Joshua Cosgrave, LCSW

Joshua Cosgrave is a licensed clinical social worker (LCSW) in Wyoming with three years of experience. He helps people who are struggling with stress, anxiety, low self-esteem, depression, addictions, and major life changes. He aims to make the first step feel manageable and affirms the courage it takes to reach out for help.

In sessions he focuses on creating an open, nonjudgmental space where clients can talk about thoughts and feelings. Conversations are practical and direct, with attention to what is causing distress now and what can be tried between meetings. He listens for patterns such as impulsivity, jealousy, obsessive thoughts, or social anxiety and helps clients name what’s happening.

Joshua has worked with issues around drug and alcohol addiction, mood disorders, and compulsive behaviors. He also supports people dealing with emptiness, paranoia, and struggles with self-love and confidence. His experience includes coaching around communication problems and coping strategies for life transitions.

Sessions are focused on helping clients build small, workable changes. Joshua encourages setting clear goals and practicing skills outside sessions so progress carries into daily life. He explains steps plainly and checks in about what feels helpful.

People who appreciate straightforward, empathetic conversation may find his style useful. He works in English and is based in Wyoming. To begin, follow the continue button on this profile and complete the short matching questionnaire to schedule according to therapist availability.

How evidence-based techniques translate to online care

Joshua uses evidence-based therapeutic techniques to guide practical conversations. One common approach focuses on identifying unhelpful thoughts and testing them with real-life experiments; this helps with anxiety, low mood, and obsessive thinking by teaching new ways to respond to difficult thoughts. Another approach centers on building clear routines and small behavioral changes to reduce impulsivity, manage cravings, and stabilize mood, which can be useful for addictions and motivation struggles.

Finding the right approach is a collaborative process. Joshua works with each person to choose methods that match their goals, comfort level, and daily life. He checks in regularly and adapts plans based on what is working or feels manageable for the client.

If you are considering online therapy, confirm the current session options before booking. Online work can make it easier to fit sessions into a busy week and allows for shorter check-ins when needed. It also lets people practice skills where they live, carry over changes between meetings, and reduce travel time so therapy fits into ordinary life.