Brittany Cosme, LCSW, LICSW

Brittany Cosme is a licensed social worker practicing in the District of Columbia. She helps people manage stress, anxiety, grief and life transitions. She works with concerns like relationship strain, caregiving stress, addictions, self-esteem, and aging and geriatric issues. Brittany uses a direct but compassionate style. She aims to listen closely and adapt conversations to each person's needs. Sessions focus on practical steps people can try between meetings and on clearer ways to cope with painful feelings. Her work draws on several therapy approaches. She uses attachment-based ideas to look at how early relationships shape current patterns. Cognitive behavioral techniques help identify unhelpful thinking and try new behaviors. She also brings client-centered and narrative elements to help people tell their story and find meaning. Brittany holds the credential LCSW, which is a Licensed Clinical Social Worker, and the LICSW, Licensed Independent Clinical Social Worker. She notes experience supporting people through grief, caregiving strain, chronic illness concerns, and life changes. She frames the first steps as collaborative. Together with each person she shapes a plan that fits their situation and goals. The approach is practical, respectful, and aimed at helping people regain a sense of control and direction.

Therapeutic approaches online and how they help

Attachment-based work focuses on how past relationships shape current patterns. It helps people notice how they connect with others and try different ways of relating when old habits cause pain.

Client-centered therapy centers the conversation on the person's experience. The therapist follows the person's lead, reflecting concerns and helping them find their own solutions. Cognitive Behavioral Therapy, or CBT, looks at thoughts and behaviors that keep problems going and tests new actions to reduce symptoms and improve daily functioning.

Brittany treats finding the right approach as a collaborative process. She will talk with each person about goals and preferences and adapt techniques as needed. The plan can shift over time as progress and needs change.

Confirm session formats before booking, as specific online options are not listed in the profile. Online sessions can make it easier to fit therapy into a busy schedule, reduce travel time, and allow shorter check-ins when that suits a person better. They also let people join from familiar, quieter surroundings when that helps them concentrate.