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JE Portrait of Joseph 'Joe' Exnowski

Joseph 'Joe' Exnowski

Compassionate CBT-informed marriage and family therapist

LMFT California

Experience
10 years in practice
Focus areas
Stress, Anxiety, Relationship, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages
English
Explore online therapy options

About Joseph

Joseph 'Joe' Exnowski is an LMFT who centers his work on cognitive and relational strategies to help people manage stress, anxiety, depression, and the effects of trauma and abuse.

Background and approach

With ten years in the counseling field, he integrates Cognitive Behavioral Therapy with attachment-informed and client-centered methods to address relationship concerns, intimacy-related issues, commitment and attachment difficulties, grief, self-esteem, sleep problems, parenting and career stresses. He creates a warm, respectful environment that aims to help clients access their own strengths and insight.

Joe draws on mindfulness and trauma-focused practices alongside CBT and attachment-based work to tailor care to each person’s needs. He frames therapy as a collaborative process that honors the courage it takes to seek change and recovery.

Based in California, he uses a blend of approaches to address patterns that maintain distress and to develop practical skills for daily life, helping people move toward greater stability, connection, and well-being.

Bringing CBT and Attachment Work to Online Therapy

Joseph uses Cognitive Behavioral Therapy to help clients identify unhelpful thoughts and patterns and to build practical skills for managing symptoms like anxiety, depression, sleep difficulties, and stress. CBT often emphasizes structured strategies and behavioral experiments that translate well to an online format.

He also integrates Attachment-Based Therapy to explore relational patterns, commitment and attachment issues, and how early relational experiences shape current relationships. This approach focuses on understanding emotional needs and improving connection in close relationships.

Finding the right blend of approaches is part of the therapeutic process, and he collaborates with each client to tailor methods based on their goals and preferences. Together they consider which strategies - whether more skills-focused CBT work or exploration of attachment themes - fit the client’s needs and life circumstances.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to increase flexibility and accessibility. These formats allow people to work on coping skills, processing trauma-informed material, and addressing relationship patterns from home or other convenient locations while keeping appointments adaptable to busy schedules.

Frequently asked questions

What concerns does he commonly help with?
He works with a wide range of issues including stress, anxiety, depression, trauma and abuse, relationship and intimacy-related concerns, family and parenting challenges, grief, self-esteem, sleep problems, anger, and career difficulties.
What is his therapeutic style and approach?
His approach blends Cognitive Behavioral Therapy with attachment-based and client-centered perspectives, and incorporates mindfulness and trauma-focused elements to support both symptom relief and relational insight.
What background and experience does he have?
He has ten years of experience working in the counseling field, guided by practice with individuals who have faced depression, anxiety, trauma, and challenging relationships.
Where is he licensed and based?
He is a Licensed Marriage and Family Therapist practicing in California and holds the credential CA LMFT 93617.
Does he offer therapy in languages other than English?
Sessions are provided in English only, and he is not accepting international clients at this time.
Which session formats are available?
He offers multiple online formats including video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How is cost handled for therapy with him?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the steps to begin working with him?
To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseSelf esteem

Also works with

Family conflictsGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementCareer difficultiesDepression

Additional focus areas

Attachment issuesCommitment issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

California

Languages

English