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LCSW

Vincent Primiano, LCSW

  • Experience10 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Client-Centered Therapy
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Check the available next steps for working with Vincent online.

About Vincent

Vincent Primiano brings ten years of post-graduate social work experience to clients seeking help with stress, anxiety, addiction, trauma, mood disorders, ADHD, relationship and family concerns, and related challenges.

Background and approach

He holds an LCSW and has practiced across multiple settings in New York, offering perspectives shaped by addiction treatment, psychiatric care, community outreach, and work within correctional environments.

His background includes roles in outpatient clinics, inpatient addiction programs, inpatient psychiatric centers, prison-based services, and on an Assertive Community Treatment (ACT) team, giving him familiarity with complex, co-occurring issues and diverse care systems. That range informs a practical, strengths-oriented approach that emphasizes collaboration and real-world coping strategies.

Primiano uses evidence-based methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, client-centered techniques, and mindfulness practices to help people manage symptoms, build skills, and pursue meaningful change. He is based in New York and communicates in English.

Prospective clients can expect a practitioner who values meeting people where they are and expanding his services to support new clients.

Evidence-Informed Approaches for Online Support



Acceptance and Commitment Therapy (ACT) encourages identifying personal values and taking committed action toward them while learning to accept difficult internal experiences; it can be helpful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on recognizing and changing unhelpful thoughts and behaviors through practical exercises and skill building, often used for anxiety, mood disorders, and coping with stress. Dialectical Behavior Therapy (DBT) combines skill training in emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness to support people facing intense emotions and relationship challenges.

Choosing the right approach is a collaborative process. The therapist will work with each person to assess needs, preferences, and goals, then tailor techniques from these models so treatment fits the individual rather than applying a single method rigidly.

Online formats such as video calls, phone sessions, live chat, and text-based messaging make it easier to fit care into a busy life and maintain continuity when schedules or circumstances change. These options support flexible scheduling, quicker access to sessions, and continued skill practice between meetings, helping clients engage with therapy in ways that match their daily routines.

Frequently asked questions

What kinds of concerns does Vincent address?
He works with a range of issues including stress, anxiety, addiction, trauma, mood disorders such as depression and bipolar, ADHD, grief, relationship and family problems, and related difficulties.
What is his therapeutic style like?
His approach blends evidence-based techniques with a client-centered stance, focusing on practical skills, mindfulness, and values-based action to support lasting change.
What experience does he bring to sessions?
He has a decade of post-graduate experience across outpatient clinics, inpatient addiction and psychiatric programs, prison settings, and work on an ACT team, informing care for complex and co-occurring concerns.
What credentials and location are on file?
He is licensed as an LCSW with license number NY LCSW 084836 and practices in New York.
Can he work with non-English speakers or international clients?
He provides services in English and is not accepting international clients at this time.
In what session formats does he offer care?
Sessions are available by video calls, phone sessions, live chat, or text-based messaging depending on scheduling and client preference.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Prospective clients should select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsTrauma and abuseBipolar disorderDepression

Also works with

LGBTRelationship issuesFamily conflictsGriefSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesBody imageCaregiver issues and stressCo-morbidityCodependencyControl issuesCoping with natural or human-caused disasterDissociationDivorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsFatherhood issuesForgivenessGuilt and shameImpulsivityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

New York

Languages

English

About

Vincent Primiano is a Licensed Clinical Social Worker practicing in New York, with 10 years of experience, not currently accepting new clients.