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LCSW, LICSW

Brittany Cosme, LCSW, LICSW

  • Experience4 years
  • LocationDistrict of Columbia
  • Focus areasStress and Anxiety, Family, and Grief
  • Therapy approachesInternal Family Systems and Attachment-Based Therapy
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About Brittany

Brittany Cosme is a licensed clinical social worker who supports people navigating stress, anxiety, grief, relationship difficulties, addiction concerns, self-esteem struggles, and major life changes.

Background and approach

She works with clients facing trauma and abuse, intimacy-related issues, parenting challenges, career transitions, compassion fatigue, and a range of related concerns including attachment and abandonment issues, chronic illness and caregiver stress, and family-of-origin and communication problems.

Her background also includes work with clients affected by cancer, aging and geriatric issues, and concerns tied to divorce, commitment, guilt, and shame. With four years of clinical experience, Brittany blends empathetic, client-centered care with evidence-informed techniques such as Internal Family Systems, Attachment-Based Therapy, Cognitive Behavioral Therapy, Motivational Interviewing, and narrative and psychodynamic influences.

She emphasizes respect, sensitivity, and compassion while tailoring conversations and treatment plans to each person’s unique needs. Brittany aims to partner with clients through the often difficult first steps toward change, offering steady support as they pursue clearer direction, improved coping, and greater emotional well-being.

How therapeutic approaches shape online care

Internal Family Systems invites clients to explore different internal parts and their roles, helping people understand inner conflicts and build compassionate inner leadership; it can be useful for trauma, anxiety, and relational patterns. Attachment-Based Therapy focuses on how early relationships shape current connections and offers ways to strengthen emotional bonds and repair relational wounds. Client-Centered Therapy emphasizes empathic listening, validation, and collaboration so clients guide the pace and focus of work while the therapist provides consistent support.

Finding the right therapeutic approach is part of the process, and the therapist will work collaboratively to determine which methods best fit a person’s goals, needs, and preferences. Together they can try different techniques and adjust the plan over time so therapy feels aligned with what the client hopes to accomplish.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, and text-based messaging, which can make it easier to attend sessions around work, caregiving, or other commitments. These formats support ongoing momentum between sessions and allow licensed professionals to provide continuity of care for people living in the District of Columbia who prefer remote options.

Frequently asked questions

What kinds of concerns does Brittany work with?
She addresses a wide range of issues including stress, anxiety, grief, relationship and intimacy concerns, addictions, depression, parenting and career challenges, as well as attachment, abandonment, and family-of-origin problems.
How would you describe her therapeutic style?
The approach is compassionate and client-centered, combining empathy with goal-oriented techniques to tailor care to each person’s needs.
What is her professional background?
She has four years of clinical experience working with diverse concerns and integrates multiple therapeutic methods to support clients through change and healing.
What credentials and location are listed for this therapist?
She holds LCSW and LICSW credentials and practices in the District of Columbia; credential numbers include VA LCSW 0904011579 and DC LICSW LC50081940.
Does she offer services in other languages or to international clients?
Sessions are offered in English and she is not currently accepting international clients.
What session formats are available?
Clients can connect through video calls, phone sessions, live chat, or text-based messaging based on their preferences and availability.
How is cost handled for sessions?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyFamily conflictsGriefSelf esteemCoping 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