Vincent Primiano, LCSW

Vincent Primiano is a Licensed Clinical Social Worker (LCSW) based in New York with ten years of post-graduate experience. He holds the LCSW credential, which denotes advanced clinical training in social work and the ability to provide therapeutic services to individuals and families.

Over his career he has worked across settings that include outpatient clinics, inpatient addiction programs, inpatient psychiatric centers, the prison system, and as part of an Assertive Community Treatment (ACT) team. He has practiced in both the addiction field under OASAS and the mental health field under OMH, developing experience supporting people facing addiction, trauma, mood disorders, relationship challenges, parenting concerns, and a range of coping and stress-related issues.

Vincent brings a practical, engagement-focused approach to new clients and is open to expanding his services. His background spans multiple care environments, which informs a flexible perspective when working with people at different stages of recovery and life transitions. He is based in New York and provides therapy in English for those seeking support with stress, anxiety, addictions, trauma and related concerns.

Therapeutic Approaches and Online Care

Acceptance and Commitment Therapy (ACT encourages clients to clarify personal values and to commit to actions that align with those values while learning to accept difficult thoughts and feelings. It is often helpful for people struggling with anxiety, depression, and life transitions who want to build a meaningful life alongside their challenges.

Cognitive Behavioral Therapy (CBT focuses on identifying and changing unhelpful thought patterns and behaviors. It is practical and skill-oriented, and it can be useful for stress, anxiety, mood concerns, sleep issues, and many coping challenges.

Client-Centered Therapy centers the client's own goals and experiences, offering a supportive space where the therapist follows the client's lead and helps strengthen self-understanding and resilience. This approach suits those seeking empathetic, collaborative support for relationship, self-esteem, and adjustment concerns.

Finding the right approach is part of the therapeutic process. Licensed professionals and therapists work collaboratively with each person to determine which methods fit best given the client’s needs, goals, and personal preferences, and adaptations can be made over time.

Online therapy offers practical flexibility - sessions can take place via video calls, phone sessions, live chat, or text-based messaging to accommodate schedules, mobility, and varied comfort levels. These options make it easier to maintain consistent care, access support from home or work, and integrate therapy into a busy life while working with a licensed professional.