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Vincent Primiano

Vincent Primiano, LCSW

New York

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LCSW - Anger and Addiction support

  • Anger management skills
  • CBT and ACT methods
  • Trauma informed care

About Vincent

Vincent Primiano is a Licensed Clinical Social Worker (LCSW) in New York with 10 years of experience. He works with adults on problems such as anger, stress, anxiety, addiction, depression, grief, relationship and parenting concerns. He also addresses sleep problems, career stress, ADHD, and issues tied to trauma and abuse.

He has worked across settings that include outpatient clinics, inpatient addiction programs, and inpatient psychiatric centers. His background also includes work in the prison system and on an Assertive Community Treatment team. That range has shaped how he approaches practical problems and crisis situations.

In sessions he uses methods drawn from cognitive behavioral therapy and acceptance and commitment therapy to help people notice unhelpful patterns and try new behaviors. He also draws on dialectical behavior therapy and mindfulness strategies for emotion regulation and distress tolerance. Client-centered principles guide how he listens and sets goals with each person.

His addiction experience comes from work with OASAS programs, and his mental health work includes services under OMH. Those roles involved helping people manage co-occurring conditions such as substance use and mood disorders. He is familiar with the day-to-day challenges people face when balancing treatment with work and family demands.

People who contact him can expect direct, practical conversations about what is and isn’t working. He asks about concrete goals, suggests behavioral experiments, and practices skills in session. Sessions are collaborative and aim to produce changes that carry into everyday life.

How his therapy approaches translate online

Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking small committed steps toward them while accepting uncomfortable thoughts or feelings. It can help with anger that stems from stuck patterns or avoidance. Cognitive Behavioral Therapy (CBT) identifies the thoughts and behaviors that keep problems going and tests new behaviors to shift outcomes. CBT is useful for anger, anxiety, and mood challenges. Dialectical Behavior Therapy (DBT) offers concrete skills for emotion regulation, distress tolerance, and interpersonal effectiveness that many people find helpful when anger or strong emotions come up.

Choosing an approach is a collaborative process. He will talk with the person about goals, try methods that fit those goals, and adjust based on what helps. The first sessions are often focused on practical problems, clear goals, and trying a few skill-based exercises together.

The original biography does not list specific online session formats, so please confirm current session options before booking. In general, online sessions can make it easier to fit therapy into a busy day, provide options that reduce travel time, and allow for shorter check-ins when needed. Many people find they can practice skills between sessions in daily life, which helps carry learning forward.

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

Frequently asked questions

What kinds of concerns does he help with?

He works with adults on anger, stress, anxiety, addiction, depression, trauma, grief, sleep problems, parenting strain, relationship issues, and related topics listed in his profile.

What is his therapeutic style?

He uses a mix of cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), mindfulness, and client-centered work to address patterns and build practical skills.

How much experience does he have?

He has 10 years of post-graduate experience working in mental health and addiction settings, including inpatient and outpatient care and community teams.

What are his credentials and where is he located?

He is a Licensed Clinical Social Worker (LCSW) licensed in New York and practices from that state.

Which languages are supported?

Sessions are offered in English.

Does he work with clients outside the United States?

International clients are not currently accepted.

What formats are used for sessions?

The original profile does not list specific session formats. Please confirm available session options before booking.

How are fees handled and how do I begin?

Cost varies with location and sessions use a subscription that can be canceled at any time. To start, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

Whenever you are ready

Review online therapy options and next steps on BetterHelp, in your own time.

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Vincent PrimianoLCSW

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