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LCSW

Joseph Gagliano, LCSW

  • Experience30 years
  • LocationNew York
  • Focus areasStress and Anxiety, Addictions, and Relationship
  • Therapy approachesInternal Family Systems and Attachment-Based Therapy
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About Joseph

Joseph Gagliano is a New York licensed clinical social worker (LCSW) with 30 years of experience helping people work through stress, anxiety, addiction, grief, relationship struggles, and other complex challenges.

Background and approach

He frames his practice around a respectful, client-centered stance that honors each person’s identity and life story while supporting practical change. Joseph emphasizes collaboration and compassion as he helps clients identify patterns, clarify priorities, and develop tools for daily coping and long-term growth.

Drawing on approaches such as Internal Family Systems, attachment-based methods, cognitive behavioral strategies, and mindful, client-centered listening, he supports exploration of topics like intimacy, self-esteem, career shifts, neurodiversity, and recovery from trauma and loss. His work also addresses specific concerns including ADHD, bipolar challenges, body image, blended family dynamics, and issues related to adoption or foster care.

Joseph aims to balance emotional understanding with skills-building so clients move from insight to meaningful action. Practicing in New York and accepting international clients, he offers flexible online session formats and tailors pace and technique to a person’s needs.

The overall focus is helping clients regain agency, repair relationships where needed, and build sustainable strategies for living with greater resilience and clarity.

How therapeutic approaches translate to online care

Internal Family Systems helps people map and dialog with different parts of themselves to reduce internal conflict and ease burdens; this approach can be useful for navigating trauma responses, self-criticism, and complex emotional patterns. Attachment-Based Therapy focuses on how early relationship experiences shape current bonds and coping, offering tools to improve closeness, trust, and relational repair. Cognitive Behavioral Therapy (CBT) targets unhelpful thoughts and behaviors with structured exercises and skills training to address anxiety, depression, and daily functioning.

Choosing the right approach is part of the collaborative process. The therapist works together with clients to weigh goals, preferences, and life circumstances, often blending methods so that exploration, emotional processing, and practical skills reinforce one another. This collaborative planning helps tailor sessions to what a client needs in a given moment and over time.

Online formats such as video calls, phone sessions, live chat, and text-based messaging make it easier to fit therapy into everyday life and maintain continuity during busy or changing schedules. These options support flexible scheduling, ongoing skills practice between sessions, and access for international clients, while allowing licensed professionals to adapt interventions to each person’s pace and preferred communication style.

Frequently asked questions

What issues does Joseph commonly address?
He works with a broad range of concerns including stress, anxiety, addiction, depression, trauma and abuse, relationship difficulties, grief, intimacy-related issues, eating and sleeping problems, parenting and family concerns, ADHD, bipolar, and career or life transition challenges.
What is his therapeutic style like?
His style is collaborative, compassionate, and nonjudgmental, blending empathic listening with practical skills training drawn from client-centered and cognitive-behavioral approaches.
How much clinical experience does he have?
Joseph brings three decades of clinical work to his practice, offering long-term experience with trauma, addiction, relationship dynamics, and diverse life transitions.
What credentials and location should I know about?
He is licensed as an LCSW in New York with license number NY LCSW 049621 and practices from New York while accepting clients more broadly.
Can people who speak other languages work with him?
He conducts therapy in English and also accepts international clients for remote sessions when scheduling allows.
In what formats are sessions offered?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and needs.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesTrauma and abuseDepression

Also works with

LGBTFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageChronic pain, illness, and disabilityCodependencyCommitment issuesControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesFamily problemsFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Self-loveSex addictionSexual dysfunctionSexualitySocial anxiety and phobiaTraumatic brain injuryWorkplace issuesYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyMindfulness TherapyMotivational InterviewingTrauma-Focused TherapyInternal Family Systems

Experience

30+ years

Licensed

New York

Languages

English