Important Notice Regarding Coronavirus and RE-OPENING

I am continuing to serve existing clients and schedule intakes with new clients.

As soon as public health authorities recommend, in coordination with my colleagues on the second floor of 318 W. Galer St., I will be offering in-person sessions to fully vaccinated clients.  In-person sessions will not require masks or social distancing. If you select this option, please send a copy of your vaccination card to dkosins@uw.edu before your appointment. I will continue teletherapy sessions for clients who are not vaccinated or who cannot attend in-person sessions. 
Once it is considered safe to meet in-person, we ask that you limit use of the waiting room and common areas by remaining outside the building until your appointment time.  Unless otherwise arranged, please enter the building unaccompanied by others (eg., family members).  Please wear an appropriate mask upon entering the building and until you are in my office suite. 
Please reschedule your appointment or meet via teletherapy if you have any of the following symptoms: fever, cough, sore throat, shortness of breath, muscle aches, fatigue, loss of taste or smell, nasal congestion or runny nose.  Also, please stay home if you test positive for COVID, live with someone who tested positive or have been instructed to isolate due to exposure to COVID.  If I have any of the above symptoms, I will reschedule or see you virtually.   

I recently began walking sessions with a few established clients, weather permitting. Inquire if interested. 

For teletherapy sessions I usually use the HIPAA compliant system DOXY. If you use insurance to get reimbursed for your sessions, please contact your insurance company to find out whether teletherapy (telehealth) will impact reimbursement.

How to use Doxy and Zoom:

I will email you a link to their virtual waiting room. Use the doxy.me app (phone or tablet) or open the Chrome or Firefox browser on a computer. Type in the link I send you. Type in your name and click “Check in.” Allow your device or browser to use your camera and microphone. I will start your session at your scheduled time.

Group sessions will be conducted via Zoom.  Make sure you are signed up with Zoom before our sessions and I will invite you to join the groups on the day of the session you will be attending.

Here is helpful article from the Association of Behavioral and Cognitive Therapies, TEN STEPS TO COPE WITH THE PANDEMIC>>


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 will 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

“I am an old man and have known a great many troubles, but most of them never happened.”
— Mark Twain

SNOW POLICY:  In the event of inclement weather, there will not be late-cancelation fees.  I will usually be in the office on snow days, since I walk to work. However, if you cannot travel safely to my office, we will either reschedule or wait until your next scheduled appointment.  Or, for established patients, I usually offer phone sessions.  I will contact you in advance if I learn that Queen Anne Avenue (the road to the top of the hill from Lower Queen Anne) is closed to vehicles.

What’s New

Most of my work is with individuals. I also facilitate five different ongoing monthly support groups and three quarterly groups, listed below with dates (subject to change) through June, 20, 2022. 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 or quarterly 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 contact me to say when you’d like to come, or RSVP on SignUpGenius. For 90-minute sessions, suggested fees are $75 per meeting, or $300 for any six meetings if paid in advance. Two-hour groups are $100 or $500 for six meetings if paid in advance.  Six-session “punchcards” expire one year from date of purchase.  If these costs are prohibitive, you may pay a reduced fee of any amount that is comfortable for you.

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

  • Nov. 4
  • Nov. 4, 6:45 PM** “Bedtime OCD” group
  • Dec. 2
  • Jan. 6
  • Jan. 6, 6:45 PM** “Bedtime OCD” group
  • Feb. 3
  • Mar. 3
  • Mar. 3, 6:45 PM** “Bedtime OCD” group
  • Apr. 7
  • May 5
  • May 5, 6:45 PM** “Bedtime OCD” group
  • June 2

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

  • Nov. 11
  • Dec. 9
  • Jan. 13
  • Feb. 10
  • Mar. 10
  • Apr. 14
  • May 12
  • June 9

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

  • Oct. 21
  • Nov. 18
  • Dec. 16
  • Jan. 20
  • Feb. 17
  • Mar. 17
  • Apr. 21
  • May 19
  • June 16

BODY-FOCUSED REPETITIVE BEHAVIOR  (BFRB) GROUP (Compulsive skin picking, hair pulling, etc.)

  • Nov. 8, Mon., 6-8 PM
  • Feb. 7, Mon., 6-8 PM
  • May 2, Mon., 6-8 PM

EMETOPHOBIA (Fear of vomiting) GROUP

  • Oct. 28, Thurs., 6-8 PM
  • Jan. 27, Thurs., 6-8 PM
  • Apr. 28, Thurs., 6-8 PM

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

  • Oct. 19
  • Nov. 16
  • Dec. 21
  • Jan. 18
  • Feb. 15
  • Mar. 15
  • Apr. 19
  • May 17
  • June 21

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

  • Oct. 25
  • Nov. 22
  • Dec. 20, 6 PM**
  • Jan. 24
  • Feb. 28
  • Mar. 28
  • Apr. 25
  • May 23
  • June 27

MEDICAL PHOBIA (Blood-Injection-Injury) GROUP

  • Nov. 29, Monday, 6-8 PM
  • Mar. 7, Monday, 6-8 PM
  • June 6, Monday, 6-8 PM

In addition to the above recurring groups,  I periodically conduct additional “pop-up” support groups, on topics such as Unusual Forms of OCD, Generalized Anxiety Disorder, and Heights Phobia.

BILLING POLICY:  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 of therapy can often be lower with CBT.

(More information on fees, billing and insurance is listed in the Agreement for Psychological Services, found on the Client Forms page of this website.)

Please feel free to call me at 206-285-0900 or email me at dkosins@u.washington.edu 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. © 2021