Anastasiia Makarova

Anastasiia Makarova is a counsellor with four years' experience and a BACP accreditation. She introduces straightforward, practical ways to reduce overwhelming mood and regain everyday functioning. Anastasiia writes in plain terms and helps people break problems into small, manageable steps.

She often works with people facing depression, anxiety, stress and relationship difficulties. She also supports those dealing with grief, trauma and abuse, sleep problems, anger and work-related strain. Additional concerns she helps address include self-esteem, intimacy issues, ADHD, compassion fatigue and career questions.

Anastasiia uses a mix of approaches including cognitive behavioural techniques, acceptance and commitment ideas, attachment-focused work and trauma-informed methods. Sessions focus on learning helpful skills, practicing new ways of responding, and identifying patterns that keep problems going. She aims for clear goals and steady progress rather than quick fixes.

Her way of working is collaborative and goal-focused. Clients can expect to set priorities together and try practical exercises between meetings. Anastasiia also pays attention to how early relationships and patterns influence current struggles.

She sees people in the United Kingdom and offers sessions in English and Russian. International clients may be supported; check the session options when arranging a first appointment. To begin, use the Start Therapy button and complete the short matching questionnaire to schedule a time.

Approaches used in online therapy and how they help

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck in them, and then choose actions that match their values. It can be useful for anxiety, depression and life changes. Cognitive Behavioural Therapy focuses on linking thoughts, feelings and behaviours to change unhelpful patterns through practical exercises and homework. It often helps with low mood, anxiety and sleep problems. Attachment-Based Therapy looks at how early relationships shape current emotional responses and helps people build safer ways of relating to others and themselves.

Finding the right approach is part of the process. The therapist will work together with the client to choose methods that fit their needs, goals and preferences. That collaborative process includes checking what works and adjusting the plan over time.

If you are considering online sessions, please confirm which session formats are offered when you book, because the biography does not specify them. Online work can make it easier to fit therapy into a busy week, reduce travel time and allow shorter check-ins when needed. It also lets people use visual tools and screen-based exercises during a session. Registered or accredited professionals can use these methods to support steady progress while working around everyday commitments.