Strategic, Individualized Psychotherapy
Grounded in Science & Human Connection
Evidence-based individual therapy in Buffalo, Western New York, and across New York State.
PRACTICE
Psychotherapy with Discernment and Experience
This is a private psychotherapy practice for adults who value clarity, discretion, and depth over excess. The work is integrative, evidence-based, and intellectually honest—focused on understanding patterns, strengthening judgment, and producing durable change over time.
With more than two decades of professional experience—including extensive clinical practice and graduate-level teaching—this work reflects seasoned clinical discernment and a practical understanding of the demands of adult life. It is designed 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.
Providing secure telehealth services for adults throughout New York State.
CLINICAL APPROACH
A Collaborative, Science-Informed Approach
Where clinical precision meets genuine understanding.
Psychotherapy 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—with an emphasis on durable, real-world change.
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, careful formulation, and a depth of engagement difficult to maintain in high-volume models of care.
I work primarily with adults who carry significant responsibility and are experiencing strain beneath the surface.
Rather than focusing solely on symptom reduction, the work emphasizes:
Understanding recurring internal, relational, and behavioral patterns
Regaining flexibility where things have become rigid or reactive
Making decisions with greater confidence and self-trust
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.
Colleague Endorsements
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 a thousand individuals navigating the complex demands of modern life.
Before entering social work, I studied architecture, urban planning, and sociology—fields 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.
Working Together
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This practice is often 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
A brief consultation can help determine whether this approach aligns with what you’re seeking.
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I am based in Western New York near Buffalo and work with adults throughout New York State via secure telehealth. Sessions are conducted through a HIPAA-compliant platform integrated into the client portal and accessible on desktop or mobile devices.
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Standard sessions are 50 minutes and typically begin weekly or biweekly, depending on your goals and preferences. Ninety-minute intensive sessions are available for focused, in-depth work. We revisit pacing over time to ensure the process remains aligned and useful.
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This is a private-pay practice. That structure allows for greater continuity, discretion, and clinical independence than insurance-driven models of care.
50-minute session: $135
90-minute intensive session: $240
Payment is processed securely via autopay. Services are often eligible for HSA/FSA use, and superbills are available upon request for those seeking out-of-network reimbursement.
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You’re welcome to schedule a complimentary 15-minute phone consultation to discuss what you’re looking for, ask questions, and determine whether working together would be a strong fit.