Tiffany Azzinaro, LCSWR

Tiffany Azzinaro

Beginning therapy is a meaningful decision, and you deserve a clinician who brings both expertise and authenticity to the work. I believe effective therapy is more than just talking. It is collaborative, grounded in evidence-based practices, and tailored to your unique history, needs, and goals. I create a space where you can show up fully as yourself while feeling supported, challenged, and understood.

I work with teens and adults (12+) navigating childhood trauma, anxiety, grief and loss, self-worth issues, caregiver stress, college-related transitions, and PTSD. My approach integrates Schema Therapy, Cognitive Behavioral Therapy (CBT), Narrative Therapy, and Bibliotherapy, allowing us to address long-standing patterns while building practical skills for lasting change.

You remain the driver of your treatment. I offer structured guidance, clinical insight, and tools that help you move toward clarity, emotional strength, and a more grounded sense of self. I’d be honored to support you as you take this next step in your healing.


Treatment Philosophy

My treatment philosophy is grounded in a simple belief: healing happens when people feel safe enough to show up as their whole, unfiltered selves. Therapy with me is a partnership—we build it together. I don’t sit back quietly and nod; I’m engaged, collaborative, and fully present. I bring clinical expertise, a grounded perspective, and my authentic self into the room, and I invite you to do the same.

I see therapy as a place where patterns are understood, stories are re-written, and internal parts that have been silenced finally get a voice. I work actively with Schema Therapy, CBT, Narrative Therapy, and Bibliotherapy not just to reduce symptoms, but to help you develop a clearer, more compassionate relationship with yourself. My approach blends structure with flexibility, depth with practicality, and insight with action. And yes—when healing allows space for it—laughter is welcome too.

You remain the expert on your own life. My role is to help you connect the dots, challenge what no longer serves you, and strengthen the Healthy Adult parts of you that are ready to lead. I believe real change happens when people not only understand why they suffer, but also learn how to shift the patterns that keep them stuck.

Above all, I believe therapy should feel like a place where you are deeply seen, where your strengths are recognized, and where the work is meaningful. My goal is to help you move toward a life that feels grounded, empowered, and wholly your own.

I participate with the following Insurance plans:
  • Aetna
  • Anthem Blue Cross Blue Shield
  • Cigna
  • Highmark BCBS of WNY
  • Highmark Medicare 
  • Independent Health
  • Nova
  • Oscar
  • Oxford
  • United Health Care
  • United Health Care EAP
  • United Health Care Medicare
  • United Health Care Student Resources
  • Univera

Empathetic support for diverse life obstacles

Our Services
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