Anastasiia Makarova, BACP

Anastasiia Makarova is a counsellor with four years of clinical experience and a BACP credential. She works from the United Kingdom and speaks English and Russian. Anastasiia focuses on practical ways to reduce distress and help people regain routine and hope.

She supports people dealing with anxiety, stress and depression. She also helps with relationship and intimacy-related issues, grief, trauma and abuse, and challenges such as sleep disturbance, anger and career concerns. Additional areas include ADHD, compassion fatigue and difficulties with self-esteem and boundaries.

Anastasiia uses evidence-informed approaches to structure sessions and set clear steps forward. Her work draws on cognitive behavioural ideas to tackle thoughts and behaviours, and attachment-based thinking to look at how relationships shape feelings. Trauma-focused methods are used when people need to process difficult experiences.

Sessions are practical and collaborative. Anastasiia aims to make goals manageable and to teach skills people can use between sessions. She offers conversations in English or Russian and can work with people internationally.

People start by completing a short questionnaire and then arrange sessions to suit their schedule. Therapy is delivered online using video calls, phone sessions, live chat or text messaging. Payment is via a subscription model that can be cancelled at any time.

How Anastasiia’s approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting overwhelmed, then commit to actions that reflect their values. It can be useful for anxiety, depression and coping with life changes. Cognitive Behavioural Therapy (CBT) focuses on identifying unhelpful thought patterns and testing new behaviours to reduce symptoms and improve daily functioning. It is commonly used for anxiety, depression and sleep difficulties. Attachment-Based Therapy looks at how early and current relationships shape emotional responses and can help when relationship patterns or intimacy issues cause distress.

Finding the right approach is part of the work. Anastasiia will discuss options and choose methods together with the person based on their needs, goals and preferences. That collaborative planning helps keep sessions focused and relevant.

Online therapy offers flexible ways to meet, including video calls, phone sessions, live chat and text messaging. Video sessions allow face-to-face conversation and visual cues, phone sessions can be easier when bandwidth is limited, live chat suits shorter check-ins, and messaging lets people reflect in writing between meetings. These formats make it easier to fit therapy around work, family life and different time zones, while keeping the focus on progress and practical skills.