Therapist profile
Vincent Primiano, LCSW
LCSW - Stress and family-related concerns
Continue with VincentAbout
- ACT methods
- CBT skills
- Mindfulness practice
About Vincent
Vincent Primiano is an LCSW (Licensed Clinical Social Worker) based in New York with 10 years of post-graduate experience. He works with adults facing stress, anxiety, addictions, trauma and abuse, bipolar disorder, depression, LGBT issues, relationship and family concerns, grief, sleep problems, parenting strain, anger, self-esteem, career questions, ADHD, and coping with life changes. Language of practice is English and he does not accept international clients.
Primiano has worked in a mix of settings across mental health and addiction care. His background includes outpatient clinics, inpatient addiction programs, inpatient psychiatric centers, prison settings, and an Assertive Community Treatment (ACT) team. He has also worked under OASAS for addiction services and under OMH for mental health services.
He uses a set of evidence-informed approaches to support adults. Those include Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Mindfulness Therapy. Sessions typically focus on practical steps, skill building, and clearer routines that fit everyday life.
People contact him for help managing cravings, reducing panic and worry, improving sleep, sorting out family of origin issues, or coping after loss. He also works with people dealing with anger, codependency, caregiver stress, and patterns of attachment or control. The work tends to be direct and goal-oriented, with attention to what feels manageable in daily routines.
To begin, prospective clients follow the site's matching process and schedule an initial session. Cost varies by location and sessions use a subscription that can be canceled at any time.
How sessions work
How therapeutic approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and then choose actions that reflect their values. It can be useful for stress, grief, and life transitions where values-based decisions matter.Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and trying different behaviors to reduce symptoms. That approach often helps with anxiety, depression, sleep problems, and managing cravings for addiction recovery.
Client-Centered Therapy emphasizes listening and working at the client's pace. It supports people who need time to sort out feelings about relationships, family of origin issues, or identity concerns.
Finding the right approach is part of the work. The therapist collaborates with each person to test methods and adjust what they try based on goals and what feels helpful. Sessions can mix skill practice, structured exercises, and open conversation to fit what a client needs.
Session logistics and formats are not specified in the biography, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy day, require less travel time, and allow brief check-ins when full-hour visits are hard to schedule. Talk with the therapist about how sessions can be arranged to match your routine and technical needs.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
New York
Languages
English
Questions
Frequently asked questions
What kinds of family issues does he address?
He helps people work through family of origin problems, divorce and separation concerns, codependency, and caregiver stress.
How would he approach anxiety or panic?
He often uses Cognitive Behavioral Therapy and mindfulness techniques to identify triggers and practice coping strategies.
What experience does he bring?
He has 10 years of post-graduate experience across outpatient, inpatient addiction, inpatient psychiatric, prison, and ACT team settings.
What are his credentials and where is he based?
He is an LCSW licensed in New York and practices with that credential in New York.
Does he offer sessions in languages other than English?
Sessions are offered in English.
Can people from other countries work with him?
He does not accept international clients at this time.
How are sessions scheduled and what do they cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.