- Family of origin issues
- Addiction experience
- ACT and CBT
About Vincent
Vincent Primiano is a Licensed Clinical Social Worker (LCSW) based in New York with 10 years of post-graduate experience. He works with adults facing stress, anxiety, addiction, depression, bipolar concerns, relationship and family issues, grief, sleep problems, parenting strain, and ADHD. He also addresses family of origin issues and related patterns that continue to affect adult life.
He has worked in a range of settings including outpatient clinics, inpatient addiction programs, an inpatient psychiatric center, the prison system, and on an Assertive Community Treatment (ACT) team. That variety shapes how he approaches practical problems and complex care needs. Sessions focus on understanding how early family roles and habits show up now and on building skills to handle daily stressors.
Vincent draws on several evidence-informed methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Mindfulness Therapy, and a client-centered stance. In practice he helps people notice patterns, try small changes, and practice new ways of coping. Conversations are direct and concrete, with homework or skill practice when useful.
He has experience in addiction treatment and mental health systems, which informs work with co-occurring issues. He also supports people dealing with caregiver stress, codependency, loss, anger, and control issues. People who want to understand where their relationship or self-esteem patterns come from may find this focus helpful.
Sessions are offered in English and reflect his years working across public and clinical settings. Prospective clients are encouraged to confirm current session options before booking.
How therapeutic approaches are used in online sessions
Acceptance and Commitment Therapy (ACT) helps people clarify values and take small actions that fit those values. It is useful for anxiety, stress, and feeling stuck when past family patterns get in the way.Cognitive Behavioral Therapy (CBT) focuses on identifying thoughts and behaviors that keep problems going and then testing small changes. It can help with depression, sleep issues, and skills for managing mood or cravings.
He also uses a client-centered stance that emphasizes listening and working at the client’s pace, combined with mindfulness techniques to reduce reactivity. These approaches are used together to address life stressors and family-of-origin patterns in concrete ways.
Choosing the right approach is collaborative. The therapist will discuss goals, preferences, and what has or hasn’t worked in the past. Together they decide which methods to try first and adjust as needed.
Session formats are not specified here, so confirm the available options before booking. Online work can make it easier to fit sessions into a busy life, allow shorter check-ins when schedules are tight, or avoid travel time. The focus remains on practical skills and making changes that can be used between meetings.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of problems does he work with?
He works with stress, anxiety, addictions, depression, bipolar concerns, relationship and family difficulties, grief, sleep problems, parenting strain, ADHD, and related issues.
What is his general therapeutic style?
He uses a practical, direct approach that combines client-centered work with skills-based methods like CBT and DBT. Sessions often include skill practice or short exercises.
How much clinical experience does he have?
He has 10 years of post-graduate experience working in outpatient clinics, inpatient addiction programs, an inpatient psychiatric center, the prison system, and on an ACT team.
What are his credentials and where does he practice?
He is a Licensed Clinical Social Worker (LCSW) with an NY LCSW credential and practices in New York.
Which languages are supported?
Sessions are offered in English.
Does he work with international clients?
International clients are not currently accepted.
How are fees handled?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.