Evidence-Based Individual Therapy in Buffalo & Western New York
Strategic, individualized psychotherapy for anxiety, burnout, and the effects of high-responsibility stress.
Psychotherapy with Clarity and Discernment
Welcome to a private psychotherapy practice for adults experiencing anxiety, burnout, and the effects of high-responsibility stress.
Based in Western New York near Buffalo, I provide secure online therapy for adults throughout New York State.
Our work is structured, collaborative, and outcome-focused. Here, therapy is a deliberate process of identifying patterns, clarifying goals, and implementing evidence-based strategies that produce measurable change.
The aim is not simply symptom reduction, but increased agency, steadier decision-making, and a more flexible, resilient internal foundation.
APPROACH
Structured. Collaborative. Evidence-Based.
Effective psychotherapy requires both precision and humanity.
My approach integrates:
Cognitive, behavioral, and interpersonal science
Systemic and contextual awareness
Strategy, skills, and practical action
My clinical training includes Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Solution-Focused Brief Therapy (SFBT), and Motivational Interviewing.
Together, we examine how patterns evolve over time: how stress accumulates, how roles shape identity, and how coping strategies that once protected you may now reinforce distress.
Insight is developed carefully and applied through structured problem-solving, behavioral change, and clearer decision-making—with the goal of increasing agency, stability, and self-trust.
A brief consultation allows us to determine whether the fit feels right.
FOCUS
Specialized Therapy for Anxiety, Burnout, & Stress
I maintain a limited caseload to ensure depth, continuity, and quality of care. I provide evidence-based individual therapy for anxiety, depression, burnout, life transitions, and high-functioning stress in adults in Buffalo and throughout New York State.
I primarily work with adults carrying significant family, professional, or community responsibility while experiencing strain that is not always visible to others.
Our work emphasizes:
Identifying recurring personal and relational patterns
Expanding emotion regulation and behavioral flexibility
Supporting deliberate decision-making and constructive action
Anxiety, Overthinking, & Chronic Worry
Persistent cognitive activation, vigilance, or over-responsibility can quietly narrow flexibility and drain mental bandwidth. Therapy focuses on regulation, pattern recognition, and steadier responses to pressure.
Depression, Low Mood, & Loss of Momentum
Depression often appears as exhaustion, disengagement, or high-functioning persistence without vitality. We address reinforcing cycles and rebuild momentum through insight paired with meaningful activity.
Burnout, Pressure, & High-Responsibility Stress
Sustained professional or family responsibility can erode clarity and energy over time. Therapy recalibrates demands, boundaries, and internal standards to restore sustainability.
Life Transitions, Pivots, & Role Changes
Career shifts, relationship changes, loss, or unexpected success can destabilize identity. Therapy supports grounded adaptation rather than reactive reinvention.
Sleep, Insomnia, & Nervous System Overactivation
When the nervous system remains activated, restorative sleep suffers. Therapy integrates behavioral strategies and regulation work to quiet cognitive overactivation.
ABOUT
Andrew Wilton, LCSW
Licensed Clinical Social Worker, Psychotherapist, & Practice Owner
I am a Licensed Clinical Social Worker based in Western New York, providing psychotherapy for adults across New York State.
With nearly two decades of experience in clinical and community practice, graduate-level teaching, and research, I have worked with more than a thousand individuals facing personal, relational, and professional pressures.
Before entering social work, I studied architecture, urban planning, and sociology—disciplines concerned with how environments and systems shape behavior and opportunity. That contextual lens continues to inform how I understand and approach patterns, adaptation, and change.
My style is collaborative, thoughtful, and direct. I value conversations that move from insight to practical application, translating clarity into concrete change.
Good therapy should leave you clearer, more flexible, and better equipped to navigate complexity with confidence.
Endorsed by Colleagues
Practicalities
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 work with adults throughout Erie County, including Buffalo, Amherst, Cheektowaga, Orchard Park, Tonawanda, and surrounding communities.
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Yes. I am licensed in New York State and provide secure telehealth therapy for adults statewide.
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 clinically appropriate. We revisit pacing over time to ensure the process remains aligned, effective, and sustainable.
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This is a fully private-pay psychotherapy practice.
Private pay allows for:
Clinical independence
Continuity of care
Focused, outcome-oriented work
Greater discretion and privacy
50-minute session: $135
90-minute session: $240Many clients find that focused, structured therapy supports efficient and sustainable progress.
HSA/FSA accepted. Superbills available upon request.
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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 clarity.
Confidential telehealth for adults in Buffalo, Erie County, and throughout New York State.