Therapists in Buffalo, NY
I am a licensed clinical psychologist and founder of Buffalo Integrative Psychology, PLLC. I believe that every person has an innate ability to heal, change, and grow when provided with a safe and supportive environment. Together, one of our goals will be to increase your self-awareness, identify your current struggles, and explore what might be getting in the way of change. This will help us journey to a heightened understanding so you can take the necessary steps to live a more fulfilled life.
I am a licensed clinical psychologist and founder of Buffalo Integrative Psychology, PLLC. I believe that every person has an innate ability to heal, change, and grow when provided with a safe and supportive environment. Together, one of our goals will be to increase your self-awareness, identify your current struggles, and explore what might be getting in the way of change. This will help us journey to a heightened understanding so you can take the necessary steps to live a more fulfilled life.
I believe my clients are the experts in their lives. I see myself as a facilitator of conversations that lead my clients to new perspectives. Therapy is an opportunity to take control of one's problems and as an opportunity to become the preferred version of oneself. My hope is to provide you with the tools and perspective to know that even when you FEEL there is nothing but closed roads, detours and wrong way signs in life, you KNOW you possess the power to strive for, obtain and maintain THROUGH and OVER it all.
I believe my clients are the experts in their lives. I see myself as a facilitator of conversations that lead my clients to new perspectives. Therapy is an opportunity to take control of one's problems and as an opportunity to become the preferred version of oneself. My hope is to provide you with the tools and perspective to know that even when you FEEL there is nothing but closed roads, detours and wrong way signs in life, you KNOW you possess the power to strive for, obtain and maintain THROUGH and OVER it all.
Exhaustion and overstimulation are your baseline these days, and it takes all you’ve got just to keep everything afloat. It feels like everyone wants a piece of you—at work, at home, everywhere. You want to show up for the people who count on you, but honestly, it's just too much—and you wish you could just set it down for a while.
Even the simplest things—a noisy restaurant, or a bright grocery store—can feel like too much. You find yourself literally wanting to hide in a closet, hoping to slow everything down and find some peace, even for just a moment.
Exhaustion and overstimulation are your baseline these days, and it takes all you’ve got just to keep everything afloat. It feels like everyone wants a piece of you—at work, at home, everywhere. You want to show up for the people who count on you, but honestly, it's just too much—and you wish you could just set it down for a while.
Even the simplest things—a noisy restaurant, or a bright grocery store—can feel like too much. You find yourself literally wanting to hide in a closet, hoping to slow everything down and find some peace, even for just a moment.
I’m a bicultural/bilingual (English/Spanish) Licensed Clinical Social Worker who works with children, adolescents, families, and adults across various settings. My approach varies based on each client’s needs and is grounded in culturally empowering, trauma-informed, and client-centered care. I strive to deliver culturally and linguistically sensitive services, helping people improve their lives by building cognitive and emotional skills using evidence-based interventions like CBT, ACT, DBT, and TF-CBT.
I’m a bicultural/bilingual (English/Spanish) Licensed Clinical Social Worker who works with children, adolescents, families, and adults across various settings. My approach varies based on each client’s needs and is grounded in culturally empowering, trauma-informed, and client-centered care. I strive to deliver culturally and linguistically sensitive services, helping people improve their lives by building cognitive and emotional skills using evidence-based interventions like CBT, ACT, DBT, and TF-CBT.
Many of the people I work with appear to be managing just fine, yet feel disconnected or alone. They’re caring for others, navigating transitions, and quietly questioning if they’re “enough.” In a world that feels increasingly polarized and isolating, these feelings often deepen around changes in body, identity, or relationships. Together, we create space to slow down, notice what your body is communicating, and reconnect with a steadier sense of self—moving beyond coping toward grounded, mindful connection.
Many of the people I work with appear to be managing just fine, yet feel disconnected or alone. They’re caring for others, navigating transitions, and quietly questioning if they’re “enough.” In a world that feels increasingly polarized and isolating, these feelings often deepen around changes in body, identity, or relationships. Together, we create space to slow down, notice what your body is communicating, and reconnect with a steadier sense of self—moving beyond coping toward grounded, mindful connection.
River-Aaerin A Niahll
Marriage & Family Therapist, LMFT, NYCPS
4 Endorsed
Online Only
Waitlist for new clients
I truly respect all my clients and see them as the expert on their own lives, full of strengths and possibilities to nurture and celebrate. I embrace neurodiversity and particularly love working with Plurals/ DID/ OSDD, including both endogenic and traumagenic Systems. I very much enjoy working with monogamous couples, and I also embrace ENM and kink as lifestyles. I am also thrilled to support the journeys of polycules and those in the queer community. My basic philosophy is that everyone is valid and valuable, that diversity and neurodiversity make humanity better, and I help clients be their most authentic, happiest selves.
I truly respect all my clients and see them as the expert on their own lives, full of strengths and possibilities to nurture and celebrate. I embrace neurodiversity and particularly love working with Plurals/ DID/ OSDD, including both endogenic and traumagenic Systems. I very much enjoy working with monogamous couples, and I also embrace ENM and kink as lifestyles. I am also thrilled to support the journeys of polycules and those in the queer community. My basic philosophy is that everyone is valid and valuable, that diversity and neurodiversity make humanity better, and I help clients be their most authentic, happiest selves.
I am a licensed clinical psychologist and psychoanalyst with over 30 years of experience in solo private practice, teaching and service in the community. Having a relationship with my patients and taking care of them are central in my work. Perhaps because of my background in the arts (dance), I also deeply value the creative yet disciplined use of self and an active authentic engagement in the therapeutic process.
I specialize in the treatment of adolescents and young adults (18-25). I also treat individuals, couples, and families who struggle with transitional issues throughout the life cycle.
I am a licensed clinical psychologist and psychoanalyst with over 30 years of experience in solo private practice, teaching and service in the community. Having a relationship with my patients and taking care of them are central in my work. Perhaps because of my background in the arts (dance), I also deeply value the creative yet disciplined use of self and an active authentic engagement in the therapeutic process.
I specialize in the treatment of adolescents and young adults (18-25). I also treat individuals, couples, and families who struggle with transitional issues throughout the life cycle.
The human experience is full of happiness, hardships, and challenges. At times, it is difficult to see clearly enough to step in the direction of your hopes and dreams. Symptoms of anxiety, depression, addiction, or a challenging life transition, can leave one feeling overwhelmed and lost. Our life journey can be difficult to face alone. Working alongside a therapist can empower healing, change, and growth toward your goals. I believe your inner wisdom, and individual strengths, can cultivate the authentic self and enhance the experiences of love, play, and career.
The human experience is full of happiness, hardships, and challenges. At times, it is difficult to see clearly enough to step in the direction of your hopes and dreams. Symptoms of anxiety, depression, addiction, or a challenging life transition, can leave one feeling overwhelmed and lost. Our life journey can be difficult to face alone. Working alongside a therapist can empower healing, change, and growth toward your goals. I believe your inner wisdom, and individual strengths, can cultivate the authentic self and enhance the experiences of love, play, and career.
Life can be a tumultuous journey, full of ups, downs, and unpredictable twists and turns. Even when life begins to settle, our own minds can create upheaval and send us spinning into chaos once again. It can be like this for all of us, and no one should have to trudge through it on their own. At it's worst, we can feel completely broken, stuck, ashamed, lost, and we suffer. You are not alone, and you no longer need to feel alone in your struggle. Whether it is life transitions, relationships, the past, depression, anxieties, or whatever has you stuck or spiraling at this time, you have come to the right place.
Life can be a tumultuous journey, full of ups, downs, and unpredictable twists and turns. Even when life begins to settle, our own minds can create upheaval and send us spinning into chaos once again. It can be like this for all of us, and no one should have to trudge through it on their own. At it's worst, we can feel completely broken, stuck, ashamed, lost, and we suffer. You are not alone, and you no longer need to feel alone in your struggle. Whether it is life transitions, relationships, the past, depression, anxieties, or whatever has you stuck or spiraling at this time, you have come to the right place.
Hi, my name is Pearlie! I know what it’s like to go through seasons where you just need a space to be heard. A space to let it all out without judgment, without pressure, and without feeling like a burden. My goal is to offer that space to you.
I’m passionate about creating a safe and supportive space for those who may not always have one in their daily lives. Whether you're navigating a tough chapter, processing emotions, or simply trying to make sense of your thoughts, your voice matters here. I look forward to offering you that space.
Hi, my name is Pearlie! I know what it’s like to go through seasons where you just need a space to be heard. A space to let it all out without judgment, without pressure, and without feeling like a burden. My goal is to offer that space to you.
I’m passionate about creating a safe and supportive space for those who may not always have one in their daily lives. Whether you're navigating a tough chapter, processing emotions, or simply trying to make sense of your thoughts, your voice matters here. I look forward to offering you that space.
In this moment you are doing the best you can, even if you aren’t feeling that way. Often we find ourselves wanting to improve our life and not sure where to begin. Making the decision to start therapy and finding the right therapist you feel safe enough to be vulnerable with can feel overwhelming, leading to avoidance of going after the support you deserve. If you are feeling overwhelmed by your emotions, replaying back past disappointments, worried about the future, struggling to build meaningful relationships, regretting decisions, or struggling to navigate a life transition, I may be the right therapist for you.
In this moment you are doing the best you can, even if you aren’t feeling that way. Often we find ourselves wanting to improve our life and not sure where to begin. Making the decision to start therapy and finding the right therapist you feel safe enough to be vulnerable with can feel overwhelming, leading to avoidance of going after the support you deserve. If you are feeling overwhelmed by your emotions, replaying back past disappointments, worried about the future, struggling to build meaningful relationships, regretting decisions, or struggling to navigate a life transition, I may be the right therapist for you.
I am a Licensed Clinical Social Worker with 42 years of experience. I have worked with a variety of different issues, including addiction, sexual/physical trauma, PTSD, depression/anxiety, low self-esteem, Veteran's concerns, and couple/relationship problems. With a broad background in a variety of psychotherapy treatments, I try to tailor my approach to the needs of the individual. There are some individuals who are struggling with stressful life events, while others have a difficult time even defining what bothers them.
I am a Licensed Clinical Social Worker with 42 years of experience. I have worked with a variety of different issues, including addiction, sexual/physical trauma, PTSD, depression/anxiety, low self-esteem, Veteran's concerns, and couple/relationship problems. With a broad background in a variety of psychotherapy treatments, I try to tailor my approach to the needs of the individual. There are some individuals who are struggling with stressful life events, while others have a difficult time even defining what bothers them.
Hypnotherapy connects you to the power of the subconscious mind, and combined with holistic counseling and acupressure, old self defeating patterns based on trauma or self-doubt can be released. Underneath these old patterns, your true confidence, resilience, and strength lie hidden. These are natural human qualities which we all can experience when the mind turns away from negativity and fear toward trust and wholeness. It requires a shift of attention from the conditioned mind to the real presence of your own authentic self which the "BodyMind Transformation' process encourages and facilitates.
Hypnotherapy connects you to the power of the subconscious mind, and combined with holistic counseling and acupressure, old self defeating patterns based on trauma or self-doubt can be released. Underneath these old patterns, your true confidence, resilience, and strength lie hidden. These are natural human qualities which we all can experience when the mind turns away from negativity and fear toward trust and wholeness. It requires a shift of attention from the conditioned mind to the real presence of your own authentic self which the "BodyMind Transformation' process encourages and facilitates.
Changes in personal and professional relationships, as well as life events, can affect your emotional and physical health. Seeking therapy can be a step in the right direction. For many people, talking with a therapist, who is unbiased, can help them see their problems, triggers and responses to situations and then discover ways to take action! Having worked with people challenged by chronic illness, relationship conflicts, parenting issues and aging problems for over thirty years, I can offer you a safe space to work towards your personal goals.
Changes in personal and professional relationships, as well as life events, can affect your emotional and physical health. Seeking therapy can be a step in the right direction. For many people, talking with a therapist, who is unbiased, can help them see their problems, triggers and responses to situations and then discover ways to take action! Having worked with people challenged by chronic illness, relationship conflicts, parenting issues and aging problems for over thirty years, I can offer you a safe space to work towards your personal goals.
I am a licensed mental health counselor with over 25 years of experience working with children, adolescents, and adults with trauma histories, facing major life challenges and transitions, feeling overwhelmed by daily stressors, coping with grief and loss, experiencing depression, anxiety, and medical or chronic pain issues. My goal is to provide a safe place for you to process past traumas, your thoughts, feelings, and any struggles that you may be experiencing, as well as offer empathetic listening and guidance.
I am a licensed mental health counselor with over 25 years of experience working with children, adolescents, and adults with trauma histories, facing major life challenges and transitions, feeling overwhelmed by daily stressors, coping with grief and loss, experiencing depression, anxiety, and medical or chronic pain issues. My goal is to provide a safe place for you to process past traumas, your thoughts, feelings, and any struggles that you may be experiencing, as well as offer empathetic listening and guidance.
Are you navigating a major life transition—like pregnancy, postpartum, family planning, or a shift in your identity or relationships? Are you feeling overwhelmed by anxiety, weighed down by legal or systemic stress, or simply unsure of where to begin?
I specialize in supporting individuals who are seeking clarity, connection, and relief during life’s most challenging moments. My approach is warm, down-to-earth, and authentic. I meet you where you are and walk alongside you as you process emotions, build resilience, and move toward a more grounded and empowered version of yourself.
Are you navigating a major life transition—like pregnancy, postpartum, family planning, or a shift in your identity or relationships? Are you feeling overwhelmed by anxiety, weighed down by legal or systemic stress, or simply unsure of where to begin?
I specialize in supporting individuals who are seeking clarity, connection, and relief during life’s most challenging moments. My approach is warm, down-to-earth, and authentic. I meet you where you are and walk alongside you as you process emotions, build resilience, and move toward a more grounded and empowered version of yourself.
I’m a Clinical Psychologist specializing in working with individuals navigating the complexities of Borderline Personality Disorder, PTSD, Anxiety, Depression, and Stress/Burnout. Many of my clients come to therapy struggling with intense emotions, feel overwhelmed, have communication challenges, and struggle with trauma responses—and together, we work to build healthier patterns and more fulfilling lives.
I aim to create a safe, supportive, and non-judgmental space where clients feel empowered to explore their inner experiences, build insight, and develop meaningful tools for lasting change.
I’m a Clinical Psychologist specializing in working with individuals navigating the complexities of Borderline Personality Disorder, PTSD, Anxiety, Depression, and Stress/Burnout. Many of my clients come to therapy struggling with intense emotions, feel overwhelmed, have communication challenges, and struggle with trauma responses—and together, we work to build healthier patterns and more fulfilling lives.
I aim to create a safe, supportive, and non-judgmental space where clients feel empowered to explore their inner experiences, build insight, and develop meaningful tools for lasting change.
A little on edge? Feeling empty? Afraid to trust? Things can feel overwhelming until they’re dissected and explained. Anxiety just wants a plan. Depression is just pointing to a hole or void in our life. Trauma just wants assurance that the traumatic thing won’t happen to us again. All of these are just smoke alarms put in place to keep us safe and whole. Everything we feel makes sense; we aren’t crazy and we aren’t lost causes. Areas Of Focus: Anxiety, depression, finding meaning and purpose, and trauma. Catch me on “Fatal Attraction”
Pricing: $150/session, $180/trauma session, $250/EMDR session.
Discounts available!
A little on edge? Feeling empty? Afraid to trust? Things can feel overwhelming until they’re dissected and explained. Anxiety just wants a plan. Depression is just pointing to a hole or void in our life. Trauma just wants assurance that the traumatic thing won’t happen to us again. All of these are just smoke alarms put in place to keep us safe and whole. Everything we feel makes sense; we aren’t crazy and we aren’t lost causes. Areas Of Focus: Anxiety, depression, finding meaning and purpose, and trauma. Catch me on “Fatal Attraction”
Pricing: $150/session, $180/trauma session, $250/EMDR session.
Discounts available!
Openings available for Fall/Winter.
I help people who are used to juggling everything learn what they can set down and how to do it without feeling guilty. Some of my clients are moms, others are bosses (some are boss moms!). I work with athletes, artists, and entrepreneurs. A few things we all seem to have in common are stress, anxiety, and exhaustion.
Openings available for Fall/Winter.
I help people who are used to juggling everything learn what they can set down and how to do it without feeling guilty. Some of my clients are moms, others are bosses (some are boss moms!). I work with athletes, artists, and entrepreneurs. A few things we all seem to have in common are stress, anxiety, and exhaustion.
Feeling stuck or weighed down by old patterns, anxiety, sadness, and reminders of the past? Finding yourself ready for a change? As an EMDR and DBT therapist I believe I can help with that. Together we can explore both the why and how. I value personal growth, deeper understanding of our inner world, and motivation to create a life worth living.
Feeling stuck or weighed down by old patterns, anxiety, sadness, and reminders of the past? Finding yourself ready for a change? As an EMDR and DBT therapist I believe I can help with that. Together we can explore both the why and how. I value personal growth, deeper understanding of our inner world, and motivation to create a life worth living.
See more therapy options for Buffalo
How does your Therapist compare?
Number of Therapists in Buffalo, NY
1,000+
Average cost per session
$140
Therapists in Buffalo, NY who prioritize treating:
| 93% | Anxiety |
| 86% | Depression |
| 76% | Relationship Issues |
| 72% | Self Esteem |
| 72% | Stress |
| 70% | Coping Skills |
| 68% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
| 81% | Aetna |
| 64% | Cigna and Evernorth |
| 53% | UnitedHealthcare UHC | UBH |
How Therapists in Buffalo, NY see their clients
| 53% | In Person and Online | |
| 47% | Online Only |
Gender breakdown
| 79% | Female | |
| 20% | Male | |
| 1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Buffalo?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.


