About Vincent
Vincent Primiano greets people who are feeling overwhelmed, worried, or stuck. He offers straightforward conversation and practical steps to help manage stress, anxiety, mood changes, addictions, ADHD, and relationship or parenting pressures. Vincent is a licensed clinical social worker with ten years of experience and a direct, calm approach to problem-solving.
He uses clear, down-to-earth methods so people can try things between sessions. Vincent focuses on skills you can practice at home, work, or school to handle strong emotions, improve sleep, and reduce impulsive reactions.
Background and approach
He also helps with grief, career transitions, self-esteem, and caregiver strain. Before moving into outpatient work, Vincent worked in both mental health and addiction settings. That background includes time in inpatient addiction programs, an inpatient psychiatric center, the prison system, and on an Assertive Community Treatment team.
Those roles shaped his ability to work with people in crisis and those navigating complex systems. In sessions he blends talk and exercises. He draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness practices alongside a client-centered attitude.
Conversations are collaborative, and goals are shaped by what the person wants to change. Vincent sees clients in New York and communicates in English. He offers a mix of video calls, phone sessions, live chat, and text-based messaging.
Practical scheduling and subscription details are handled through the platform’s intake process.
How Vincent Uses Therapy Approaches Online
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck in them, then commit to actions that match their values; this can be useful for ADHD-related frustration, anxiety, and life changes. Cognitive Behavioral Therapy focuses on identifying unhelpful thinking and testing different behaviors, which can help with mood, sleep, and impulse control. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and improve focus for daily life.Choosing a therapeutic approach is a collaborative process. Vincent will discuss options and recommend what seems likely to fit based on a person's goals, preferences, and what they want to change. He adapts methods as sessions progress so people can find what feels most helpful.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy easier to fit into a busy life. Video calls let people use visual cues and longer conversations. Phone sessions can be useful when bandwidth is limited or for shorter check-ins. Live chat and text-based messaging work well for quick skill prompts, brief updates, and flexibility during the day.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- New York
- Languages
- English
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