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Joseph Paglia, LCSW, CSW

Experienced LCSW specializing in trauma and LGBTQ care
  • Trauma-focused therapy
  • LGBTQ issues support
  • CBT and DBT approaches

About Joseph Paglia

Joseph Paglia (LCSW, CSW) brings 25 years of clinical experience to his work with children, teens, and adults, and he is licensed to practice in Georgia. He was raised with clear messages about listening and refusing to hate, lessons that helped shape a professional path rooted in acceptance and attentive care. He believes people seek counseling to be heard, validated, and accepted, and he centers that belief in his therapeutic approach.

His practice emphasizes trauma-focused care using CBT- and DBT-informed methods, and he has experience in crisis management. Joseph works with a wide range of concerns including LGBTQ issues, relationship and intimacy struggles, trauma and abuse, grief and loss, depression, addictions, sleep difficulties, and coping with life changes. He also brings clinical focus to areas such as spirituality and Catholic identity, sexuality, kink and BDSM communities, and supporting sex and adult entertainment workers.

Joseph approaches each person as the expert of their own story and looks for strengths that support recovery and growth. He recognizes that reaching out for help takes courage and offers steady, compassionate support throughout the therapeutic process. Outside of clinical work his interests include dogs, Gaga, baking, EDM, Drag Race, and fitness.

Areas of Expertise

Primary Focus

LGBTRelationship issuesTrauma and abuseGriefDepression

Also Specializes In

AddictionsIntimacy-related issuesSleeping disordersCoping with life changes

Additional Focus Areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSex addictionSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWorkplace issuesYoung adult issues

Therapeutic Approach

Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Joseph Paglia have?

Joseph Paglia has 25 years of experience.

Is Joseph Paglia a licensed therapist?

Yes. He holds the credentials LCSW and CSW. License details: GA LCSW CSW004612.

In which languages does Joseph Paglia provide therapy?

Joseph Paglia provides therapy in English.

Where is Joseph Paglia located?

He is located in Georgia.

How can I work with Joseph Paglia as my therapist?

You can work with Joseph Paglia through video calls, phone sessions, live chat, or text-based messaging.

Does Joseph Paglia work with international clients?

Yes. Joseph Paglia works with international clients.

How much does therapy with Joseph Paglia cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Approaches for Online Trauma and Relationship Work



Cognitive Behavioral Therapy, or CBT, helps people identify unhelpful thoughts and patterns and develop practical strategies to change behaviors; it is often used for depression, anxiety, sleep problems, and addictive behaviors. Trauma-Focused Therapy concentrates on processing and reducing the impact of traumatic experiences and building coping skills to manage trauma-related symptoms and relationship effects. Dialectical Behavior Therapy, or DBT, teaches skills in emotional regulation, distress tolerance, and interpersonal effectiveness, which can be especially useful for intense emotions, relationship difficulties, and self-destructive patterns.

Choosing the right approach is part of the therapeutic process. Joseph works collaboratively with clients to understand their goals, needs, and preferences and tailors interventions so the client and therapist can find the best fit together.

Online therapy offers flexible ways to engage with licensed professionals. Video calls and phone sessions allow for real-time conversation, while live chat and text-based messaging can provide support between sessions or suit those who prefer written communication. These options increase accessibility and make it easier to maintain consistent care across different schedules and locations.

Ready to start therapy with Joseph Paglia?

Take the first step toward a better you.