- Stress and anxiety
- Drug and alcohol help
- Social anxiety support
About Joshua
Joshua Cosgrave is a Wyoming-licensed clinical social worker (LCSW) with three years of practice. He helps people who are dealing with stress, anxiety, addictions, low self-esteem, depression, and major life changes. Joshua also lists experience with communication problems, drug and alcohol addiction, obsessions and compulsions, and social anxiety and phobia.
He keeps sessions straightforward and focused on what is practical. Joshua listens to what feels most pressing and works with clients to set clear, manageable goals. Conversations tend to center on real-life situations, coping strategies, and small steps that can be tried between meetings.
Joshua aims to reduce overwhelm by breaking problems into smaller parts. He guides people through strategies that address anxious thoughts and compulsive behaviors, and he helps build routines that support recovery from substance use. Sessions may include planning, skill practice, and reviewing progress together.
People often come with trouble speaking up, worrying about being judged, or avoiding social situations. Joshua helps them notice patterns, try different behavioral responses, and track what changes. He also supports people working through low mood, impulsivity, jealousy, and feelings of emptiness.
To begin, clients complete a short matching questionnaire and schedule a first session. The practice uses a subscription model that can be canceled at any time, and cost varies with location.
How his therapeutic methods translate to online work
Joshua uses evidence-based therapeutic techniques that focus on clear steps and practical skills. One approach helps people notice and change unhelpful thought patterns that increase anxiety; it involves identifying triggering thoughts and testing them with small behavioral experiments. Another approach targets compulsive or addictive behaviors by building routines, managing urges, and practicing alternative responses in everyday situations.Choosing the right approach is a collaborative process. Joshua checks what feels most useful, discusses options with each person, and adjusts methods based on goals and progress. The client and therapist decide together which techniques to try and when to review results.
Confirm the current session formats before booking so you know how meetings are arranged. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, or avoid travel time. It can also let people practice new skills in the environments where difficulties occur. If you want to proceed, complete the short matching questionnaire and schedule a first session to discuss how to proceed.
Areas of expertise
Additional focus areas
Experience
3+ years
Listed in
Wyoming
Languages
English
Frequently asked questions
What concerns does he address?
He works with stress, anxiety, addictions, low self-esteem, depression, and coping with life changes. Additional focus areas include obsessions and compulsions, paranoia, and social anxiety and phobia.
What is his approach in sessions?
Sessions are practical and goal-focused. Joshua helps people break problems into small steps and practices coping strategies together.
How much experience does he have?
He has three years of professional experience as a clinical social worker.
What are his credentials and location?
He is an LCSW licensed in Wyoming and works from that state.
Which languages are supported?
Sessions are offered in English.
Can international clients work with him?
He does not accept international clients at this time.
How is payment handled?
Sessions use a subscription that can be canceled at any time and cost varies with location.
How do I get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.