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 Depth
This is a private psychotherapy practice for adults who value clarity, discretion, and depth over excess. Our work is integrative, evidence-based, and intellectually honest—reflecting strategic thinking alongside genuine human presence.
With more than two decades of professional experience—including extensive clinical practice and graduate-level teaching—this work reflects seasoned clinical judgment and steady relational engagement. It is designed for people who want to balance insight, flexibility, and durable change rooted in deeper self-understanding.
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 and human connection work together.
Psychotherapy requires discernment—knowing when patterns need careful examination, when structured intervention is useful, and when slowing down to understand experience is what allows change to occur.
My approach integrates contemporary cognitive, behavioral, and interpersonal science with a strong emphasis on the therapeutic relationship as an active ingredient in change. Decades of outcome research support what experienced clinicians observe daily: people grow in environments where they feel understood, respected, and psychologically safe.
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 an engaged, collaborative process. I bring clinical expertise and structured thinking; you bring your history, perceptions, and internal experience. Insight is developed carefully and applied deliberately, but never imposed—with an emphasis on greater coherence, 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, careful formulation, and relational depth that is 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
Increasing emotional awareness and regulatory capacity
Regaining flexibility where things have become rigid or reactive
Making decisions with greater clarity and confidence
Common areas of focus include:
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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 become clearer and regulation improves, mental bandwidth often returns.
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Depression may show up as disengagement, exhaustion, or diminished sense of direction. Therapy focuses on understanding the interplay 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 provides a structured space to recalibrate—examining external demands, internal standards, and relational expectations. Sustainable boundaries and more adaptive operating patterns are developed over time.
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Career changes, relationship shifts, loss, aging, or even unexpected success can destabilize established identities. Therapy supports making sense of transition at both emotional and practical levels, so forward movement is grounded rather than reactive.
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Under stress, self-evaluation often narrows and hardens. We explore the cognitive frameworks that sustain self-criticism while also attending to the emotional experiences beneath them. Over time, identity becomes more flexible and less exclusively organized around performance.
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When the nervous system remains on high alert, rest suffers. Using evidence-informed behavioral and cognitive strategies—alongside attention to stress physiology—we work toward restoring a more regulated baseline.
Colleague 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 demands of modern life.
Before entering social work, I studied architecture, urban planning, and sociology—fields concerned with how systems and environments shape behavior. That systems-oriented lens informs how I conceptualize patterns and adaptation. At the same time, my work remains grounded in careful listening and direct, engaged dialogue.
My style is collaborative, thoughtful, and clear. I aim to offer therapy that is intellectually rigorous and psychologically attuned—work that supports substantive change without unnecessary excess.
Working Together
Clear answers to common questions about structure, fees, and logistics.
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This practice tends to be a strong fit for adults who:
Appear outwardly capable yet experience sustained internal strain
Value thoughtful, structured conversation alongside emotional depth
Prefer a collaborative, strategic approach grounded in research and relational engagement
Are willing to examine patterns and apply insight deliberately
Want depth with direction and measurable change
A brief consultation can help 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 across 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. Ninety-minute sessions are available for focused, in-depth work. We revisit pacing over time to ensure the process remains aligned, effective, and sustainable.
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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, while also allowing the work to unfold without external constraints on pacing.
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 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 clarify whether working together would be a strong fit.