Works with
- Anger
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Bipolar disorder
- Depression
How Vincent works
Practical facts
- Credentials
- LCSW
- Licensed in
- New York
- Years in practice
- 10
- Languages
- English
- Session format
- Online, through our partner platform
About Vincent
Vincent Primiano is a licensed clinical social worker who helps people manage stress, anger, addiction, and mood concerns. He brings a calm, direct style to sessions and focuses on practical steps people can use right away to feel steadier. Vincent has 10 years of experience after his master's degree in social work.
He has worked in both addiction and mental health settings, including outpatient clinics, inpatient addiction programs, and psychiatric centers.
Background and approach
He has also provided services in the prison system and on an ACT team. In sessions he emphasizes clear goals and active skills practice. He uses tools from cognitive behavioral therapy to reframe unhelpful thoughts and from dialectical behavior therapy to teach emotional regulation.
Mindfulness and acceptance-based techniques are used to help people tolerate difficult feelings without getting overwhelmed. People often come to him with worry, relationship tension, grief, sleep problems, attention concerns, or trouble controlling anger. Vincent also supports those coping with trauma, substance use, and major life changes.
He aims to make the work manageable by breaking problems into small, doable steps. His background across inpatient and outpatient settings gives him experience with crisis moments as well as long-term recovery work. He works in New York as an LCSW and conducts sessions in English.
Vincent encourages an open conversation about goals and what will feel most useful for each person.
What Vincent works with
Everything Vincent lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Vincent's practice.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Bipolar disorder
- Depression
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Coping with life changes
- Compassion fatigue
- ADHD
- Abandonment
- Antisocial personality
- Attachment issues
- Body image
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Control issues
- Coping with natural or human-caused disaster
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Approaches Vincent lists
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Approaches that translate well to online work
Acceptance and Commitment Therapy (ACT) focuses on noticing emotions and values-based action. It helps people accept difficult feelings while committing to steps that match what matters to them. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors keep problems going and teaches practical techniques to shift them, which is helpful for anxiety, depression, and anger. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship that lets people lead the pace of change and feel heard.Choosing the right approach is a shared process. Vincent will collaborate with each person to pick methods that match their goals and preferences. He often blends elements from different approaches so work can be tailored and adjusted as therapy progresses.
Online formats make it easier to fit therapy into a busy life. Video calls allow face-to-face conversation and screen-sharing for worksheets. Phone sessions are useful when video isn't possible or to reduce bandwidth needs. Live chat or text-based messaging can support shorter check-ins, homework prompts, or moment-to-moment coaching between sessions. These options aim to provide flexible access to licensed professionals and maintain continuity of care when in-person meetings are not practical.
Questions people ask about Vincent
What kinds of problems can be addressed here?
Common concerns include stress, anxiety, depression, anger, addictions, trauma, sleep issues, grief, parenting strain, attention difficulties, and career or life transitions.
How would therapy sessions feel in terms of style?
Work is practical and straightforward. Sessions mix skill practice, mindful awareness, and talking through patterns to find useful changes.
What is this therapist's professional background?
He has 10 years of post-graduate experience and has worked in outpatient clinics, inpatient addiction and psychiatric programs, the prison system, and on an ACT team.
What credentials and location are listed?
Vincent holds an LCSW and practices in New York.
Which languages are supported for sessions?
Sessions are offered in English.
Can people from other countries work with this therapist?
International clients are not currently accepted.
What session formats are available?
Sessions can be done via video calls, phone sessions, live chat, or text-based messaging.
How does billing and getting started work?
Cost varies with location and therapist availability and uses a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule based on availability.