Vincent Primiano

Vincent Primiano is a licensed clinical social worker who helps people manage anger, stress, anxiety, addiction, and mood concerns. He brings a straightforward, practical style that focuses on what someone needs right now. Vincent speaks plainly and aims to make the first steps feel manageable for someone who is worried or overwhelmed.

He has 10 years of work experience after completing a master’s degree in social work and holds the LCSW credential. His background includes time in outpatient clinics, inpatient addiction programs, and a psychiatric center. He also has experience working in the prison system and on an Assertive Community Treatment team, which shaped his approach to crisis and complex cases.

In sessions he draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness-based tools. He uses these methods to help people notice patterns, change unhelpful behaviors, and practice skills that reduce reactivity. Conversations tend to be direct and focused on practical steps between meetings.

Vincent has spent much of his career in programs run by New York state agencies, including addiction services under the Office of Addiction Services and Supports and mental health services under the Office of Mental Health. That experience informs how he approaches safety planning and relapse prevention for people with substance concerns.

People can expect a collaborative approach where goals are agreed on together and progress is tracked. He works in English and is based in New York.

How Vincent’s Approaches Work Online

Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and commit to actions that match their values. It is often used when someone struggles with recurring anger, anxiety, or avoidance. Cognitive Behavioral Therapy, or CBT, focuses on identifying patterns of thinking and behavior that keep problems going and replacing them with more helpful habits. It is commonly applied for anxiety, depression, and sleep problems.

Finding the right approach is part of the work. Vincent will talk with each person about their goals and try methods that fit the problem and personality. The choice of techniques is collaborative and can change over time as progress is reviewed.

The practical value of online sessions is that they can fit into a busy life and make it easier to attend appointments. Online work can support regular skill practice, brief check-ins between in-person visits, or an alternative when travel is difficult. This profile does not list specific session formats, so readers should confirm current session options before booking. The main focus is making therapy usable and sustainable within everyday routines.