"It's not the load that breaks you down, it's the way you carry it" - Lena Horne

My name is Sean Knoche LCSW of Practical Remedy. I provide face-to-face and online therapy and coaching. You choose when and where to connect, whether at my office in Western New York or securely via video chat.

Life doesn’t come with directions. We all struggle at times, get off course and wonder how we got there. I work with you to discover what lays inside you, find your way back, and achieve the future you desire.

My goal is to help people live the life they want. I work with individuals to adjust their relationship with unwanted thoughts and emotions that are barriers to change. Together we work on becoming mindful of what you value most. With this awareness, motivation to make useful change in life comes with ease. And effective choices become desired choices.

I help people free themselves from anxiety’s hold, thrive in relationships, achieve career goals, navigate challenging transitions, learn to say no and find what motivates them. If you’re not satisfied with your quality of life, therapy is worth a try, even if you’re skeptical about it.

Let's Talk

Start with your free phone  consultation appointment



Available Nationwide


New York State Residents Only

Why Online Therapy?


No waiting rooms, no fighting traffic, no leaving work early or waiting around after work. Start working on the things that get in the way of your life from anywhere: home, the beach, wherever is most comfortable for you.


You’re not going to run into your neighbor or your boss in the waiting room. If you’re shy about talking to a practitioner, or struggle with getting out of your home, online therapy can provide an additional sense of safety.


Research has shown over and over that online therapy is as effective as face-to-face therapy.


No need to go to an office, no travel, no childcare expenses, and no wasted time. No time away from work-you can connect with me during your lunch hour.


Online therapy is an option for those of us who can’t get to an office. For people dealing with chronic illness or disability, or those living in rural communities, a qualified therapist may be too far away for you to easily reach, making online services ideal.


Sean is a seasoned therapist who brings keen skills and authentic compassion to each of his therapeutic relationships. He is flexible and resourceful. As my supervisor he modeled commitment to providing ethical, evidence-based practice, and challenged me to develop my own professional identity. As a colleague he is supportive and knowledgeable. I can’t recommend him more highly. Joanne West, Ph.D

Sean sees the grains of sand on the beach and the horizon at the same time. His approach is solidly grounded in science and expressed with creativity and skill. Sean is a teacher at heart and helps people obtain what they thought was impossible. Greg Griffin, LCSW

Working with Sean helped open my eyes to a broader perspective regarding how to help people. He is compassionate, intelligent, and very knowledgeable. He is able to use all that knowledge and apply it to helping people in creative ways. Karen Shell, LCSW

Let's Talk

Start with your free phone consultation appointment

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