Vincent Primiano, LCSW

Vincent Primiano is a licensed clinical social worker who helps people manage stress, anxiety, depression, addiction, and other life challenges. He offers straightforward support and practical strategies for daily problems. He aims to make sessions feel understandable and useful for busy parents and adults.

He uses methods that focus on thoughts, actions, and values. Sessions often include simple skill-building, mindfulness exercises, and goal-focused work. He draws on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and client-centered conversation to find what fits each person.

Vincent brings ten years of post-graduate experience as a Masters-level social worker. He has worked across addiction and mental health services in New York, including outpatient clinics, inpatient addiction programs, a psychiatric center, the prison system, and an Assertive Community Treatment team. That range gives him experience with different kinds of crises and ongoing struggles.

In sessions he listens for strengths and clear next steps. He helps people set small, achievable goals and track progress over time. He also uses mindfulness and emotion-regulation skills when worry, anger, or mood swings get in the way of daily life.

People can expect direct talk about practical coping tools, and a focus on what works for their routine and responsibilities. Vincent works in English and practices in New York as an LCSW.

How Vincent uses CBT, ACT, and client-centered work online

CBT, or Cognitive Behavioral Therapy, looks at how thoughts and behaviors interact and teaches concrete tools to change unhelpful patterns. It is often used for anxiety, depression, sleep problems, and coping with mood swings.

Acceptance and Commitment Therapy helps people clarify their values and take action even when difficult thoughts or feelings appear. It’s helpful for worry, avoidance, and motivation problems. Client-centered therapy emphasizes listening, empathy, and the client’s own goals to guide each session.

Finding the right mix of these approaches is part of the work. Vincent will discuss goals and preferences and together decide which tools to try first. The approach is collaborative and can adjust as progress is tracked.

Online sessions are offered by video call, phone, live chat, or text-based messaging to fit varied schedules. Video calls are good for deeper conversations and skill practice, phone sessions can be easier on low bandwidth days, and chat or text options work for brief check-ins or when written reflection helps. These formats make it simpler to fit therapy around work, parenting, or travel while keeping consistent progress.