, thoughtful, and direct. I value intellectual rigor alongside emotional attunement. Therapy here is structured without being rigid, reflective without being abstract, and oriented toward meaningful, sustainable change.
I believe good psychotherapy should leave people clearer, steadier, and more capable of navigating their lives with discernment and 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:
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 provide secure telehealth therapy for adults across New York State.
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 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.
That structure allows for greater continuity, discretion, and clinical independence than insurance-driven models of care. It also allows the work to unfold without external constraints on pacing or scope.
50-minute session: $135
90-minute session: $240Payment 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.