Anastasiia Makarova, BACP

Anastasiia Makarova is a counsellor with four years of experience who works from a cognitive behavioural perspective. She holds BACP registration, and she speaks English and Russian. Anastasiia aims to make sessions straightforward and practical for people dealing with stress, anxiety, low mood and relationship strains.

She helps people who are facing depression, persistent low mood and trouble with day-to-day organisation. She also supports those coping with grief, trauma and abuse, and with concerns around intimacy and communication. Anastasiia works with a wide range of life changes, including career shift, separation and the emotional impact of caregiving or compassion fatigue.

Her approach draws on cognitive behavioural ideas together with acceptance and commitment strategies. She also uses attachment-based and emotionally-focused methods when relationships and connection are central to the issue. For trauma-related difficulties she uses trauma-focused work to help manage symptoms and improve function.

Anastasiia describes therapy as a collaborative process. Sessions focus on practical steps, learning new ways to respond to difficult thoughts and emotions, and building skills that fit daily life. She aims to make strategies simple to use between meetings so progress can continue at home.

Based in the United Kingdom, she accepts clients internationally and works with people on concerns such as ADHD, anger, sleep problems, codependency and feelings of emptiness. Anastasiia asks prospective clients to confirm current session options before booking.

How these approaches work in online therapy

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose meaningful actions instead. It is often useful for anxiety, low mood and difficulties with motivation. Cognitive Behavioural Therapy (CBT) focuses on identifying patterns in thinking and behaviour and practising alternative responses to break cycles of anxiety or depression. Attachment-Based Therapy looks at how early relationships shape current connection styles and can help with intimacy and communication problems.

Finding the right approach is part of the work. Anastasiia will discuss options and try methods that match a person's goals and preferences. That means treatment plans are adjusted over time in collaboration with the client rather than fixed from the start.

If you are considering online sessions, confirm the specific session formats available before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time and allow brief check-ins when schedules are tight. It can also allow people in different countries to access support from registered or accredited professionals without relocating.