About Vincent
Vincent Primiano is a licensed clinical social worker who helps people manage stress, anxiety, mood changes, addiction concerns, and relationship difficulties. He draws on a decade of post-graduate experience to offer straightforward support and practical coping skills. Vincent works from a calm, direct style that many people find easy to follow during hard moments.
He has an LCSW, which stands for Licensed Clinical Social Worker. His experience includes work in both addiction and mental health settings.
Background and approach
Vincent has worked in outpatient clinics, inpatient addiction programs, inpatient psychiatric centers, the prison system, and on an Assertive Community Treatment team. In sessions he focuses on what is useful right now. He mixes therapies that teach new coping skills with approaches that help people notice what matters most to them.
That can mean learning to manage intense emotions, set limits, or change unhelpful thinking patterns. Vincent uses techniques from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, client-centered methods, and mindfulness practice. He aims to help people build routines that reduce overwhelm and improve sleep, mood, and relationships.
People often come for help with grief, parenting strain, ADHD challenges, substance use, or traumatic experiences. He provides clear steps and skills, and works collaboratively to set goals that fit each person’s life and schedule.
How Vincent’s approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people notice what they value and take small steps toward it even when feelings are hard. ACT is useful for anxiety, depression, and when someone wants more meaningful routines. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms like worry, low mood, and sleep problems. Client-Centered Therapy creates a supportive space where the therapist follows the client’s lead and helps them find their own solutions.Choosing the right approach is part of the work. Vincent will talk with each person about their goals, preferences, and daily life, and then recommend a mix of methods that fit. That collaborative process means adjustments over time until the approach feels useful and doable.
Online sessions include video calls, phone sessions, live chat, and text-based messaging. Video is helpful for deeper conversations and teaching skills that use visual tools. Phone sessions can be a good option when bandwidth is limited or for a focused check-in. Live chat and messaging work well for brief check-ins, skill practice, and people who prefer typing. These options make it easier to fit therapy into busy schedules and keep continuity when life gets disrupted.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- New York
- Languages
- English