Cou‚Äčnseling Associates of Metropolitan Washington

About Us


include those struggling with depression and/or anxiety, trauma/abuse histories, relationship problems, grief, or difficult life transitions. She received her undergraduate degree in Education and holds a masters degree in Social Work.  She completed a 2-year clinical training program at the Washington School of Psychiatry.

In addition, Ms. Horan has more than 20 years experience working on local, state and national polity affecting women, their families, and children. She has worked as a lobbyist, policy analyst, and consultant for organizations including the American College of Obstetricians and Gynecologists, the Family Violence Prevention Fund, the National Sexual Assault Resource Center, and the Centers for Disease Control and Prevention. She has authored articles and monographs addressing violence against women and violence prevention. She is married with twin daughters.

NANCY C. MARKOE, MPM, MSW, LCSW-C, has worked with women and families in clinical settings since 1997; she currently serves individuals and groups in private practice and as a consultant. Ms. Markoe holds masters degrees in Social Work and in Public Policy from the University of Maryland and later trained as a therapist in the Georgetown University Cooperative Clinic. Ms. Markoe has pursued advanced training in psychotherapy.

 Prior to entering private practice, Ms. Markoe worked with trauma survivors in a variety of clinical settings,  most recently with adult survivors of domestic violence and sexual abuse. In addition to her practice, Ms. Markoe also writes about working and raising children; her work has appeared in Washingtonian Magazine. Ms. Markoe is married with two children and lives in Washington, DC.

DEBORAH L. HORAN, MSW, LCSW-C, has provided mental health services to individuals, couples, families and groups for more than a decade. Ms. Horan works collaboratively with clients -- as individuals, couples or families -- to help them explore issues and identify new ways of relating to and solving problems. Her clients