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Brittany Cosme

Brittany Cosme, LCSW, LICSW

Therapist in District of Columbia

Supportive LCSW focused on practical change

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Areas of expertise

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

Credentials

District of Columbia, Virginia

Languages

English

  • Trauma-aware care
  • Goal-focused tools
  • Collaborative planning

About Brittany

Brittany Cosme is a Licensed Clinical Social Worker who helps people manage stress, anxiety, grief, life changes, and concerns related to relationships and intimacy. She supports people facing addictions, low self-esteem, career challenges, and compassion fatigue. Brittany emphasizes respect, sensitivity, and a calm, steady presence during sessions.

She starts by listening to the person’s story and priorities. Conversations are shaped to match each person’s needs rather than a one-size-fits-all plan. Brittany uses practical tools and reflective discussion to help people better understand their patterns and make changes that feel doable.

Brittany draws on several approaches in her work, including attachment-based ideas that look at how relationships shape feelings and behavior, client-centered methods that follow the person’s lead, and cognitive behavioral techniques that identify and shift unhelpful thoughts. She also uses motivational interviewing and narrative therapy when those fit the goals.

Over four years of practice, she has supported people through family stress, caregiving strain, chronic illness concerns, and the emotional aftermath of loss. Her background includes work across different states, and she brings that practical experience into planning each next step.

People who choose Brittany can expect a collaborative, steady approach that balances short-term coping strategies with deeper work on patterns. She invites those ready to try therapy to start with a clear conversation about goals, pace, and what feels most useful.

Approaches to Online Work and What They Do

Attachment-based work looks at how past relationships shape current reactions and trust. It helps people understand why they feel or behave a certain way in close relationships and offers steps to try different responses.

Client-centered therapy focuses on following the person's pace and priorities. The therapist listens deeply, reflects what she hears, and helps the person name goals and next steps that feel right to them.

Cognitive behavioral therapy, or CBT, identifies unhelpful thought patterns and offers concrete exercises to change those thoughts and related behaviors. This approach is often used for anxiety, depression, and coping with life changes.

Finding the right approach is part of therapy. Brittany will work together with each person to pick and adapt methods that match their needs, goals, and preferences. That collaborative process can shift over time as different issues come into focus.

If you are interested in online sessions, confirm the current session options before booking. The practical benefits of remote work include fitting sessions into a busy schedule, having shorter check-ins when needed, or choosing a format that uses less bandwidth. Online work can make it easier to continue regular appointments while balancing work, caregiving, or medical needs.

Frequently asked questions

What kinds of concerns does she address?

Brittany works with stress, anxiety, grief, relationship and intimacy issues, parenting and career concerns, addiction, and trauma and abuse among other areas.

How would you describe her therapy style?

She listens first and then tailors dialog and plans to each person. Sessions combine practical tools with reflective conversation.

What is her professional background?

She has four years of clinical experience and has worked across multiple states in social work roles.

Which credentials and location are listed?

She holds LCSW and LICSW credentials and is based in the District of Columbia.

Which languages are available for sessions?

Sessions are offered in English.

Are international clients supported?

International clients are not currently accepted.

How are costs and billing handled?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.

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