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. In addition, I facilitate five different ongoing monthly support groups, listed below with dates (subject to change) through December, 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 and the Emetophobia Group have a slightly different fee structure.)


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

  • September 5
  • October 3
  • November 7
  • December 5

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

  • **September 4 (Wednesday, 6 PM)
  • October 10
  • November 14
  • December 12

PANIC GROUP (3rd Thursday of the month, 6 – 7:30 PM, except where indicated by **)

  • **August 29
  • September 19
  • October 17
  • November 21
  • December 19

BODY-FOCUSED REPETITIVE BEHAVIOR  (BFRB) (Compulsive skin picking, hair pulling, etc.) GROUP (4th Thursday of the month, 6 – 7:30 PM) PLEASE NOTE: This group is on hold until further notice, due to a recent drop in attendance. 


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, except where indicated by **)

  • **August 27
  • September 17
  • October 15
  • November 19
  • December 17

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

  • August 26
  • September 23
  • October 28
  • November 25
  • **December 16

In addition to the above monthly groups, in the fall of 2018, I conducted several “pop-up” support groups, on topics such as Blood-Injection-Injury Phobia, Generalized Anxiety Disorder, and Emetophobia (fear of vomiting). The EMETOPHOBIA GROUP is now continuing on a quarterly basis and the next session is on SEPTEMBER 23, TUESDAY, 6-8 PM.  The GENERALIZED ANXIETY DISORDER group also is meeting quarterly and the next session is on JULY 9, TUESDAY, 6-7:30 PM.

Here is a summary of an October, 2014 workshop 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.

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 if 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. © 2019