Vincent Primiano , LCSW

Vincent Primiano has 10 years of post-graduate experience as a masters-level social worker and holds an LCSW, which is a Licensed Clinical Social Worker credential that reflects advanced clinical training and practice. Over the course of his career he has worked in both the addiction field under OASAS and the mental health field under OMH, gaining experience across a range of care settings.

His professional background includes roles in outpatient clinics, inpatient addiction programs, inpatient psychiatric centers, the prison system, and on an ACT Team. This variety of settings has informed his approach to supporting people facing substance use, mental health concerns, and complex clinical needs. He enjoys meeting new people and looks forward to expanding his services to reach those seeking experienced, skilled social work support.

Therapeutic Approaches and Online Care

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take action toward a meaningful life even when difficult thoughts or feelings are present. In practice this can support work on substance use, trauma-related avoidance, and major life changes by focusing on committed behavior and psychological flexibility.

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing patterns of thinking and behavior that contribute to symptoms such as anxiety, depression, or sleep difficulties. CBT provides practical tools for managing distress and building healthier coping strategies over time.

Finding the right approach is part of the therapeutic process. He works collaboratively with clients to explore which methods match their needs, goals, and preferences, adjusting strategies as progress unfolds. For online sessions, video calls, phone meetings, live chat, and text-based messaging offer flexibility - they make it easier to fit therapy into busy schedules, reduce travel time, and maintain continuity of care with licensed professionals and therapists regardless of location.