It's Complicated

Marina Efremova

(she/her)

Cognitive Behavioural Therapy (CBT) Therapist & Clinical Psychologist

Available for new clients

I specialise in:

At a glance
Moscow, RussiaAvailable online only

About me

I am a clinical psychologist with a background in high-complexity business environments, including leadership roles. This experience shapes how I understand pressure, responsibility, and decision-making under uncertainty — not as abstract concepts, but as lived reality. In my practice, I often work with professionals who are used to functioning at a high level but find themselves facing burnout, loss of motivation, or internal conflict. These are not always visible problems, and they are rarely solved by generic advice. My role is to help make sense of what is happening beneath the surface and restore a sense of direction and control. I work in both Russian and English and support clients across different cultural and professional contexts, including relocation, identity shifts, and adaptation to new environments.

I speak:

EnglishRussian

Location:

Moscow, Russia

Approach

Treatment Approaches
Art therapyRecommended for those who feel more comfortable expressing emotions through creativity and want to explore their feelings through art rather than talking.
CBT: Cognitive behavioral therapyRecommended for those looking for practical support and accountability to change unhelpful thinking and behaviors.
Systemic coachingRecommended for those who want to improve their personal or professional relationships by understanding how they function within larger systems.
My approach is structured and direct, while remaining attentive to the client’s experience in the moment. I work integratively, selecting methods based on the client’s situation rather than applying a single framework. In sessions, we do not just talk — we clarify and experience. We identify patterns, separate signal from noise, and develop an understanding of what is actually driving your current state. At the same time, I support you in working through what is happening emotionally, so that insight is not only understood but also felt and integrated. Depending on the situation, I may draw on cognitive-behavioral therapy (CBT), EMDR, and psychodynamic approaches. When helpful, I also use non-verbal techniques, including elements of art therapy. The goal is to create a space where you can better understand yourself, process what is difficult, and move forward with greater clarity, stability, and internal support.

Services

Individual Session

€80 50 min Online

Individual

€80 50 min Online

Family Session

€120 45 min Online

Art-therapy individual

€100 1 hr 20 min Online

Insurances

Reimbursement
At a glance
Moscow, RussiaAvailable online only

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