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- Stress and anxiety
- Drug and alcohol addiction
- Self esteem work
About Joshua
Joshua Cosgrave is a Wyoming Licensed Clinical Social Worker (LCSW) with three years of practice experience. He helps people who are managing stress, anxiety, addictions, low self-esteem, depression, and difficult life changes. He speaks English and works within the scope of his Wyoming LCSW credential.
Joshua focuses on practical, straightforward work in sessions. He helps people talk through feelings, notice patterns that cause distress, and try different ways of responding. Sessions are conversational and goal-oriented, with steps you can use between meetings.
He has particular experience with drug and alcohol addiction, impulsivity, obsessive behaviors, and social anxiety. Joshua also supports people dealing with communication problems, jealousy, emptiness, and mood-related concerns. He names these issues directly and helps clients prioritize what to address first.
Joshua aims to create an open environment where clients can share thoughts and feelings without judgment. He invites people to take small, testable steps rather than large, uncertain leaps. Progress is tracked in concrete ways so goals remain clear.
To begin, clients select the online therapy options button, complete a short matching questionnaire, and schedule a first session. Session costs vary by location and use a subscription that can be canceled at any time. If you need clarification about current session formats, confirm them before booking.
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How evidence-based approaches guide online sessions
Joshua uses evidence-based therapeutic techniques to structure work in sessions. One common element is problem-focused work that helps people identify unhelpful thoughts and test alternative responses. This kind of approach is useful for anxiety, social fears, and low mood because it targets specific patterns that keep problems going.He also uses behavioral strategies that break larger goals into small, achievable actions. These steps can include activity planning, exposure to feared situations in gradual stages, or behavior experiments to reduce compulsive routines. Those techniques help with addictions, impulsivity, OCD-type behaviors, and mood regulation.
Finding the right mix of methods is part of the process. Joshua collaborates with each person to figure out what fits their situation, goals, and preferences. He adjusts techniques over time based on what is useful for the client.
If you want to use online sessions, confirm the current session formats before booking since they are not listed here. Online work can make it easier to fit therapy into a busy schedule, shorten travel time, and allow for brief check-ins when that is helpful. Conversations can be structured so progress is clear and practical skills are practiced between sessions.
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Areas of expertise
Additional focus areas
Experience
3+ years
Listed in
Wyoming
Languages
English
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Frequently asked questions
What kinds of problems does he focus on?
He works with stress, anxiety, addictions, low self-esteem, depression, and coping with life changes, plus related concerns like obsessive behaviors and social anxiety.
What is his therapy style?
His approach is practical and conversational. Sessions focus on talking through feelings, noticing patterns, and trying concrete steps between meetings.
How much clinical experience does he have?
He has three years of professional experience as a clinician.
What credential does he hold and where is he based?
He is a Wyoming Licensed Clinical Social Worker, listed as LCSW, and practices in Wyoming.
Which languages are supported?
Sessions are offered in English.
Can people outside the U.S. work with him?
He does not accept international clients at this time.
How are sessions paid for?
Session cost varies with location and uses a subscription model that can be canceled at any time.
How do I begin a first session?
Start by selecting the See online therapy options button, complete the short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.