Brittany Cosme, LCSW, LICSW

Brittany Cosme is a licensed clinical social worker who helps people facing stress, anxiety, grief, life changes, and addictions. She meets people where they are and focuses on practical steps that make day-to-day life easier. Her approach aims to reduce overwhelm and build steady coping skills for handling hard moments.

She uses a mix of methods to fit each person’s needs. Brittany draws on attachment-based ideas to look at how past relationships shape current patterns. She uses cognitive behavioral techniques to spot and shift unhelpful thinking. Motivational interviewing helps when someone feels stuck about change. Narrative and client-centered elements keep the work personal and focused on the client’s story.

Brittany tailors conversations and plans to each person’s situation. She emphasizes respect, sensitivity, and compassion in sessions. The goal is to create clear, manageable steps so progress feels real.

Her credentials include LCSW and LICSW and she practices in the District of Columbia. She has four years of experience working with people around grief, life transitions, relationship concerns, self-esteem, and compassion fatigue among other issues. Brittany encourages honest, practical discussion rather than jargon.

Therapy normally begins with a short intake to identify priorities and goals. From there she and the client map small, achievable changes. Sessions focus on what helps clients cope better at home, at work, and in relationships.

How Brittany’s approaches translate to online therapy

Attachment-Based Therapy looks at how earlier relationships influence current reactions. In an online conversation this approach helps identify repeated patterns that cause stress in close connections and guides new ways of relating. Cognitive Behavioral Therapy, or CBT, focuses on the link between thoughts, feelings, and actions. Online CBT sessions help people notice unhelpful thinking, try small experiments, and practice different responses between meetings. Motivational Interviewing is a short-term, collaborative style that helps when someone feels unsure about change. It uses questions and reflection to strengthen a person’s own reasons for making shifts in behavior.

Finding the right approach is part of the work. Brittany will talk with each person about their goals, preferences, and what feels most useful. Together they decide which methods to try and adjust the plan as progress unfolds.

Confirm the exact online session options before booking. Many people find remote sessions easier to fit into a busy day, such as shorter check-ins during a lunch break or evening meetings after work. Remote sessions can also make it simpler to include practical home-focused work between appointments. The emphasis is on making therapy fit everyday life and on choosing tools that support real, manageable change.