A woman with shoulder-length brown hair wearing a cream sweater with pearl embellishments, smiling while standing outdoors against a wooden wall.
A woman with shoulder-length brown hair wearing a cream sweater with pearl embellishments, smiling while standing outdoors against a wooden wall.

Cara McDowell

Licensed Marriage and Family Therapist #43358

Location

Encinitas Office & Telehealth

Fee

$280 per 50 minutes, $420 per 80 minutes

Education

Bachelor of Art, Psychology | University of San Diego

Master of Arts, Marriage and Family Therapy | University of San Diego

Professional Training

Emotionally Focused Couples Therapy Externship

Emotionally Focused Couples Therapy Core Skills

Availability

Monday: 10:00am to 5:00pm

Tuesday: 10:00am to 5:00pm

Friday: 10:00am to 4:00pm

About Cara

Hello, I’m Cara McDowell, a Licensed Marriage and Family Therapist with over 20 years of experience supporting couples and individuals to heal, grow, and reconnect. I specialize in relationship challenges, whether my clients are feeling distant, stuck in conflict, rebuilding after betrayal, or hoping to rekindle sexual intimacy.

Relationships are my passion. I guide couples and individuals to break free from painful patterns, restore closeness, and cultivate a more secure and satisfying bond. My approach is trauma informed and based on Emotionally Focused Couples Therapy (EFCT), an evidence-based model rooted in attachment theory, to help couples and individuals understand their emotions, express their needs, and reach for others with openness and care.

I work with many couples and individuals who are actively parenting, balancing professional responsibilities, and managing the ongoing demands of daily life. My focus is on helping them maintain good communication while strengthening love and intimacy amid these stressors. I have a particular interest in working with neurodivergent couples and have completed specialized training in supporting those impacted by ADHD.

I bring warmth, clarity, directness, and compassion to every session. Clients often share that they feel seen and understood by me, sometimes for the first time in a long time. I help my clients interact in ways that foster trust, safety, clarity, and connection. Whether you are in crisis, or simply looking to strengthen your relationship, I offer an accepting presence and a path forward.

Outside of the therapy room, I’m a mom to three boys and a wife to my wonderful husband. I enjoy family dinners, walking our dog, and relaxing with a good book or a challenging puzzle.