Vincent Primiano

Experienced LCSW focused on practical skills

LCSW New York

Experience: 10 years in practice
Focus areas: Stress, Anxiety, Addictions, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Vincent

Vincent Primiano brings a decade of post-graduate social work experience to his practice in New York.

Background and approach

He holds an LCSW and has worked across settings that include outpatient clinics, inpatient addiction and psychiatric programs, the prison system, and an Assertive Community Treatment (ACT) team, informing a practical and informed approach to care.

Vincent frequently addresses concerns such as stress, anxiety, substance use, trauma, mood disorders, grief, relationship and family difficulties, sleep problems, parenting stress, and ADHD. He also works with issues like attachment and abandonment, codependency, dissociation, domestic violence, and caregiver strain.

His clinical toolkit draws on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, client-centered work, and mindfulness-based techniques to tailor interventions to each person’s needs. In sessions, Vincent aims to collaborate with clients to build coping skills, clarify goals, and navigate life changes.

He offers a mix of practical strategies and reflective support grounded in his years of experience in both mental health and addiction treatment environments.

Approaches that guide online care and what to expect

Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing practical strategies to change behaviors and mood; it is often used for anxiety, depression, stress, and many everyday problems. Acceptance and Commitment Therapy (ACT) emphasizes clarifying personal values and developing willingness to experience difficult thoughts while committing to meaningful actions, which can help with chronic stress, avoidance, and life transitions. Client-centered therapy centers the person's perspective, offering empathic listening and collaboration to help people explore their experiences and build self-directed change.

Choosing the right approach is part of the therapeutic work. Vincent collaborates with clients to determine which methods fit their needs and goals, blending techniques when helpful so treatment aligns with personal preferences and the challenges presented.

Online sessions are offered through video calls, phone, live chat, or text-based messaging to increase flexibility and access. These formats make it easier to maintain consistent care around work and family obligations, to try different communication styles, and to continue therapy when in-person visits are difficult to arrange.

Frequently asked questions

What kinds of concerns does Vincent address?

He works with a wide range of issues including stress, anxiety, addictions, trauma and abuse, bipolar disorder, depression, grief, sleep problems, parenting challenges, and ADHD among other related concerns.

What therapeutic styles does he use?

His approach integrates Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, client-centered methods, and mindfulness techniques to match interventions to client goals.

What is his professional background?

Vincent has 10 years of post-graduate social work experience and has worked in outpatient clinics, inpatient addiction and psychiatric programs, the prison system, and on an ACT team.

What credentials and location should I know about?

He is an LCSW licensed in New York with license number NY LCSW 084836 and practices from New York.

Does he offer sessions in other languages or to international clients?

Sessions are conducted in English and he is not currently accepting international clients.

What session formats are available for online work?

He offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.

How much do sessions cost?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I get started with him?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuseBipolar disorderDepression

Also works with

LGBTRelationship issuesFamily conflictsGriefSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changes Compassion fatigue ADHD

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesBody imageCaregiver issues and stressCo-morbidityCodependencyControl issuesCoping with natural or human-caused disasterDissociationDivorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsFatherhood issuesForgivenessGuilt and shame Impulsivity Isolation / lonelinessLife purposeMen's issuesMidlife crisisMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksParanoiaPersonality disordersPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

New York

Languages

English