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VP Portrait of Vincent Primiano
Online therapist

Vincent Primiano

Practical support for stress, addiction, and family challenges

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Credentials
LCSW
Experience
10 years
Licensed in
New York
Languages
English
Format
Online sessions

About Vincent

Vincent Primiano is a licensed clinical social worker who helps people facing stress, anxiety, addiction, mood shifts, and family concerns. He writes simply and listens carefully to find what matters most to each person. His approach aims to make daily life more manageable and to help people find clearer next steps.

Vincent holds an LCSW - Licensed Clinical Social Worker - and brings ten years of work after graduate school.

Background and approach

He has worked in both mental health and addiction settings. Those roles give him experience with a range of problems people bring into therapy. His background includes outpatient clinics and inpatient programs for addiction and psychiatric care.

He has also provided services in the prison system and worked on an Assertive Community Treatment team. That mix of settings shaped a practical, down-to-earth way of working with others. In sessions he uses several proven methods to match what a person needs.

He blends strategies from acceptance and commitment therapy, cognitive behavioral therapy, dialectical behavior therapy, and client-centered approaches. Mindfulness techniques are used when they fit the goals. Vincent offers sessions from New York and conducts meetings by video, phone, live chat, or text-based messaging.

He aims to help people build skills for stress, grief, parenting challenges, relationship stress, sleep problems, addiction, and self-esteem concerns. Parents and adults looking for straightforward guidance often find his style practical and direct.

How his approaches translate to online care

Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without being controlled by them, then commit to actions that fit their values. It is often useful for anxiety, stress, and coping with life changes. Cognitive Behavioral Therapy (CBT) teaches specific skills to change unhelpful thinking patterns and behaviors, which can help with depression, sleeping problems, and anxiety. Dialectical Behavior Therapy (DBT) offers concrete tools for managing intense emotions and improving interpersonal effectiveness; it can be helpful for anger, relationship conflict, and emotion regulation.

Choosing the right approach is a collaborative process. The therapist works with each person to see which methods match their goals and daily life. He will adjust techniques over time based on progress and what feels doable for the client.

Online formats make it easier to fit therapy into a busy life. Video calls let people have face-to-face conversation from home, while phone sessions offer a simpler option when video is difficult. Live chat and text-based messaging are useful for shorter check-ins, skill practice, or when immediate written communication feels more comfortable. These options aim to increase flexibility and make it easier to keep working on goals.

Acceptance and Commitment Therapy (ACT)

Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Frequently asked questions

What concerns does Vincent help with?
He works with stress, anxiety, addiction, bipolar disorder, depression, grief, sleep problems, parenting and many family and relationship issues. The biography lists a wider set of focus areas such as ADHD, substance use, and trauma-related concerns.
What is his general therapy style?
He combines practical skills training with a client-centered stance. Techniques draw on cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, and mindfulness when useful.
What is his professional background?
Vincent has ten years of post-graduate experience and has worked in outpatient and inpatient addiction programs, an inpatient psychiatric center, a prison setting, and on an ACT team.
What credentials and location are listed?
He is an LCSW, licensed in New York with license number NY LCSW 084836, and practices from New York.
Which languages are available for sessions?
Sessions are offered in English.
What session formats does he use?
He offers video calls, phone sessions, live chat, and text-based messaging as ways to meet with clients.
How are cost and payment handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with him?
Choose the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist's availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
10 years
Licensed
New York
Languages
English

Next step

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