Make senseof what’s going on

We’ll talk through how you’re feeling, your symptoms and how they’ve developed over time. I’ll carry out a psychiatric assessment, explain what might be going on and walk you through the options for further help.

You’ll leave with a clearer picture of what may be happening and what the next steps could be.

Online consultations are for information and advice only: in this format I can’t make an official diagnosis or write prescriptions.

If medication might help, I’ll explain the options and how to arrange an in-person appointment.

Yes. I can go through possible treatment options in detail — how the medications work, their side effects and how the right one is chosen.

Prescription medication can only be prescribed at an in-person appointment.

• length — 50–60 minutes
• format — video call
• afterwards, a short written summary of my recommendations if you’d like one

Therapy means meeting regularly and working on specific difficulties and goals. We start by talking about what brings you in and agreeing on what to focus on.

• online
• sessions last 50–60 minutes
• ideally once a week

Along the way we might work on anxiety, managing emotions, self-criticism, avoidance, patterns you keep falling into, and difficulties in relationships.

It’s not always possible to say in advance how long therapy will take — that depends on what you want to work on, your goals and how things progress.

Emotional wellbeing: anxiety and constant inner tension, low mood and apathy, emotional ups and downs, feeling empty, being highly sensitive.

Relationships: difficulty getting close to people, fear of rejection, painful patterns that keep repeating, dependent or codependent relationships, trouble setting boundaries.

How you see yourself: harsh self-criticism, low self-esteem, perfectionism, struggling to accept yourself.

Inner conflict: not knowing what you really want, finding it hard to express your feelings, feeling you’ve lost touch with yourself, feeling pulled in different directions inside.

Behaviour: procrastination, avoidance, difficulty making decisions, struggling to manage your emotions.

Compassion-focused therapy (CFT) was developed in part to help people struggling with intense self-criticism and shame. Together we look at how you tend to respond to your own difficulties and build a kinder, more supportive relationship with yourself.

Cognitive behavioural therapy (CBT) looks at how thoughts, feelings and behaviour affect one another. The work may involve examining automatic thoughts and beliefs, changing habits that aren’t helping you, and learning practical skills.

I work in Russian and English. Both consultations and psychotherapy are available in either language.