Erin Pytlak wearing a white button-up shirt and dark pants, sitting on a gray chair and smiling, with a decorative pillow behind her.

Trusted Therapists in Rochester, New York

Therapy That Feels Human.

Joe wearing a black zip-up jacket, smiling while sitting on a wooden chair with his legs crossed, in a room with beige walls and framed abstract black and white floral artwork. The foreground shows the hand and arm of a child with curly blonde hair.

Evidence-based mental health care for anxiety, relationships, eating disorders, life transitions, burnout, and everything that comes with being human.

Individual Therapy, Couples Counseling, & Family Therapy

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Individual Therapy, Couples Counseling, & Family Therapy ð–¡Ž

You don’t have to wait until things feel unbearable to ask for support.

Whether you’re brand new to therapy or returning after time away, Cognition Co. is here to help you feel supported, understood, and connected to care that actually fits you.

We believe therapy should feel collaborative, not clinical, intimidating, or one-size-fits-all. Our clinicians use approaches tailored to your individual needs, goals, and experiences.

At Cognition Co., we create space for honest conversations, meaningful growth, and practical support you can carry into everyday life.

Eucalyptus branches in a glass vase on a white surface with a plain white background.

Why Cognition Co?

We know finding the right therapist can feel overwhelming. That’s why we prioritize transparency, accessibility, and genuine connection from the very beginning.

At Cognition Co., you can expect:
Thoughtful, evidence-based care.
Collaborative and individualized treatment.
Transparent communication around availability, specialties, and fees.
Virtual and in-person therapy options.
A supportive, therapist-led environment focused on quality care.

Care that feels personal.

A modern therapy practice built around people.

Founded in 2022 by Erin Pytlak, Cognition Co. was created with a simple belief: when clinicians feel supported, clients receive better care.

We’re a therapist-led group practice committed to making high-quality mental health care feel approachable, collaborative, and genuinely human.

Our clinicians bring experience from a variety of clinical settings and specialties, allowing us to provide thoughtful, individualized support for every client we work with.

At Cognition Co., therapy is never one-size-fits-all. We value transparency, communication, and creating a space where both clients and clinicians can thrive.

Mental health care works best when clinicians have the support, supervision, and balance they need to show up fully for their clients.

That’s why we’ve intentionally built a practice culture centered around collaboration, autonomy, and sustainable care, for both clients and therapists.

We prioritize:
Consistent clinician support and supervision.
Timely responses and accessible care.
Clear communication around specialties, fees, and availability.
A collaborative and welcoming environment.
Quality care rooted in evidence-based practices.

Our goal is simple: to help clients feel supported from their very first interaction with our team.

We put people first.

Getting started is simple.

Browse our clinicians and learn more about each therapist’s specialties, approach, insurance options, and session types.

Step 1

Reach out to the clinician who feels like the best fit for you. Not sure which clinician feels best? Reach out, and we will help connect you!

Step 2

Schedule your consultation and begin building the tools, insight, and support you need.

Step 3

Miranda wearing a cream turtleneck sweater, sitting on a patterned armchair, smiling during a conversation in a therapy session. A coffee mug and phone are on a small table beside her, and another person is partially visible in the foreground.