About Vincent
Vincent Primiano helps people who are feeling overwhelmed by stress, anxiety, addiction, mood shifts, or major life changes. He meets clients where they are and focuses on practical steps that can make daily life feel more manageable. Vincent holds an LCSW, which means he is a licensed clinical social worker.
He has ten years of experience in clinical settings in New York. Vincent draws on several well-known therapy methods to tailor sessions to each person's needs.
How Vincent works
He uses Acceptance and Commitment Therapy to help people clarify values and commit to small, meaningful actions. Cognitive Behavioral Therapy is used to identify unhelpful thinking patterns and try new behaviors. He also uses client-centered and mindfulness-based techniques to promote self-awareness and emotional regulation.
His background includes work in outpatient clinics and inpatient addiction and psychiatric programs. He has experience in the prison system and on an Assertive Community Treatment team. Those roles shaped a practical approach that focuses on coping strategies and real-world change.
Sessions tend to be straightforward and action-oriented. Vincent helps people set short-term goals and track progress between meetings. He emphasizes skills people can use right away for better sleep, lower anxiety, or managing urges.
People who choose Vincent can expect a calm, steady presence and a focus on what works for them. He practices in New York and holds an NY LCSW credential.
Vincent lists 9 ways of working on the entry:
What Vincent works with
The areas below are the ones Vincent selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches translate to online work
Acceptance and Commitment Therapy helps people name what matters to them and take small steps toward those values. Online ACT sessions focus on noticing thoughts and choosing value-driven actions that fit daily life. Cognitive Behavioral Therapy looks at how thoughts, feelings, and actions connect. In remote CBT sessions clients learn simple experiments and practice new skills between meetings to change thinking patterns and behavior.Choosing the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what has or hasn't helped before. Together they decide which methods to try and adjust the plan as needed so the work feels useful and realistic.
Online sessions offer practical flexibility. Video calls let people use visual cues and deeper conversation. Phone sessions can be easier when bandwidth is low or a shorter check-in is needed. Live chat or text-based messaging supports brief check-ins, coping tools between sessions, or continuing work when the day is busy. These options make it easier to fit therapy into work, parenting, or caregiving routines while keeping treatment focused and goal-driven.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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