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

What’s New

Most of my work is with individuals. In addition, however, I facilitate six different ongoing monthly support groups, listed below with dates (subject to change) through June, 2019. 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. (Note: the Self-Confidence Group has a slightly different fee structure.)


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

  • December 6
  • January 3
  • February 7
  • March 7
  • April 4
  • May 2
  • June 6

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

  • December 13
  • January 10
  • February 14
  • March 14
  • **April 1, Monday, 6-7:30 PM
  • May 9
  • June 13

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

  • December 20
  • January 17
  • February 21
  • March 21
  • April 18
  • May 16
  • June 20

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

  • **December 17, MONDAY
  • January 24
  • February 28
  • March 28
  • April 25
  • May 23
  • June 27


NOTE:  As of June, 2018, this group is on hold until more people can commit to attending.

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

  • December 18
  • January 15
  • February 19
  • March 19
  • April 16
  • May 21
  • June 18

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

  • **December 12, WEDNESDAY
  • January 21
  • February 25
  • March 25
  • April 22
  • **May 28, TUESDAY
  • June 24

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: ebtseattle.com/living-body-focused-repetitive-behaviors-workshop-success/

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.

Often people seeking treatment with me 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.)

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. © 2018