Vincent Primiano , LCSW

Vincent Primiano is a masters-level social worker with ten years of post-graduate experience. He holds an LCSW - a Licensed Clinical Social Worker - and has focused his career on both addiction and mental health services. Based in New York, he has developed experience across multiple care environments to support clients with complex needs.

His background includes work in the addiction field under OASAS and in mental health services under OMH. He has provided care in outpatient clinics, inpatient addiction programs, inpatient psychiatric centers, within the prison system, and as part of an ACT Team, gaining practical experience with a wide range of treatment settings and populations.

Primiano welcomes meeting new people and is interested in expanding his services. He draws on a decade of clinical work to help individuals navigate recovery, stress, trauma, and life transitions, offering straightforward, experience-based support tailored to each person's situation.

Approaches and Online Support for Lasting Change

Acceptance and Commitment Therapy, or ACT, helps clients clarify personal values and take steps toward a meaningful life even when difficult thoughts or feelings are present. It is often used for anxiety, stress, and life transitions. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking and behavior patterns and developing practical skills to change them. CBT can be effective for depression, anxiety, and coping with everyday challenges. Client-Centered Therapy centers the client's own experience and strengths, creating a collaborative, empathetic space for exploring concerns and building self-directed solutions.

Finding the right therapeutic approach is part of the work itself. Vincent Primiano collaborates with each person to determine which methods best match their goals, needs, and preferences, and adapts the plan as progress develops.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - offer flexibility for scheduling and make it easier to fit sessions into busy lives. These formats allow licensed professionals to deliver consistent, ongoing care across distances, supporting engagement and continuity while accommodating different communication styles.