Anastasiia Makarova

Anastasiia Makarova is a counsellor with four years' experience who works from a cognitive-behavioural perspective. She helps people facing depression, anxiety and stress by offering clear, evidence-informed ways to tackle daily problems and painful thoughts. She communicates in English and Russian and works with clients in the United Kingdom and internationally.

Her approach is practical and collaborative. Sessions focus on identifying unhelpful patterns and trying small, manageable changes. She combines Cognitive Behavioral Therapy (CBT) with elements from Acceptance and Commitment Therapy (ACT) and Trauma-Focused Therapy when they fit the situation. Anastasiia pays attention to how relationships, sleep and routine affect mood and coping.

Clients mention common concerns she addresses include low mood, sleep difficulties, relationship and intimacy-related issues, anger, career stress, and grief. She also works with more complex presentations such as bipolar symptoms, ADHD, compassion fatigue and the effects of past trauma and abuse. Additional focus areas include attachment and abandonment issues, codependency, communication and control problems, and difficulties after divorce and separation.

Anastasiia holds BACP accreditation which is shown as BACP. She keeps up to date with developments in neuroscience and attends international conferences to inform her practice. Her sessions aim to be straightforward, goal-oriented and paced to the client’s needs.

To begin, prospective clients follow the site’s Start Therapy button, complete a short matching questionnaire and then schedule according to the therapist’s availability.

How Anastasiia uses therapy approaches online

Acceptance and Commitment Therapy (ACT) focuses on helping people notice unhelpful thoughts and commit to actions that match their values. It is useful for anxiety, depression and coping with life changes. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings and behaviour and uses practical exercises to shift those patterns; it is often used for depression, sleep problems and worry. Trauma-Focused Therapy concentrates on reducing the ongoing impact of past traumatic events through targeted techniques and pacing that suit the person’s needs.

Finding the right approach is part of the work. Anastasiia aims to decide together with each person which methods fit best for their goals and preferences. She adapts sessions as the work progresses, combining techniques when that helps the client make steady progress.

The biography does not list specific online formats, so please confirm current session options before booking. Online therapy can make it easier to fit sessions around work or family commitments, reduce travel time and allow for shorter check-ins when needed. It can also help keep continuity of care for people living abroad, since Anastasiia accepts international clients. Registered or accredited professionals, including therapists who use CBT, ACT and trauma methods, often find online work allows for practical exercises to be tried between sessions and reviewed together.