Vincent Primiano , LCSW

Vincent Primiano is a Licensed Clinical Social Worker (LCSW) based in New York with ten years of post-graduate experience. As a master's-level social worker holding an LCSW, he has built a practice grounded in work across both addiction and mental health systems, bringing practical knowledge from multiple treatment environments.

His career includes roles in the addiction field under OASAS and in mental health services under OMH, and he has provided care in outpatient clinics, inpatient addiction programs, inpatient psychiatric centers, the prison system, and on an Assertive Community Treatment (ACT) team. Those varied settings have informed his approach to working with stress, anxiety, addictions, trauma and abuse, mood disorders, relationship and family issues, grief, sleep concerns, parenting challenges, and related areas.

Vincent draws on evidence-based methods to help clients navigate complex life changes and chronic concerns, and he values meeting new people and expanding the ways he can offer support. He approaches each person with practical experience and a focus on collaborative work toward meaningful goals.

Approaches Vincent Uses and How Online Care Works

Vincent integrates Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) in his work. ACT focuses on helping people clarify personal values and build psychological flexibility so they can take meaningful action even when difficult thoughts or feelings arise - it can be useful for stress, anxiety, and living with long-term challenges. CBT helps identify and shift unhelpful thinking and behavior patterns, offering practical strategies to reduce symptoms of depression, anxiety, and other mood concerns.

Finding the right approach is part of the therapeutic process, and Vincent collaborates with clients to determine which methods best match their needs, goals, and preferences. He tailors techniques from different models to fit each person's situation rather than relying on a single method.

Online therapy with Vincent is offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for busy schedules and varied comfort levels. These options make it easier to maintain consistent appointments, access care from different locations, and use formats that support ongoing progress between sessions with licensed professionals and therapists.