About Joshua
Joshua Cosgrave is a licensed clinical social worker with three years of experience. He focuses on helping people who are dealing with stress, anxiety, depression, low self-esteem, and addictions. Joshua aims to make the first step easier by offering a calm, straightforward approach for those who are nervous about starting therapy.
He encourages open conversation and listens without judgment. Sessions are practical and focused on daily challenges like mood swings, motivation, and coping with life changes.
How Joshua works
Joshua helps clients sort through overwhelming feelings and develop clearer ways to manage impulses and compulsive behaviors. Joshua also addresses communication problems, jealousy, feelings of emptiness, paranoia, and social anxiety. He works with people dealing specifically with drug and alcohol addiction and related patterns.
The goal is to identify small, workable steps that can improve day-to-day functioning and self-regard. In sessions he pays attention to what feels doable for each person. He helps clients build self-love and confidence through steady, realistic changes.
Conversations center on practical strategies rather than abstract theories. Joshua practices in Wyoming and offers multiple session formats to fit different needs. He knows starting therapy takes courage and supports clients through the early steps of change.
What Joshua works with
The areas below are the ones Joshua selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Communication problems
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Emptiness
- Impulsivity
- Jealousy
- Mood disorders
- Obsessions, compulsions, and OCD
- Paranoia
- Self-love
- Social anxiety and phobia
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 3 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Wyoming |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based approaches and online care
Joshua uses evidence-based therapeutic techniques that focus on practical change and symptom relief. One common approach emphasizes building coping skills for anxiety and stress through structured practices and step-by-step strategies. This helps people reduce worry and improve daily functioning. Another approach targets addictive behaviors by identifying triggers and creating clear plans to interrupt patterns, which can support safer choices and more steady routines.Choosing the right approach is a collaborative process. The therapist will listen to each person's goals and preferences, try methods that fit the situation, and adjust as progress is made. Clients and the therapist work together to find what helps most, rather than following a fixed plan from the start.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to provide flexibility. Video is useful for full conversations and visual cues, while phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging allow for brief exchanges and ongoing support between sessions. These formats make it easier to fit therapy into busy days and to keep continuity when schedules change.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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