- Focus on daily thinking
- Experience with addiction
- Ten years practice
About Vincent
Vincent Primiano is a licensed clinical social worker who helps people manage stress, anxiety, addiction, mood swings, and everyday thinking patterns. He brings a straightforward style and aims to make sessions feel practical and easy to follow for someone juggling family and work demands.
He has ten years of experience since finishing his master's degree in social work and holds the LCSW credential. His background includes work in outpatient clinics, inpatient addiction programs, psychiatric centers, the prison system, and on an Assertive Community Treatment team. That range gives him experience with crisis moments and longer-term recovery work.
In sessions he uses several common approaches that focus on thoughts and everyday habits. He draws on cognitive behavioral techniques to spot unhelpful thinking and build different habits. He also uses acceptance and commitment ideas and mindfulness practices to help people notice what matters and take small, values-driven steps.
He has worked under New York State addiction services (OASAS) and mental health services (OMH), which shaped his approach to substance use and serious mental health issues. He also supports people coping with grief, relationship strain, parenting stress, sleep problems, and burnout.
Vincent aims to work with each person at their own pace. He explains options clearly and helps set simple, achievable goals. People can expect practical tools, straightforward talk, and attention to thinking patterns that affect daily life.
He has ten years of experience since finishing his master's degree in social work and holds the LCSW credential. His background includes work in outpatient clinics, inpatient addiction programs, psychiatric centers, the prison system, and on an Assertive Community Treatment team. That range gives him experience with crisis moments and longer-term recovery work.
In sessions he uses several common approaches that focus on thoughts and everyday habits. He draws on cognitive behavioral techniques to spot unhelpful thinking and build different habits. He also uses acceptance and commitment ideas and mindfulness practices to help people notice what matters and take small, values-driven steps.
He has worked under New York State addiction services (OASAS) and mental health services (OMH), which shaped his approach to substance use and serious mental health issues. He also supports people coping with grief, relationship strain, parenting stress, sleep problems, and burnout.
Vincent aims to work with each person at their own pace. He explains options clearly and helps set simple, achievable goals. People can expect practical tools, straightforward talk, and attention to thinking patterns that affect daily life.
Areas of expertise
Primary focus
Also works with
LGBTRelationship issuesFamily conflictsGriefSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCompassion fatigueADHD
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 shameImpulsivityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic 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
Credentials
New York
Languages
English
How therapeutic approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice their thoughts without getting stuck, then choose actions that fit their values. It is useful for anxiety, depression, and decisions about change. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions link together; it teaches concrete skills to interrupt unhelpful patterns and build new habits. Dialectical Behavior Therapy (DBT) offers skills for managing intense emotions and improving relationships through emotion regulation and distress tolerance.Finding the right approach is part of the process. The therapist will work collaboratively to see which methods feel most helpful for the person and adjust over time based on needs and goals. Sessions are meant to be a conversation about what works in everyday life, not a fixed program.
The biography does not list specific online session formats, so confirm the available options before booking. Online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. It also supports maintaining progress between sessions through homework, mindfulness practices, and skill-building exercises that translate into daily routines.
Frequently asked questions
What kinds of problems does this therapist address?
He works with stress, anxiety, depression, bipolar concerns, addictions, trauma and many related issues such as sleep problems, parenting strain, grief, and self-esteem.
What is his therapeutic style like?
Sessions are practical and focused on thoughts and everyday habits. He uses clear tools from cognitive and mindfulness-based approaches to help people change routines and reactions.
How long has he been practicing clinically?
He has ten years of post-graduate experience as a master’s level social worker and has provided care in multiple treatment settings.
Where does he practice and what credential does he hold?
He practices in New York and holds the LCSW license in that state.
Which languages are supported for sessions?
Sessions are offered in English.
Can people from other countries work with him?
He does not take international clients at this time.
How are fees handled for sessions?
Cost varies with location and therapist scheduling; sessions use a subscription that can be canceled at any time.
What are the first steps to begin working with him?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.