- Family of origin issues
- Anxiety and stress
- Attachment-focused work
About Brittany
Brittany Cosme is a Licensed Clinical Social Worker (LCSW) and Licensed Independent Clinical Social Worker (LICSW) practicing in the District of Columbia with four years of experience. She works with adults on stress, anxiety, grief, relationships, self-esteem, and family concerns including family of origin issues. She also addresses coping with life changes, addiction, depression, and work-related strain.
In sessions she talks through what feels most pressing and practical. She uses clear, conversational techniques drawn from attachment-based therapy, client-centered work, and cognitive behavioral strategies. Conversations focus on patterns that trace back to earlier family roles, and on small changes people can try between meetings.
Her approach mixes listening with structured tools. That can mean looking at thought patterns, reworking recurring relationship roles, or naming how past expectations affect current choices. Motivational interviewing and narrative ideas also inform how she helps people reconsider stories they tell about themselves.
She aims to make sessions straightforward and goal-oriented. Typical topics include communication problems, commitment or control issues, parenting strain, caregiver stress, and processing loss. She can also address concerns related to chronic illness, aging, or first responder stress.
Sessions are offered in English. Before booking, clients should confirm current session formats. To start, people use the online matching flow and schedule a first session through the site's process.
How therapeutic approaches translate to online work
Attachment-based work looks at how early relationship patterns affect current connections. In online sessions this can mean naming repeated roles and practicing different responses in conversation. Client-centered therapy focuses on listening and following the person's concerns; online meetings are used to hear what matters most and to set small, achievable goals. Cognitive behavioral therapy (CBT) breaks problems into thoughts, feelings, and actions and uses exercises to change unhelpful patterns; that often becomes a short plan to try between sessions.Figuring out the best approach is a collaborative process. The therapist will ask about goals, past help, and what feels most useful and then adjust methods over time. Clients and therapist decide together which strategies fit current needs and preferences.
Session formats are not specified in the biography, so confirm available options before booking. Many people find online work helps fit therapy into a busy life because it reduces travel time and can make scheduling during work breaks easier. Phone sessions can be a lighter check-in when camera use is difficult, and video allows for more interactive exercises. Ask about the exact session types offered when you begin the matching questionnaire so you can choose the option that fits your routine.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
District of Columbia, Virginia
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, grief, depression, relationship and family concerns including family of origin issues. Other focuses include self-esteem, coping with life changes, addictions, and caregiver stress.
What is her therapy style like?
She blends conversational, client-centered listening with concrete techniques. Sessions often combine exploring family patterns with practical exercises to try between meetings.
How much experience does she have?
She has four years of professional clinical experience working with adults on a range of concerns. That experience informs her focus on family patterns and coping skills.
Which credentials and location are listed?
She holds LCSW and LICSW credentials and practices in the District of Columbia.
Which languages are supported?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working together?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session through the booking flow.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.