20+ Years of Experience | Specializing in Individual, Couples, Couples Discernment & Family Counseling
Current Vice President, Board of Directors – Virginia Mental Health Counselors Association
Why Work With Me?
Traditional counseling approaches can sometimes feel outdated. Simply listening, nodding, and affirming doesn’t always help—especially when you’re already exhausted from conflict, confusion, or disconnection.
By the time many couples or families walk into my office, they’ve “had it.” My goal is to help you break free from old patterns and create meaningful, lasting change—not only during sessions but in your day-to-day life where it truly matters.
That begins with a Free 15-Minute Virtual Consultation. This is our chance to:
Share what brought you here
Ask questions about my counseling approach and process
Make sure we “click” before beginning the work together
Client Feedback
"Dr. Anne McKay is the only therapist I’ve ever worked with, and I thank my lucky stars that I found her, because I had truly lost myself. Together, we found ME again, my true self, my “center.” And for this I shall always be grateful." - Google Review, 2025
"Dr. McKay is amazing. She tells you what you need to hear. She helped me and my partner pull through a really difficult time and gave us tools we still use today." – Facebook, 2024
"As she always says, your life is not a dress rehearsal. Each day matters." – Google Review, 2023
"So glad I found a highly experienced therapist who ‘gets it’ and gets results fast." – Google Review, 2023
"She’ll tell you what your friends won’t—that’s what makes your time and money well-spent." – Google Review, 2020
Credentials & Leadership Roles
Vice President, Board of Directors – VAMHCA (State Representative, AMHCA)
Licensed Professional Counselor (LPC)
Nationally Certified Counselor (NCC)
Clinically Certified Mental Health Counselor (CCMHC)
Board Certified Clinical Supervisor (LPC-S)
Certified Clinical Trauma Professional (CCTP)
Board Certified Telemental Health Provider (BC-TMH)
Session Options & Fees
Office Hours: Monday / Tuesday / Friday | 8:00 AM – 6:00 PM
Format: In-Person (Reston office across from Reston Hospital) or Virtual
Individual Session (50 min): $220
Couples / Family Session (50 min): $250
Payment accepted by Credit, Debit, or Health Savings Account (HSA). Invoices provided for insurance reimbursement.
Counseling Services
Individual Counseling
Personal growth, healing, and emotional clarity for every stage of life.
Anxiety, depression, grief, and life-stage adjustment
Building self-esteem, confidence, and emotional regulation
Managing stress, burnout, and perfectionism
Exploring identity, purpose, and personal growth
Healing from trauma, loss, or relational wounds
Navigating career transitions and decision-making clarity
Developing healthy boundaries and communication patterns
Enhancing self-awareness and resilience in daily life
Couples Counseling
Helping partners strengthen connection, trust, and communication.
Dating, cohabiting, marital, or long-term partnerships
Healing from infidelity, rebuilding trust, and addressing accountability
Strengthening intimacy and connection
Balancing dual-career households (72% of U.S. families, Census 2019)
Navigating parenthood, life transitions, and relational stress
Discernment Counseling (“Couples on the Brink”)
For couples uncertain about divorce or reconciliation.
One partner is leaning toward separation
The other wants to preserve the relationship
Short-term structured process (1–5 sessions) designed to help couples decide whether to:
Commit to repairing the relationship
Move toward separation or divorce with clarity and respect
Gain clarity, confidence, and a professional perspective on whether meaningful change is possible
Collaborative Divorce & Blended Families
Guiding families through transition with empathy and integrity.
Approach divorce with mutual respect, forgiveness, and child-centered care
Co-parent effectively without guilt, shame, or manipulation
Navigate blended families (16% of U.S. households, Pew 2019)
Manage differing parenting styles and schedules
Build a supportive environment that breaks harmful cycles for the next generation
Family Dynamics & Parenting
Fostering connection, communication, and resilience across generations.
Stay connected with your children and teens through changing stages
Learn effective ways to coach and guide while fostering independence
Support your child’s (and your own) transition into adulthood with resilience and confidence
Treatment Modalities
Integrating evidence-based and experiential approaches tailored to your goals.
Cognitive Behavioral Therapy (CBT)
Internal Family Systems (IFS)
Mindfulness-Based Stress Reduction (MBSR)
Experiential and Somatic Awareness Techniques
Trauma-Informed and Strengths-Based Practice
Gottman-Informed Couples Interventions
Discernment Counseling (for “mixed-agenda” couples)
Family Systems and Parenting-Skills Coaching
Psychoeducation and Skills-Building for Emotional Regulation
Telemental Health Counseling (TMH) — secure, accessible, and evidence-based online care