Evidence-Based Individual Therapy in Buffalo & Western New York
Strategic, individualized therapy grounded in evidence and compassion.Welcome to an evidence-based therapy practice that integrates the precision of modern science with the relational depth of skilled psychotherapy.
This practice is designed for people who want more than symptom management—those seeking clarity, resilience, and practical tools they can carry forward into real life.
Based in Western New York near Buffalo. Serving adults in New York State and Vermont via secure telehealth.
Imagine a future where things are better.
Let’s start there.
Thoughtful, Science-Informed Psychotherapy
Where clinical precision meets human understanding
Therapy is not a formula—it’s a living, adaptive process that evolves as you do.
My approach integrates the best of modern cognitive and behavioral science, interpersonal communication, and strategic problem-solving. We focus not only on insight, but on how change actually happens—using empirically supported mechanisms to help you think more clearly, respond more flexibly, and move forward with intention.
Clients often describe this work as intentionally different:
Structured, but not rigid
Insightful, but not abstract
Supportive, while still oriented toward progress
Clients often report greater clarity, increased emotional flexibility, and renewed confidence in their ability to navigate complexity. The goal is measurable, sustainable change grounded in both science and genuine human connection.
Areas of Specialization
Targeted therapy for the challenges of adult life
Change happens when we meet your experience with both clear strategy and genuine attunement.
I specialize in evidence-based online therapy for adults experiencing anxiety, depression, stress, burnout, relationship challenges, and major life transitions.
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Reduce avoidance, calm physiological stress responses, and regain confidence in decision-making.
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Rebuild meaning, energy, and momentum through structured, evidence-based support.
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Interrupt chronic strain, restore balance, and develop sustainable ways of engaging with work and life.
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Navigate career changes, identity shifts, loss, and uncertainty with clarity and intention.
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Strengthen communication, emotional regulation, and perspective-taking in personal and professional relationships.
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Cultivate confidence, performance, and durable self-efficacy rooted in lived experience—not affirmation alone.
A strong fit
This practice is a particularly strong fit for adults who:
Are thoughtful and ready to engage actively in therapy
Want a collaborative, strategic approach rather than passive support
Value evidence-based care without a “one-size-fits-all” mindset
Are navigating complexity, responsibility, or high internal standards
Want tools they can use independently—and therapy that grows and changes as they do
This practice may not be the best fit for those seeking only crisis stabilization or short-term advice without deeper engagement.
Many clients come to this practice after feeling stalled or underserved elsewhere. My role is not to tell you who to be, but to help you think more clearly, act more deliberately, and build confidence in your own capacity for change.
Andrew Wilton, LCSW
Psychotherapist, Practice Owner, & Former Professor
With nearly 20 years of experience in social work, education, research, and psychotherapy, I’ve supported more than 1,000 individuals in navigating the weight of a complex world.
Before entering social work, I studied architecture and urban planning, drawn to the ways environments shape behavior, connection, and adaptation. Over time, that systems-oriented lens shifted from buildings to people—how we live, change, and relate within the structures around us.
Today, I integrate that same design-informed perspective with a deep understanding of human behavior, strategic thinking, adaptive problem-solving, and evidence-based psychotherapy. My style is collaborative, grounded, and deeply human—focused on helping you build skills and insight you can carry forward long after therapy ends.
Trusted by Colleagues
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Provides a collaborative path to clarity and change
“Andrew offers more than analysis; he provides a collaborative, action-oriented path to clarity and change. His approach taps into your strengths, building practical strategies for real progress. If you seek meaningful change, Andrew's your partner.”
- Private Practice Owner & Licensed Clinical Social Worker
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Walks alongside you on your personal journey
“Andrew is a skilled clinician who truly seeks to walk alongside his clients on their personal journey. His years of experience, as well as his calm and friendly nature, put you at ease as you partner together to navigate life's challenges. I highly recommend Andrew as a clinician.”
- University Counseling Center Director
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Cares deeply about your growth and change
“Andrew is a valued and highly respected colleague. He is an excellent psychotherapist who cares deeply about his clients growth and change. I would recommend him without hesitation to anyone considering therapy.”
- University Research Professor & Community Mental Health Clinician
Beginning Therapy
Starting therapy is an act of intention. I offer a free 15-minute phone consultation to discuss your goals, answer questions, and ensure a strong fit—no pressure, just a conversation.
Offering secure online therapy for adults in Buffalo, Western New York, and all of New York State and Vermont.
FAQs
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This work tends to be a good fit if you’re interested in understanding yourself more clearly and engaging actively in the process of change.
Clients who benefit most from this approach are often thoughtful, motivated adults who want more than symptom relief alone. They’re willing to reflect, experiment with new strategies, and apply what we discuss between sessions.
This style of therapy is collaborative and structured, combining evidence-based methods with curiosity, flexibility, and practical problem-solving. If you’re looking for a space that balances emotional understanding with clear direction and measurable progress, this approach is likely to be a strong fit.
Therapy may not be the best fit if you’re seeking only immediate advice, crisis stabilization, or a purely unstructured space without an emphasis on skill-building and forward movement.
A free 15-minute consultation is a chance for us to talk openly about your goals and ensure that this approach aligns with what you’re looking for.
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Online therapy sessions are held through a secure, HIPAA-compliant telehealth platform embedded in TherapyPortal, our online client portal. TherapyPortal is mobile optimized and does not require a software download, allowing you to access support in a way that is conducive to your schedule and preferred location.
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Yes—research consistently shows that online therapy can be just as effective as in-person sessions for many concerns, including anxiety, depression, stress, and relationship issues. Meeting virtually allows you to access evidence-based support from the comfort and privacy of your own space, while still building a strong, personal connection. Rarely, online therapy may not be recommended based on an individual’s specific challenges and needs. In this case, I will help with information and resources to support you in connecting with a well-suited form of care.
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Absolutely. As a Licensed Clinical Social Worker offering online therapy throughout New York State, I’m able to work with clients no matter where in the state they are located—from Buffalo and Western New York to New York City and Long Island, the Capital District and Hudson Valley, or the Adirondack Mountains. I also currently hold a telehealth registration in the State of Vermont.
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Most sessions last 50 minutes and take place weekly or biweekly, though this can vary based on your needs and goals. Some clients prefer to meet less frequently as they make progress. We’ll discuss what schedule works best for you and adjust as needed to ensure therapy fits naturally into your life.
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Our standard private pay rate is $135 for 50 minutes, payable using any major debit or credit card via our convenient autopay system. Private-pay therapy allows for clinical independence, continuity of care, personal privacy, and a pace that supports meaningful, lasting change.