Brittany Cosme, LCSW, LICSW

Brittany Cosme is an LCSW in Virginia and an LICSW in the District of Columbia with four years of experience. She works with people managing stress, anxiety, grief, life changes, relationship concerns, and issues around self-esteem and intimacy. Sessions also address addictions, caregiver stress, and work-related strain.

Her approach is practical and conversational. She uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and try different responses. She also draws on attachment-based and client-centered ideas to understand relationship patterns and personal values.

In sessions she focuses on clear steps you can try between meetings. That may include small behavioral experiments, thought records, or short exercises to test new ways of relating. She pays attention to how past attachments influence current relationships and decision-making.

She also uses motivational interviewing when people want to change habits like substance use or other compulsive behaviors. Narrative techniques come in when it helps to organize life events into a coherent story and identify strengths.

Brittany aims to keep conversations straightforward and goal-oriented. She helps people set manageable targets and monitors progress over time. People who prefer a practical, problem-solving style may find this approach helpful.

How her approaches translate to online work