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Vincent Primiano

Therapist profile

Vincent Primiano, LCSW

New York

Licensed Clinical Social Worker - Addiction and Mood concerns

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Where Vincent stands

Credentials
LCSW
License
LCSW, New York / 084836
NPI
1508146127
Experience
10 years
Languages
English
Location
New York

About

  • Codependency support
  • CBT and ACT methods
  • Addiction experience

About Vincent

Vincent Primiano is a Licensed Clinical Social Worker (LCSW) in New York with ten years of post-graduate experience. He works with adults facing stress, anxiety, addictions, trauma and abuse, mood concerns such as bipolar and depression, and relationship and family issues. He also addresses codependency, grief, sleep problems, parenting strain, anger, self-esteem, career stress, and ADHD-related challenges.

He has worked across a range of settings including outpatient clinics and inpatient programs for addiction and psychiatric care. He has experience in the prison system and on an Assertive Community Treatment (ACT) team. That background informs a practical approach to common life disruptions and crisis-related needs.

In sessions he draws from several evidence-informed methods. He uses Acceptance and Commitment Therapy to help people notice unhelpful patterns and choose actions that reflect their values. He uses Cognitive Behavioral Therapy to identify and change thinking and behavior cycles. Dialectical Behavior Therapy skills and mindfulness practices are also part of his work for emotion regulation and present-focused coping.

Vincent spent time working under New York State OASAS on addiction services and under OMH in mental health settings. That mix means he often helps people balancing recovery, mood management, and everyday responsibilities. He aims for clear, step-by-step conversations rather than jargon.

He offers sessions in English and does not take international clients. Prospective clients are asked to confirm session formats and scheduling details before booking.

How sessions work

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then pick actions that matter to them. It is often useful for codependency patterns, anxiety, and navigating life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and practicing different ways of responding, which can help with depression, anxiety, sleep, and stress. Dialectical Behavior Therapy (DBT) skills teach concrete emotion regulation, distress tolerance, and interpersonal effectiveness techniques that are helpful when emotions feel overwhelming or reactive.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose which methods to try, based on needs, goals, and preferences. That may mean trying CBT techniques for a few weeks, then adding ACT or DBT skills if they fit better.

The original biography does not list specific online session formats, so confirm the available options before booking. Online work can make it easier to fit sessions into a busy life - for example, shorter check-ins during a work break, avoiding travel time, or using phone-only sessions when video is difficult. Licensed professionals can adapt exercises, homework, and skills practice to remote sessions so therapy fits day-to-day routines.

Areas of focus

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsGriefSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesBody imageCaregiver issues and stressCo-morbidityCodependencyControl issuesCoping with natural or human-caused disasterDissociationDivorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsFatherhood issuesForgivenessGuilt and shameImpulsivityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

10+ years

Listed in

New York

Languages

English

Questions

Frequently asked questions

What concerns does he work with?

He works with stress, anxiety, addictions, trauma and abuse, bipolar and depression, relationship and family issues, codependency, grief, sleep problems, parenting strain, anger, self-esteem, career stress, ADHD and related areas.

What is his therapeutic style?

He blends Client-Centered care with Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, DBT skills, and mindfulness to focus on practical coping and behavior change.

How much clinical experience does he have?

He has ten years of post-graduate experience as a Masters-level social worker and holds an LCSW credential.

Where is he licensed and based?

He is a New York LCSW and practices in New York state.

Can I work with him if I live outside the United States?

He does not accept international clients. Sessions are offered in English.

What session formats are available?

The original biography does not list specific session formats. Please confirm current session options before booking.

How are sessions paid for and what do they cost?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I begin a first session?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.

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Vincent Primiano

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