Anxiety Insights
VP Portrait of Vincent Primiano

Vincent Primiano, LCSW

Practical therapy for stress and life transitions

10 years in practice · based in New York · sessions in English · online sessions

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About Vincent

Vincent Primiano is a Licensed Clinical Social Worker (LCSW) based in New York who helps people manage stress and anxiety. He works with adults facing addiction, mood changes, grief, parenting strain, and relationship or career stress. Conversations are straightforward and focused on what a person wants to change.

Over a decade he has worked across addiction and mental health settings. His background includes outpatient clinics, inpatient addiction programs, a psychiatric center, the prison system, and an ACT team.

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Background and approach

That variety means he has seen many ways problems show up in daily life. His sessions aim to be practical. He uses approaches that help people notice thoughts and feelings, choose values, and take concrete steps toward goals.

He also uses strategies for changing unhelpful thinking patterns and for building skills to handle strong emotions. People can expect a calm, direct style that emphasizes getting small wins. He helps with sleep problems, anger, self-esteem, ADHD challenges, and coping after losses or big life changes.

He also supports people dealing with trauma, domestic violence, and substance use concerns. Vincent explains credentials plainly: LCSW means Licensed Clinical Social Worker. He brings ten years of post-graduate clinical experience to sessions and adapts methods to each person's needs and pace.

Therapeutic approaches and online options

Acceptance and Commitment Therapy, or ACT, helps people notice thoughts and feelings without getting stuck in them and then take actions that match their values. It can be useful for anxiety, stress, and coping with big life changes. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking patterns and practicing different behaviors and skills to change symptoms like low mood, worry, or sleeping problems. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and increase calm during stressful moments.

Finding the right approach is a collaborative process. The therapist will work with each person to match methods to their goals, preferences, and what feels most helpful in early sessions. Together they decide which tools to try and how to adjust them over time.

Online therapy with this clinician can be done by video calls, phone sessions, live chat, or text-based messaging. Video calls are helpful for in-depth conversations and practicing skills together. Phone sessions can fit into a short break or when bandwidth is limited. Live chat and messaging offer quick check-ins, brief coaching, and ongoing support between sessions, making it easier to keep progress steady while juggling work and family life.
Book with Vincent Now Review online therapy options and next steps.

Questions people ask

What concerns does Vincent help people with?
He helps with stress, anxiety, addiction, trauma and abuse, bipolar disorder, depression, grief, sleep problems, parenting strain, anger, self-esteem, career stress, ADHD, and related issues.
What is his general therapy style?
Sessions are straightforward and practical. He focuses on skills, clearer thinking, and small steps that match a person's goals.
What kind of clinical background does he have?
He has 10 years of post-graduate experience working in outpatient clinics, inpatient addiction programs, a psychiatric center, the prison system, and on an ACT team.
What are his credentials and location?
He is a Licensed Clinical Social Worker, listed as NY LCSW, and practices from New York.
In what languages are sessions offered?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How is cost handled for sessions?
Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

What this therapist works with

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Also listed

Therapeutic approaches

Experience
10 years
Licensed
New York
Languages
English

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