Hello and welcome to my website. I am one of Washington State’s most experienced specialists in cognitive-behavioral therapy (CBT). I teach adult clients to cope with anxiety disorders, as well as OCD and related disorders, and help them live a healthy, balanced life. Working from a foundation of a caring 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 address 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 facilitate seven different ongoing monthly support groups, listed below with dates (subject to change) through June, 2018. These groups are designed to follow or complement a course of individual cognitive-behavioral therapy offered by myself or another therapist. Most offer members an optional private Facebook Group, 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.

In the last two years I formed a group for people with Specific Phobias, that currently highlights Emetophobia (fear of vomit) and another for people focusing on building Self-Confidence (which has a slightly different fee structure). In May, 2017, I re-activated the Health Anxiety group, which had been on hiatus for several months.

OCD SUPPORT GROUP (1st Thursday of the month, 5 – 6:30 PM except where noted by **)

  • April 5
  • May 3
  • **June 4, MONDAY, 6 PM (Note new date and time)

SOCIAL ANXIETY GROUP (2nd Thursday of the month, 5 – 6:30 PM)

  • April 12
  • May 10
  • June 14

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

  • March 15
  • April 19
  • May 17
  • June 21

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

  • March 22
  • April 26
  • May 24
  • June 28

SPECIFIC PHOBIA (EMETOPHOBIA) SUPPORT GROUP (1st Wednesday of the month, 6-7:30 PM)

  • April 4
  • May 2
  • June 6

SELF-CONFIDENCE SUPPORT GROUP (3rd Tuesday of the month, 6-8 PM)

  • March 20
  • April 17
  • May 15
  • June 19

HEALTH ANXIETY SUPPORT GROUP (4th Monday of the month, 6-7:30 PM, except where indicated by **)

  • March 26
  • April 23
  • May 21, 6 PM** (NOTE: NEW DATE)
  • June 25

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:

NEW BILLING POLICY:  As of July 1, 2017, I no longer bill patients’ health insurance directly. Payment of the full fee is expected at the time of appointments.  Patients may request a receipt to submit to their insurance company, HSA or FSA.

People seeking treatment with me often wish I participated in their insurance program to minimize out-of-pocket expenses.  Even though I do not, keep in mind that one of the hallmarks of CBT is that it is designed to provide maximum symptom relief in the fewest number of sessions.  Thus, although each  session may cost less within an insurance network, the overall cost can often be lower with CBT.

(More information on billing and insurance is listed in the Agreement for Psychological Services form on the Client Forms page of this website. Note that the fee schedule listed in this Agreement becomes effective April 1, 2018.)

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. © 2018