Vincent Primiano , LCSW

Vincent Primiano brings ten years of post-graduate experience as a master-level social worker to his clinical practice. He holds an LCSW, which stands for Licensed Clinical Social Worker, a credential that recognizes advanced training and clinical experience in social work.

His career has included work in both the addiction field under OASAS and the mental health field under OMH, giving him a broad perspective on co-occurring and complex presentations. He has provided services in outpatient clinic settings, inpatient addiction programs, inpatient psychiatric centers, within the prison system, and as a member of an Assertive Community Treatment (ACT) team.

Across these varied environments he has focused on helping people manage issues such as stress, anxiety, addiction, trauma, mood disorders, relationship and family concerns, grief, and difficulties with sleep and parenting. He enjoys meeting new people and looks forward to expanding the range of services he offers from his base in New York.

Therapeutic Approaches and Online Care

Vincent Primiano integrates several evidence-informed approaches to help clients reach practical goals. Acceptance and Commitment Therapy (ACT) focuses on helping people clarify their values and take committed action even when difficult thoughts or feelings are present - it is often useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) teaches skills to identify and reshape unhelpful thinking patterns and behaviors, making it helpful for depression, anxiety, and many coping challenges. Dialectical Behavior Therapy (DBT) emphasizes emotion regulation, distress tolerance, and relationship skills, which can support people managing intense emotions, self-harm urges, or interpersonal difficulties.

Choosing the right approach is part of the therapeutic process, and Vincent works collaboratively with each person to determine which methods best fit their needs, goals, and preferences. He adapts strategies over time so the plan remains practical and client-centered.

Online therapy offers flexible ways to meet by video call, phone, live chat, or text-based messaging, making it easier to fit sessions into a busy schedule and to access care from different locations. These options can increase consistency of support and provide multiple ways to engage based on what feels most comfortable for the client.