Vincent Primiano

Vincent Primiano is a licensed clinical social worker who helps people facing stress, anxiety, addiction, mood struggles, and relationship and family concerns. He offers steady, straightforward support for people coping with grief, sleep problems, parenting strain, ADHD, and identity-related stress in the LGBT community. Many clients come for help with anger, self-esteem, career shifts, and major life changes.

He brings 10 years of post-graduate experience to sessions and uses plain language to map out next steps. Vincent worked in both addiction and mental health settings, and he draws on that background when people face co-occurring issues or complex histories.

His background includes outpatient clinics, inpatient addiction programs, and an inpatient psychiatric center. He has worked in the prison system and on an Assertive Community Treatment team. Those roles shaped his practical focus on day-to-day coping skills and realistic plans for change.

In sessions he uses several approaches to fit the person in front of him. He pulls from Acceptance and Commitment Therapy, cognitive behavioral strategies, dialectical behavior ideas, client-centered listening, and mindfulness practices to help clients build tools and clearer values.

Vincent holds an LCSW in New York. He provides care in English and does not work with international clients. Prospective clients should confirm current session options before booking.

Therapeutic approaches and how they work online

Clients often find a mix of methods helps most, and Vincent uses several approaches that translate well to remote work. Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed action toward them, which helps when life feels stuck or overwhelming. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and behaviors, and then builds practical exercises to change unhelpful patterns. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and improve moment-to-moment coping.

Finding the right approach is part of the work. Vincent treats approach selection as a collaborative process where goals, preferences, and the day-to-day realities of a person are discussed together. He will try strategies, check what helps, and adjust the plan based on results and feedback.

Confirm the current session options before booking, as specific formats are not listed here. Online sessions can make it easier to fit therapy into a busy schedule, reduce travel time, and allow shorter focused check-ins when a quick session is helpful. They also let people use practices and homework directly in their everyday settings, which many find useful for building lasting skills.