Hello and welcome to my website. I am one of Washington State’s most experienced specialists in cognitive-behavioral therapy (CBT). I help adults cope with anxiety disorders, OCD and related disorders, and live a healthy, balanced life. Working from a foundation of a caring, empathic therapy relationship, I can teach you scientifically supported skills to handle your life challenges more effectively. My goal is to help my clients regain their vitality and confidence through learning skills to resolve current problems and reduce troubling symptoms.

Please use this website to learn about me, the issues I work with in my practice, and my approach to helping you. In addition, this website offers useful resources and forms related to my practice.

Dr. David Kosins
Seattle, Washington

What’s New

Most of my work is with individuals. In addition, however, I currently facilitate seven different ongoing monthly support groups, listed below with dates (subject to change) through the end of 2016. These groups are designed to follow or complement a course of individual cognitive-behavioral therapy offered by myself or another therapist. Each has an optional private Facebook Group available for members, to extend the support they experience in monthly sessions. Please call me for further information or to register in advance for a group. There are currently openings in most of my groups.  If you have already attended a group at some time in the past, it is fine to drop in again.  Just phone to say when you’d like to come, or RSVP on SignUpGenius. Suggested fees for sessions are $75 per meeting, or $300 for any six meetings if paid in advance. If that is prohibitive, you may pay a reduced fee of any amount that is comfortable for you.

One group recently formed, in September 2014, for people with Specific Phobias (blood-injection-injury, vomit, heights, flying, etc.).  Another, focusing on building Self-Confidence, began in March, 2015 (and has a different fee structure).

OCD SUPPORT GROUP (1st Thursday of the month, 5 – 6:30 PM)

  • September 1
  • October 6
  • November 3
  • December 1

SOCIAL ANXIETY GROUP (2nd Thursday of the month, 5 – 6:30PM, except where indicated by **)

  • **MONDAY, September 19, 6-7:30 PM
  • October 13
  • November 10
  • December 8

PANIC SUPPORT GROUP (3rd Thursday of the month, 6 – 7:30 PM)

  • September 15
  • October 20
  • November 17
  • December 15

BODY-FOCUSED REPETITIVE BEHAVIOR  (Compulsive skin picking, hair pulling, etc.)  SUPPORT GROUP (4th Thursday of the month, 6 – 7:30 PM, except where indicated by **)

  • September 22
  • **MONDAY, October 17
  • **MONDAY, November 21
  • December 12

HEALTH ANXIETY SUPPORT GROUP (1st Monday of the month, 6-7:30 PM, except where indicated by **)

  • **September 12
  • **October 10
  • November 7
  • December 5

SPECIFIC PHOBIA SUPPORT GROUP (1st Wednesday of the month, 6-7:30 PM, except where indicated by **)

  • **September 14
  • October 5
  • November 2
  • December 7

SELF-CONFIDENCE SUPPORT GROUP (3rd Tues. of the month, 6-8 PM, except where indicated by **)

  • September 20
  • October 18
  • November 15
  • **December 13

Here is a summary of an October, 2014 workshop, sponsored by the Trichotillomania Learning Center (TLC), that I co-lead with other Seattle experts in treating Body Focused Repetitive Behaviors, such as compulsive skin picking and hair pulling:

Please feel free to call me at 206-285-0900 or email me at if you have a question or wish to schedule an appointment.

All material provided on this website is for informational purposes only. Direct consultation of a qualified provider should be sought for any specific questions or problems. Use of this website in no way constitutes professional service or advice. David J. Kosins, Ph.D. © 2016