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Family therapy and counseling in Buffalo, NY


Top family therapists in Buffalo, NY
Building healthier family connections starts with the right support. Headway offers flexible therapy options across Buffalo's neighborhoods, with providers trained in evidence-based approaches to family wellness and relationship growth.
Maybe you're struggling with something that happened years ago, navigating a difficult season of life, or watching your child struggle and aren't sure how to help. I work with children, teens, and adults who want to feel understood and make meaningful change. Together, we'll slow things down, make sense of what's happening, and build practical tools for moving forward—at a pace that feels manageable.
Ari Gabin is an LCSW who mentors his clients while staying ever cautious to their unique needs. It is a process that he has successfully mastered during his interactions with a culturally diverse population. In a therapeutic partnership, he uses strategies that enhance resilience and fortitude to help clients offset the turbulent times that plague the fibers of happiness.
His therapy style is warm, engaging, interactive, and collaborative. Each session is tailored to the client and treatment is based on individual needs. Each client is unique and requires a tailor-made treatment plan to help them reach their goal. He uses a myriad of theory and techniques, including CBT, DBT, interpersonal process therapy, emotion-focused therapy, existential therapy, crisis intervention, mindfulness, narrative therapy, psychodynamic theory, psychoeducation, and solution-focused therapy (among other modalities).
Specialties:
working with individuals, couples, children and families, including adolescents and adults suffering from depression, mood disorders, anxiety, trauma/abuse, divorce, family conflict, relationship issues, self-harm, suicidal ideations, and grief.
Starting therapy can feel overwhelming. I am a therapist who will listen to what you need and assist you with achieving your personal goals. During the therapeutic process you will be able to understand more about yourself, as well as what role your environment plays in your life. I work from a trauma informed perspective and will be supportive in exploring how past challenges are currently affecting your life. I utilize Cognitive Behavioral Therapy (CBT) within my therapeutic approach, specifically Acceptance and Commitment Therapy (ACT) which will allow you to learn more about using mindfulness in your life, and in your personal journey through therapy. I have experience working with adults who have Anxiety, Depression, and Bipolar Disorder with a variety of stressors. I look forward to connecting and being able to support you.
I believe in helping all age groups actualize their potential and goals. Utilizing empathy and therapeutic listening, this is a safe space to explore various life dynamics and how they impact your life. I specialize in helping people with a broad array of symptoms including anxiety, depression, trauma, ADHD, life transitions, and many other topics that cause distress or difficulty.
As a Licensed Clinical Social Worker I focus on creating a supportive and thoughtful space where you can feel empowered to grow. I have 4 years of experience working with diverse populations and a wide variety of diagnoses. I earned my Master of Social Work Degree from NYU Silver School of Social Work. Most of my work focuses on supporting adults through various life challenges, including relationships, anxiety, depression, and executive functioning.
My name is Vivian Mancino. I've been practicing for more than twenty years in various settings with diverse populations. I earned my doctorate at Columbia University in 2004. I have had training in eating disorders, cognitive-behavioral techniques, motivational interviewing, and dialectical behavior therapy. I'm experienced in treating anxiety disorders and depression, and bereavement.
Sarah Clark is a Licensed Clinical Social Worker, who is dedicated to providing services to children, adolescents, and adults struggling with depression, anxiety, mood disorders, and trauma. Sarah believes in the importance of developing a strong therapeutic alliance with her clients and meeting each of their individual needs in a unique way.
Sarah has experience working in a wide variety of school settings, as well as community-based organizations and mental health clinics. Sarah is passionate about utilizing evidence-based practices, including cognitive behavioral therapy and motivational interviewing. In addition to these experiences, Sarah has experience providing family therapy, as well as facilitating support groups for caregivers. By using a strengths perspective approach, Sarah aims to assist each client to develop the necessary coping skills and strategies to reach their desired therapeutic goals.
Hello! I look forward to working with you! I am a licensed social worker with over 25 years experience working with children and families. I am currently the Director of Early Childhood Mental Health Programs at a multi social service agency. I am trained in Child Parent Psychotherapy, Trauma Systems Therapy and Play Therapy. I specialize in working with child and family issues as well as issues relating to Trauma.
You’re successful on the outside—but inside, something still feels stuck. You’ve done the work. You understand your patterns. You know what should help. And yet, anxiety, burnout, overwhelm, or old emotional loops keep showing up. It can feel frustrating, even discouraging, to have so much insight but still feel like you can’t fully shift.
If this sounds familiar, you’re not alone—and you’re not broken. Many of the people I work with are high-functioning, self-aware individuals who feel caught in what I call a “mental and nervous system loop”—where insight alone isn’t enough to create real, lasting change.
This is where our work begins.
About our family therapists located within 20 miles of Buffalo, NY



- 100%Anxiety
- 96%Relationship issues
- 96%Trauma
- 96%Depression
- 92%PTSD

- 92%Aetna
- 88%Cigna
- 85%Carelon Behavioral Health
- 42%Highmark BlueCross BlueShield of Western New York
- 42%Horizon Blue Cross and Blue Shield of New Jersey

- 100%English

- 100%In-person or online

- 81%Woman
- 19%Man

- 50%Licensed Mental Health Counselor
- 35%Licensed Clinical Social Worker
- 8%Licensed Marriage/Family Therapist
- 4%Clinical Psychologist
- 4%Licensed Creative Arts Therapist

- 100%Family therapy
- 100%Individual therapy
- 35%Couples therapy
- 31%Child or adolescent therapy
Frequently asked questions


Find the right counselor for your family
Headway makes it easier to find family-focused support — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing a Family Therapist in Buffalo
Finding family therapists in Buffalo starts with identifying what your family wants to work on together. Family therapy can support concerns like parenting conflict, adolescent struggles, blended family dynamics, and communication across generations. A family therapist is trained to work with the relational system, not just one person. As you compare therapists, look for listed experience with family counseling, marriage counseling, couples counseling, or a therapist specializing in blended families if those needs match your situation.
Buffalo has a range of therapists across the city and nearby communities, with both in-person and virtual appointment options. Virtual care can add more flexibility if it is hard for multiple family members to meet in the same office. Session structure may also vary. Some sessions may include the full family, while others may focus on parents, siblings, partners, or individual family members. Before booking, read each therapist’s bio to understand their approach, availability, and whether they offer a free phone consultation to discuss fit and session structure.
Family counseling in Buffalo, NY can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway helps you search for therapists who are accepting new patients, review bios, verify insurance, see estimated out-of-pocket costs, and book directly when you’re ready.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
If anyone in your family is experiencing or worried about abuse, threats, or coercion, joint family or couples therapy usually isn't the right starting point — individual support is safer. The Childhelp National Child Abuse Hotline (1-800-422-4453) and National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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