Brittany Cosme

Thoughtful social work with practical strategies

LCSW, LICSW District of Columbia

Experience: 4 years in practice
Focus areas: Stress, Anxiety, Family, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages: English

About Brittany

Brittany Cosme is a licensed social worker who helps people manage stress, anxiety, grief, relationship concerns, self-esteem challenges, addictions, and other life transitions.

Background and approach

She brings focused attention to issues such as trauma and abuse, intimacy-related struggles, parenting and family difficulties, career pressures, compassion fatigue, and a range of additional concerns including attachment and abandonment issues, chronic illness and caregiver stress, and communication or commitment problems.

Her practice emphasizes support for LGBT clients and those facing depression, coaching needs, or major life changes. With dual licensure as an LCSW and LICSW, Brittany uses a combination of evidence-informed approaches to shape individualized care.

She blends Cognitive Behavioral Therapy with attachment-based and client-centered methods, and may incorporate motivational interviewing or narrative techniques as suits a person’s needs. Her style centers on respect, sensitivity, and compassion while tailoring conversation and treatment plans to each client’s situation.

Located in the District of Columbia, she offers flexible session formats and works collaboratively with clients as they take steps toward more satisfying, manageable daily life.

Combining therapeutic approaches for online care

Many clients find Cognitive Behavioral Therapy helpful for identifying and shifting unhelpful thought patterns and behaviors, making it useful for anxiety, stress, and mood challenges. Attachment-Based Therapy focuses on how early relationships shape current patterns and can help with intimacy, trust, and family-of-origin concerns. Client-Centered Therapy emphasizes a respectful, nonjudgmental therapeutic relationship in which the therapist listens closely and supports the client’s own goals and insights.

Choosing the right approach is often collaborative rather than fixed. The therapist will work with each person to explore which methods match their needs, preferences, and goals, and may blend techniques to create a tailored plan that evolves over time.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing sessions to fit into busy schedules and varied lifestyles. These formats make it easier to maintain regular contact, try different ways of communicating, and access support from the District of Columbia area without needing to travel to every appointment.

Frequently asked questions

What concerns does this therapist address?

She supports people experiencing stress, anxiety, depression, grief, relationship and intimacy issues, addictions, family problems, career stress, compassion fatigue, and related challenges such as chronic illness, caregiver stress, and attachment or abandonment issues.

What is the therapeutic approach like?

The work combines Cognitive Behavioral Therapy, attachment-based ideas, and client-centered practices to create a practical, person-focused approach. Techniques are selected to suit each client’s goals and presenting concerns.

How much clinical experience does the therapist have?

She has four years of professional experience working with a variety of mental health and life challenges and applies that background when developing individualized treatment plans.

What credentials and where is the therapist licensed?

Brittany holds LCSW and LICSW credentials and is based in the District of Columbia. Credential details include VA LCSW 0904011579 and DC LICSW LC50081940.

Which languages are available for sessions and can international clients join?

Sessions are conducted in English, and she is not accepting international clients at this time.

What session formats are offered?

Clients can meet by video calls, phone sessions, live chat, or text-based messaging depending on what fits their schedule and preferences.

How are fees and subscriptions handled?

Costs vary by location and therapist availability and services are provided through a subscription model that can be canceled at any time.

How do I begin working with this therapist?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling sessions according to the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietyFamily conflictsGrief Self esteem Coping with life changes

Also works with

AddictionsLGBTRelationship issuesTrauma and abuseIntimacy-related issuesParenting issuesCareer difficultiesDepressionCoachingCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesCancerCaregiver issues and stressChronic pain, illness, and disabilityCommitment issuesCommunication problemsControl issuesDivorce and separationFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameHIV / AIDSHospice and end-of-life counselingInfidelityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMulticultural concernsPanic disorder and panic attacksPostpartum depressionPost-traumatic stressPrejudice and discriminationSelf-loveWomen's issuesYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

4+ years

Licensed

District of Columbia, Virginia

Languages

English