Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
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April McDowell

Marriage & Family Therapist, PhD, LMFT

Verified by Psychology Today Verified by Psychology Today
8 Endorsed
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Let's Connect (703) 635-3965
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
Available both in-person and online
243 Church Street Northwest Vienna, VA 22180
You may be unsure whether your relationship can be repaired anymore. Maybe communication turns into conflict within minutes! Maybe one of you has emotionally checked out. Maybe you’ve tried counseling before and left feeling unheard, blamed, or even more disconnected. Some couples come to therapy wanting to rebuild their relationship. Others come because they need clarity about whether staying together still makes sense. Both are welcome here. I specialize in: - High-conflict couples - Couples on the brink of divorce - Individuals trying to repair relationship problems while they're partner refuses therapy - Premarital couples
My approach is active, structured, and honest. Therapy is not just a place to vent - it’s a place to understand the patterns keeping you stuck and begin responding differently. With 20 years of experience, I specialize in high-conflict couples and severe relationship distress. I help both married and non-married couples, and I'm LGBTQ and poly friendly.
Starting therapy can feel overwhelming, especially when your relationship feels fragile or stuck. You don’t have to figure it out alone! I offer free phone consultations and can often accommodate requests to begin therapy within days of your initial outreach.
Call or April McDowell now for a free 15 minute consultation - (703) 635-3965

My Practice at a Glance

Available both in-person and online

Decision Point Therapy LLC

243 Church Street Northwest

Vienna, VA 22180 map

(703) 635-3965
My website
Accepting new couples and individuals for 2026!
I specialize in Relationship Issues, Marital and Premarital and Infidelity 
$225 Per Session  
I see individuals, couples and families  
Let's Connect (703) 635-3965
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT

My Practice at a Glance

Available both in-person and online

Decision Point Therapy LLC

243 Church Street Northwest

Vienna, VA 22180 map

(703) 635-3965
My website
Accepting new couples and individuals for 2026!
I specialize in Relationship Issues, Marital and Premarital and Infidelity 
$225 Per Session  
I see individuals, couples and families  

Finances

Fees

  • Individual Sessions $225
  • Couple Sessions $225

Payment Methods

American Express, Cash, Discover, Health Savings Account, Mastercard, Visa

Insurance

  • Out of Network
"
Private pay only. Military discounts available. Insurance not accepted for payment. (Insurance reimbursement available in select cases and I'll provide a Superbill for out-of-network clients to help.)
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Call or for a free 15 minute consultation now - (703) 635-3965
"
Private pay only. Military discounts available. Insurance not accepted for payment. (Insurance reimbursement available in select cases and I'll provide a Superbill for out-of-network clients to help.)
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Call or for a free 15 minute consultation now - (703) 635-3965

Qualifications

  • Verified by Psychology Today Licensed by State of Virginia / 0717001389 April McDowell
  • Education and Years In Practice

  • In Practice for 19 years
  • Attended University of Maryland, Graduated 2007
  • Additional Credentials

  • Certificate from PREPARE-ENRICH Trained Facilitator / 2011
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Feel free to ask about qualifications and training experience. or (703) 635-3965
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Feel free to ask about qualifications and training experience. or (703) 635-3965

Specialties and Expertise

Top Specialties

  • Relationship Issues
  • Marital and Premarital
  • Infidelity

Expertise

  • Bisexual
  • Divorce
  • Family Conflict
  • Lesbian
  • LGBTQ+
  • Polyamory & ENM
  • Premarital Therapy
  • Sex-Positive & Kink Friendly
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Do these issues align with your needs? or (703) 635-3965
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Do these issues align with your needs? or (703) 635-3965


Client Focus

Age

Adults

Participants

Individuals
Couples
Family

Communities

Bisexual Allied
Gay Allied
Lesbian Allied
Queer Allied
Racial Justice Allied
Transgender Allied

Ethnicity

Black and African American

Age

Adults

Participants

Individuals
Couples
Family

Communities

Bisexual Allied
Gay Allied
Lesbian Allied
Queer Allied
Racial Justice Allied
Transgender Allied

Ethnicity

Black and African American

Treatment Approach

Types of Therapy

  • Bowen Family Systems
  • Cognitive Behavioral (CBT)
  • Emotionally Focused Therapy
  • Family / Marital
  • Family Systems
  • Relational
  • Solution Focused Brief (SFBT)
"
There is no one therapy model I use as it depends on your individual situation. But most often, I utilize concepts and methods from CBT, EFT, Bowen Family Systems, and The Gottman Method to treat my clients.
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Call or for a free 15 minute consultation now - (703) 635-3965
"
There is no one therapy model I use as it depends on your individual situation. But most often, I utilize concepts and methods from CBT, EFT, Bowen Family Systems, and The Gottman Method to treat my clients.
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Call or for a free 15 minute consultation now - (703) 635-3965

Location

Primary Location

Decision Point Therapy LLC

243 Church Street Northwest

Vienna, VA 22180

(703) 635-3965
"
Accepting new couples and individuals for 2026!
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Call for a free consultation now - (703) 635-3965
"
Accepting new couples and individuals for 2026!
Photo of April McDowell, Marriage & Family Therapist, PhD, LMFT
April McDowell
Marriage & Family Therapist, PhD, LMFT
Call for a free consultation now - (703) 635-3965