Brittany Cosme , LCSW, LICSW

Brittany Cosme is a licensed clinical social worker who helps people manage stress, anxiety, grief, and major life changes. She supports those facing relationship and intimacy concerns, addiction struggles, career challenges, and issues related to self-esteem. Brittany also works with people navigating caregiving strain, chronic illness, and LGBT-related concerns. She is based in the District of Columbia and holds LCSW and LICSW credentials.

Her style is warm and practical. She speaks plainly and listens for what matters most to each person. Sessions focus on clear goals, real-life coping skills, and small steps that fit daily routines. Brittany adapts the pace and plan to match individual needs.

Brittany draws from approaches that emphasize relationship patterns, personal stories, and changing unhelpful thinking. She uses attachment-based ideas to look at how past relationships affect current ones. Cognitive Behavioral Therapy, or CBT, helps identify thinking patterns that feed anxiety or low mood.

She also uses client-centered methods that center the person’s experience and motivational interviewing to support readiness for change. Narrative therapy tools help people rewrite difficult chapters of their lives into more manageable stories. These methods are woven into a collaborative plan.

With four years of experience, Brittany aims for straightforward, empathetic care. She tailors conversation and treatment to match each person’s goals. Taking the first step can feel hard, and she offers steady support through the process.

Therapeutic approaches for online care and change

Attachment-based work looks at how early relationship patterns affect current connections and emotional reactions; online sessions can use this to spot repeating patterns and build new interaction habits. Client-centered therapy emphasizes listening and reflection, letting the person lead while the therapist mirrors and clarifies what matters most. Cognitive Behavioral Therapy, or CBT, focuses on identifying and adjusting unhelpful thoughts and behaviors to reduce anxiety and improve mood.

Choosing the right approach is part of the work together. The therapist will ask about your goals, preferences, and what has or hasn’t helped before. Together you’ll try strategies and adjust the plan so it fits your life and priorities.

Online therapy with this therapist uses video calls, phone sessions, live chat, and text-based messaging to make care flexible. Video sessions are useful for full conversations and visual cues. Phone sessions work when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging can support brief updates, real-time coping help, or ongoing coaching between longer sessions. These options make it easier to fit therapy into a busy schedule and to maintain continuity when life gets disrupted.