Anastasiia Makarova, BACP

Anastasiia Makarova is a BACP counsellor who bases her practice on cognitive-behavioural ideas and related approaches. She brings four years of clinical experience and works with people facing persistent low mood, anxiety, stress and major life changes. She speaks English and Russian and meets with people in the United Kingdom and internationally.

Her sessions focus on practical steps people can use day to day. She helps clients break problems into manageable parts, spot unhelpful thinking patterns and test new behaviours. She also addresses relationship strain, sleep problems, grief, anger and career stress in straightforward ways.

Anastasiia uses elements of Acceptance and Commitment Therapy to help people clarify values and take meaningful action. She draws on Attachment-Based and Emotionally-Focused ideas when relationships and intimacy are central to the work. Trauma-Focused methods are used carefully when past harm affects present functioning.

Clients can expect clear explanations, gentle challenge and collaborative goal-setting. She emphasises simple tools to help with organisation, sleep and emotional regulation. Her background includes attendance at international conferences and membership of psychological associations in the UK and the US.

The first session typically reviews recent difficulties and sets short-term goals. Later sessions build skills, test changes in real life and review progress. People who prefer sessions in Russian are also supported.

How her approaches work in online therapy

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps towards those values despite difficult thoughts or feelings. It is often useful for stress, life transitions and low mood. Cognitive Behavioural Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviours to change mood and functioning; it is commonly used for anxiety, depression and sleep problems. Attachment-Based ideas are applied when relationship patterns or intimacy issues are central, helping people notice how early bonds shape current responses.

Choosing the right approach is part of the work. Anastasiia will talk through options in the first sessions and decide together which methods fit your goals and preferences. The plan is flexible and may combine elements from different approaches as needed.

For practical arrangements, please confirm the session formats available before booking since the biography does not list specific delivery methods. Online work can make it easier to fit therapy into a busy week, allow shorter check-ins when needed and remove travel time. It can also support people living outside the therapist's immediate area, while the therapist and client agree on how to structure sessions to match everyday routines.