- ACT and CBT methods
- DBT and mindfulness
- Addiction field experience
About Vincent
Vincent Primiano is a Licensed Clinical Social Worker (LCSW) in New York with 10 years of post-graduate experience. He works with people who are dealing with stress, anxiety, addictions, trauma, mood concerns, relationship strain, grief, sleep problems, caregiving stress, ADHD and related struggles.
He has worked across multiple settings, including outpatient clinics and inpatient programs for addiction and psychiatric care. He has also provided services in the prison system and on an Assertive Community Treatment (ACT) team. Those roles shaped how he approaches practical problems and crisis work.
Vincent uses practical, evidence-linked methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, client-centered techniques, and mindfulness. He brings those approaches into straightforward conversations about coping skills, behavior changes, and daily routines.
Sessions focus on clearer goals, workable strategies, and step-by-step skills people can try between meetings. He pays attention to patterns that keep problems going, like avoidance or unhelpful thinking, and offers tools to interrupt those patterns.
He has specific experience with addiction services under OASAS and mental health work under OMH. That background informs work with people facing co-occurring issues, family-of-origin concerns, and recovery-oriented planning.
People who prefer a direct, practical approach to managing anxiety, grief, or substance concerns may find his style helpful. Sessions are conducted in English and follow his LCSW practice in New York.
How Vincent uses common approaches online
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them and choosing actions that match personal values. It can help when anxiety or avoidance get in the way of everyday life. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and uses practical exercises to change unhelpful patterns. It is often used for anxiety, mood, and sleep concerns. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and improve focus, which can support stress and emotional regulation.Figuring out which approach fits best is part of the work. Vincent will review a person's goals, needs, and preferences and collaborate on a plan that blends methods when useful. That way sessions are aimed at achievable steps rather than abstract ideals.
Session logistics and formats should be confirmed before booking. If you prefer remote care, ask about the current options when you complete the matching questionnaire. Online work can make it easier to fit appointments into a busy day, allow a shorter check-in when needed, or remove travel time so sessions can happen between other commitments. The therapist will discuss practical arrangements and what will make sessions most useful for each person.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of concerns does he address?
He works with stress, anxiety, addictions, trauma and abuse, bipolar disorder, depression, relationship and family issues, grief, sleep problems, ADHD, and related areas listed in his profile.
What is his therapeutic style?
He uses practical, skills-based approaches including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, client-centered work, and mindfulness techniques.
How much clinical experience does he have?
He has 10 years of post-graduate experience working in outpatient clinics, inpatient addiction and psychiatric programs, the prison system, and on an ACT team.
What credentials and location apply?
He is a Licensed Clinical Social Worker (LCSW) in New York and provides services consistent with that license in New York.
Which languages are supported?
Sessions are offered in English.
Can I do sessions remotely or internationally?
International clients are not accepted. Please confirm current session formats and remote options before booking.
How are session costs handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin scheduling a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.