About Brittany
Brittany Cosme helps people who are facing stress, anxiety, grief, life changes, relationship concerns, and issues around self-esteem and addiction. She offers straightforward support for parenting challenges, career stress, compassion fatigue, and intimacy-related concerns. Brittany works with people navigating trauma, LGBT-related issues, and the ripple effects of family-of-origin problems.
She uses an approach that centers the person in the room. Conversations are guided by what matters most to each client, and tools are chosen to match immediate needs.
How Brittany works
Brittany blends attachment-focused ideas with practical strategies from cognitive behavioral therapy and motivational interviewing. Sessions are shaped around the client’s goals. Clients can expect a mix of reflective discussion and actionable steps to try between appointments.
Brittany pays attention to patterns that come from early relationships and how those patterns show up now. Her training is listed as LCSW and LICSW, which indicates clinical social work licensure. She brings four years of professional experience to her practice in the District of Columbia.
The work she offers often touches on grief, chronic stress, caregiver strain, and issues tied to illness and aging. Brittany adapts the pace to each person. She helps people set small, realistic goals and tracks progress together.
The focus is on making changes that fit into daily life and reduce unhelpful worry or guilt.
Brittany lists 9 ways of working on the entry:
What Brittany works with
The areas below are the ones Brittany selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Family conflicts
- Grief
Also listed
- Abandonment
- Addictions
- Aging and geriatric issues
- Attachment issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Self-love
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Training and background
| Registers | LCSW, LICSW |
|---|---|
| Years in practice | 4 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | District of Columbia |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How these approaches translate to online therapy
Attachment-Based Therapy looks at how early relationship patterns influence how people manage stress and form close bonds. Online sessions use discussion and reflection to identify those patterns and practice new ways of relating. Cognitive Behavioral Therapy, or CBT, focuses on the link between thoughts, feelings, and actions; it uses brief exercises and homework to change unhelpful patterns and reduce anxiety or low mood.Finding the right approach is a collaborative process. The therapist will discuss goals and preferences, try methods that fit those goals, and adjust as needed. Clients and the therapist decide together which techniques are most helpful over time.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls approximate an in-person conversation and allow visual cues. Phone sessions use less bandwidth and can fit into a work break. Live chat or text messaging can be used for brief check-ins, coaching-style guidance, or when writing things out feels easier. These options make it simpler to schedule care around daily life and access support from the District of Columbia or elsewhere in the same licensing region.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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