Anastasiia Makarova, BACP

Anastasiia Makarova is a BACP counsellor who uses cognitive and emotion-focused methods to help people through difficult moods and life transitions. She works with people feeling overwhelmed by stress, anxiety or low mood and those facing relationship and family challenges. Sessions are offered in English and Russian and she accepts international clients.

She draws on four years of clinical experience and combines approaches such as cognitive behavioural therapy and trauma-focused work to tailor sessions to each person. Anastasiia explains practical steps clearly and helps people notice patterns that keep problems going. Conversations often include looking at thoughts, emotions and action plans to try day-to-day changes.

Her approach also pays attention to attachment and emotional bonds when relationships or intimacy are at the heart of the difficulty. That can mean working through how past losses or family issues influence present reactions and connection with others. She includes strategies for coping with grief, anger, sleep problems and work stress.

People who want coaching-style support around career or motivation can expect focused goal-setting alongside therapy. Anastasiia is used to helping people manage complex or co-occurring issues such as ADHD, bipolar symptoms and compassion fatigue while keeping sessions practical and grounded.

To begin, a matching process helps decide if she is a good fit. She aims for a collaborative tone and straightforward guidance so people leave sessions with steps they can try between meetings.

How her approaches translate to online support

Acceptance and Commitment Therapy helps people notice thoughts and feelings without getting stuck in them, then commit to actions that match their values; it can help when low mood or avoidance are getting in the way. Cognitive Behavioural Therapy focuses on the links between thoughts, feelings and behaviours and uses practical exercises to change routines that maintain anxiety or depression. Trauma-Focused Therapy works on processing distressing events and reducing their effect on day-to-day life through paced, evidence-based steps.

Finding the right approach is part of the therapeutic process. Anastasiia works collaboratively to choose methods based on a person's needs, goals and preferences, and she adjusts the plan as therapy progresses so it stays relevant and manageable.

Confirm the available session formats before booking because the biography does not list them. Online work can make it easier to fit sessions into a busy life, reduce travel time and allow shorter check-ins when needed. It also lets people keep continuity of care when they move or live abroad, while keeping the focus on practical steps and emotional processing.