It's Complicated

Ksenia Trefilova

(she/her)

Counsellor

Available for new clients
Second-generation psychotherapist in the fam and mental health founder, exploring how dreams and personal narratives shape our lives. Working with trauma, PTSD, neurodiversity, identity, relationships, and addiction.

I specialise in:

At a glance
Barcelona, SpainAvailable in-person and online
Last active
Offers free 30 minute introductory callThis provider offers a free introductory call
Note from KseniaI work deeply, not quickly - best for those ready to face themselves. Not for quick fixes.
Illustration of a smiling sun peeking over a cloud, symbolizing warmth and positivity for connecting with the therapist.
Usually responds within 8 hours

About me

You're probably here because something feels stuck - in your relationships, in your body, in the story you keep telling yourself. Maybe you've already tried therapy and it didn't reach deep enough. Maybe you've been "functioning fine" on the outside for so long that you've forgotten what it feels like to actually be okay. I work with people who are ready to go deeper. Not for quick fixes - but for real, lasting change. --- I'm a trauma therapist working in English and Russian, in-person in Barcelona and online worldwide. My clients include expats navigating identity and belonging, people recovering from trauma and abuse, adults who grew up in emotionally unavailable families, neurodivergent adults, people integrating intense or psychedelic experiences, and anyone who feels disconnected from themselves after a major life transition. My approach combines EMDR, Gestalt therapy, somatic work, existential analysis, and systemic constellations. I work with the mind, the body, and your personal history and narrative - because that's where real change lives. --- A little about my path: I became a therapist after 17 years in international business across four countries. I know firsthand what it means to lose yourself in a role, a relationship, or a country that doesn't feel like home. I'm a second-generation psychotherapist in my family - my grandmother was publicly elected to mediate conflicts in her community after WW2. Healing runs in the family. I have deeply personal reasons for specialising in trauma. That's what makes this work real for me. --- I work deeply, not quickly. My best clients are people who are ready to face themselves. If that's you - write to me. I usually respond within a few hours. We'll have a free 30-minute call first to make sure we're a good fit.

I speak:

EnglishRussian

Connect with me:

Location:

Barcelona, Spain

Media Gallery

Approach

Treatment Approaches
Existential analysisRecommended for those who are searching for deeper meaning in life or are struggling with big questions about existence, freedom, and purpose.
Gestalt therapyRecommended for those who want to focus on the present and take responsibility for their feelings and actions to promote personal growth.
Psychedelic integration therapyRecommended for those who have had psychedelic experiences and want help understanding and integrating the insights into their everyday life for personal growth and self-discovery.
My methods: Gestalt, existential analysis, CBT/EMDR, body somatic work, systemic constellations therapy.

Experience

4 years in practice
Run a private practice since 2022 at www.trefilovapsychology.com Co-founded mental health startup www.askfritz.chat

Education

2007 - Moscow State Pedagogic University 2023 - Eastern-European Institute of Psychoanalysis 2023 - Meta Institute Sistemic Spain - finished training with Daan Van Kampenhout in system rituals 2023 - ICEERS - finished training for care providers offering psychedelic integration, how to integrate the experience in daily life 2024/2026 - InSight California Gestalt Therapy Group - finished training in Trauma and Addiction a Compassionate/Relational Gestalt Approach

Services

Intro Call

Free 30 min Online

Individual Session

€80 1 hr 10 min Online & In-person
Individual session online or in-person.

Individual Session

€80 1 hr 10 min Online & In-person
Online or in-person.

Insurances

Private Pay
At a glance
Barcelona, SpainAvailable in-person and online
Last active
Offers free 30 minute introductory callThis provider offers a free introductory call
Note from KseniaI work deeply, not quickly - best for those ready to face themselves. Not for quick fixes.
Illustration of a smiling sun peeking over a cloud, symbolizing warmth and positivity for connecting with the therapist.
Usually responds within 8 hours

Explore more

My publications

Next available: Jun 8