Evidence-Based Individual Therapy in Buffalo & Western New York
Strategic, individualized psychotherapy grounded in science and genuine human connection.
PRACTICE
Psychotherapy with Discernment and Depth
This is a private psychotherapy practice for adults who value clarity, discretion, and depth over excess.
My work is integrative and evidence-based—grounded in cognitive, behavioral, and interpersonal science—while 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 experience—including clinical practice and graduate-level teaching—I bring seasoned judgment to complex patterns. The aim is not simply symptom relief, but durable change: greater coherence, flexibility, and a steadier internal foundation.
Based in Western New York near Buffalo, I provide secure online 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 slowing down allows something essential to emerge.
My approach integrates:
Cognitive and behavioral science
Interpersonal and relational perspectives
Systems thinking and attention to context
The therapeutic relationship as an active ingredient in change
Decades of outcome research show that meaningful change occurs when insight and emotional safety develop together. People grow where they feel understood, respected, and thoughtfully challenged.
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 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 and perspective. Insight is developed carefully and applied deliberately—with the goal of increasing clarity, flexibility, and self-trust. A brief consultation allows us to determine whether the fit feels right.
Common Areas of Focus
Anxiety & Chronic Overwhelm
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Anxiety often presents not as acute panic, but as persistent cognitive activation or vigilance. We examine both psychological and physiological components while exploring the situations that activate anxiety. As patterns clarify and regulation improves, mental bandwidth returns.
Depression, Flatness, & Loss of Momentum
2
Depression may appear as disengagement, exhaustion, or diminished direction. Therapy explores the interaction between mood, cognition, environment, and relationships. Change develops through insight and renewed engagement with meaningful action.
Stress, Burnout, & Responsibility Load
3
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 develop over time.
Life Transitions & Periods of Reassessment
4
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.
Under strain, self-evaluation often narrows and hardens. We examine the cognitive frameworks sustaining self-criticism while attending to underlying emotional experience. Over time, identity becomes more flexible and less organized around performance.
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.
Identity, Self-Criticism, & Internal Pressure
5
Sleep Disruption & Cognitive Overactivation
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FOCUS AREAS
Strengthening Agency & Self-Efficacy
I maintain a limited caseload to ensure depth, continuity, and thoughtful care. I primarily work with adults who carry significant responsibility yet 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 regulation
Restoring flexibility where life has become rigid or reactive
Making decisions with greater clarity and alignment
Professional Endorsements
ABOUT
Andrew Wilton, LCSW
Psychotherapist & Practice Owner
I am a Licensed Clinical Social Worker based in Western New York with nearly two decades of experience in practice, education, and research. 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 systems and environments shape behavior. That systems-oriented lens continues to inform how I understand patterns, adaptation, and change.
My style is collaborative, thoughtful, and direct. I value intellectual rigor alongside emotional attunement. Therapy here is structured without rigidity, reflective without abstraction, and oriented toward meaningful, sustainable change.
Good psychotherapy should leave people clearer, steadier, and more capable of navigating complexity 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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I am based in Western New York near Buffalo and work with adults in Buffalo, Amherst, Cheektowaga, Orchard Park, Tonawanda, and beyond.
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Yes. I am based in Western New York and provide secure online 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.
This structure allows for continuity, discretion, and clinical independence that insurance-driven models often constrain. It also allows the work to unfold without external limits on pacing or scope.
50-minute session: $135
90-minute session: $240Many clients find that focused, structured work allows progress to unfold efficiently and sustainably.
Payment 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.
Schedule a complimentary 15-minute consultation
and begin with greater clarity.
Confidential telehealth for adults in Buffalo and throughout New York State.