- Guilt and shame
- Attachment work
- Cognitive strategies
About Brittany
Brittany Cosme is a Licensed Clinical Social Worker - LCSW and a Licensed Independent Clinical Social Worker - LICSW practicing with four years of experience. She works with people dealing with stress, anxiety, grief and loss, relationship and intimacy-related issues, addiction concerns, and feelings of guilt and shame. She also supports those facing parenting strains, career transitions, and chronic illness or caregiver stress.
Her approach centers on clear, direct conversation. She uses client-centered methods to listen and reflect what matters most. Narrative work helps people name the stories they carry and look at them differently. Cognitive Behavioral Therapy is used to notice thoughts that fuel worry or guilt and to try practical shifts.
Brittany draws on attachment-based ideas to understand how early relationships shape present patterns. Motivational Interviewing supports people who feel stuck and want to make changes. Sessions are practical and goal-focused without jargon. The focus is on manageable steps rather than big promises.
She practices in the District of Columbia and holds licensure in Virginia and the District of Columbia as LCSW and LICSW. Sessions are conducted in English. Costs vary by location and use a subscription that can be canceled at any time.
To begin, a person completes a short matching questionnaire and schedules a first session. That initial step helps clarify what to work on and which approach to try first.
How her approaches shape online work
Attachment-Based Therapy looks at how early relationship patterns affect current connections and trust. Online sessions can be used to notice patterns in relationships and practice different responses to closeness and conflict.Client-Centered Therapy centers on listening and reflecting what matters to the person. In an online setting this means the therapist follows the client's pace and priorities, helping clarify goals and what feels most important to address.
Cognitive Behavioral Therapy focuses on recognizing thoughts that drive anxiety or guilt and trying concrete shifts in thinking and behavior. Online sessions can include short between-session tasks and checking progress on small changes.
Deciding which approach to use is part of the work. The therapist will collaborate with the client to select methods based on needs, goals, and preferences and will adjust the plan as progress is reviewed.
Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit therapy into a busy life - for example a shorter check-in during a break or not having to travel to an office. It can also allow steady follow-up after a major life change while keeping therapy practical and focused.
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 concerns does she address?
She works with stress, anxiety, grief, relationship and intimacy issues, addiction concerns, and guilt and shame among other topics.
How would she approach feelings of shame or guilt?
She uses client-centered listening plus narrative and cognitive strategies to name the story behind the feelings and try practical shifts in thinking and behavior.
What is her clinical background?
She has four years of professional experience working with people on grief, life changes, and related concerns.
What credentials and location are listed?
She holds LCSW and LICSW credentials and practices in the District of Columbia; she also holds a Virginia LCSW and a District of Columbia LICSW.
Which languages are available for sessions?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are sessions paid for and what do they cost?
Cost varies with location and the practice uses a subscription model that can be canceled at any time.
How do I get started with a first session?
Select the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.