- Stress and anxiety
- Grief and loss
- Career and parenting
About Brittany
Brittany Cosme is a licensed clinical social worker who helps people manage stress, anxiety, grief, relationship concerns, and major life changes. She also supports those facing depression, addiction struggles, caregiving strain, and identity-related questions. Brittany practices with a respectful, sensitive approach and invites people to take a small first step toward feeling better.
She uses a mix of approaches to match what each person needs. Sessions focus on clear goals and everyday strategies that people can try between meetings. Conversations are shaped by the client's experience rather than a fixed script, and the therapist adapts the pace to what feels manageable.
Brittany brings four years of clinical experience and holds LCSW and LICSW credentials. She is based in the District of Columbia and draws on work across settings to help people facing practical challenges like caregiving stress, chronic illness, or job transitions. Her background includes helping people navigate grief, loss, and family of origin issues.
Common topics she addresses include attachment and intimacy concerns, communication and commitment problems, coping with cancer or chronic pain, and compassion fatigue. Brittany uses evidence-informed techniques such as cognitive strategies and narrative work to surface unhelpful patterns and consider new options.
She aims to build a collaborative plan so clients feel understood and clear about next steps. To begin, prospective clients complete a brief matching questionnaire and schedule sessions according to therapist availability.
She uses a mix of approaches to match what each person needs. Sessions focus on clear goals and everyday strategies that people can try between meetings. Conversations are shaped by the client's experience rather than a fixed script, and the therapist adapts the pace to what feels manageable.
Brittany brings four years of clinical experience and holds LCSW and LICSW credentials. She is based in the District of Columbia and draws on work across settings to help people facing practical challenges like caregiving stress, chronic illness, or job transitions. Her background includes helping people navigate grief, loss, and family of origin issues.
Common topics she addresses include attachment and intimacy concerns, communication and commitment problems, coping with cancer or chronic pain, and compassion fatigue. Brittany uses evidence-informed techniques such as cognitive strategies and narrative work to surface unhelpful patterns and consider new options.
She aims to build a collaborative plan so clients feel understood and clear about next steps. To begin, prospective clients complete a brief matching questionnaire and schedule sessions according to therapist availability.
Areas of expertise
Primary focus
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
How her approaches translate to online work
Attachment-Based Therapy focuses on how early connection patterns shape current relationships. Online sessions can help identify these patterns and practice different ways of relating to partners and loved ones. Client-Centered Therapy centers the person's experience and priorities, with the therapist offering empathy and reflection so clients can clarify goals and make their own choices. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches practical skills to change unhelpful patterns.Choosing the right approach is part of the work. Brittany will talk with each person about goals and preferences, and then suggest what methods might fit best. That decision is collaborative and can shift as needs change over time.
Session formats are not listed in the biography, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy life, remove commute time, and allow shorter check-ins when schedules require it. It also lets people use breathers between meetings or join from a location that reduces background noise and interruptions. Licensed professionals can adapt exercises, homework, and communication to work well in remote sessions while keeping the focus on practical steps and progress.
Frequently asked questions
What kinds of concerns does Brittany address?
She helps people with stress, anxiety, grief, depression, addiction, relationship and intimacy issues, and coping with life changes.
How would you describe her therapy style?
Her style is respectful and sensitive, focusing on collaboration and practical steps that fit each person's life.
What experience does she bring to sessions?
She has four years of clinical experience working in multiple settings and with a range of life stressors and losses.
Where is she licensed and based?
She is based in the District of Columbia and holds LCSW and LICSW credentials, including a Virginia LCSW and a District of Columbia LICSW.
Which languages are offered for sessions?
Sessions are offered in English.
Can people outside the U.S. work with her?
She does not accept international clients at this time.
How are fees and payments handled?
Cost varies with location and therapist arrangements; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.