Macha Sayenko

(She / they )

Sexologist & Couples Counsellor

Verified by It's Complicated
Available for new clients
I work with mind and body. In the sessions it can be conversational, body focused or hypnotherapy. You will find the best ways for you by exploring different approches. You are your own expert. Inclusion is key

I specialise in:

At a glance
Saint-Gilles - Sint-Gillis, BelgiumAvailable in-person and online
Last active
Experienced on It's Complicated8 months on It's Complicated
Offers free 15 minute introductory callThis provider offers a free introductory call
Note from MachaMeet me at FPTM health center, 70 Berckmans street, Bruxelles or online. Rdv au 70 rue Berckmans à Bruxelles, ou en ligne.
Illustration of a smiling sun peeking over a cloud, symbolizing warmth and positivity for connecting with the therapist.
Usually responds within 24 hours

About me

/!/ Attention : à partir du 2 juin mes horaires de consultations changent, vous pouvez les retrouver sur mon calendrier. Je ne serais pas disponible du 8 au 26 juin. Merci de votre compréhension. /!/ Important information: from the 2nd of June, my schedule is changing, you can see the new availabilities on my calendar. I will not be available from 8 to 26 of June. Thanks for your understanding. (En français plus bas) I practice online and physically in a cabinet in Brussels. I am a clinical sexologist and ptr hypnotherapist, trained in anthropology, sociology, and clinical sexology, then in PTR hypnosis and sensorimotor approach. I propose a global approach inspired by the systemic approach. Through attentive and sensitive listening, I am oriented solutions and concrete actions to help you move forward quickly but not superficially.   As a neurodivergent person with a migration background, I propose an inclusive approach inspired by systems thinking. I use different approaches to be able to offer you tailored and personalized support. I am committed to taking a conscious and engaged perspective, taking into account issues of social class, gender, romantic and/or sexual orientation, and cultural and social origins.  Je suis disponible en ligne et en cabinet sur Bruxelles. Je suis une sexologue clinicienne et hypnothérapeute ptr, formée en anthropologie, sociologie et sexologie clinique puis en hypnose PTR et approche sensori-motrice, je propose une approche globale inspiré de la systémique. À travers une écoute attentive et sensible, je suis orientée solutions et actions concrètes pour vous aider à avancer rapidement mais pas de manière superficielle.   Étant moi-même neurodivergente et avec un passé de migration, je propose une approche inclusive inspirée par la pensée systémique. J'utilise différentes approches pour pouvoir vous offrir un accompagnement adapté et personnalisé. Je m’engage à poser un regard conscient et engagé, une prise en compte des questions de classe sociale, de genre, d’orientation romantique et/ou sexuelle et d’origines culturelles et sociales. 

I speak:

FrenchRussianEnglish

Connect with me:

Location:

Rue Berckmans 70, 1060 Saint-Gilles - Sint-Gillis, Belgium

Approach

Treatment Approaches
Body therapyRecommended for those who want to connect their mind and body to release stress or trauma through physical sensations and movement.
HypnotherapyRecommended for those who want to use relaxation and hypnosis techniques to explore deeper parts of their mind or break unhealthy habits.
Trauma Informed CareRecommended for those who have experienced trauma and need a safe, supportive space to heal at their own pace.
(Français en bas) I am a clinical sexologist and PTR hypnotherapist. As part of my ongoing professional and personal development, I am particularly attuned to: Neurodiversity, Disabilities (intellectual, cognitive, motor), Trauma and post-traumatic stress, Queer & LGBTQIA+ health, Sex workers, Kinky/BDSM The sessions are adapted and flexible, focused on concrete solutions and actions. My approach is based on 3 approaches (MENTAL - MIND - BODY):  ​ - The conversational - therapy through speech  - PTR hypnosis - an approach that summons the imagination and the unconscious  - A somatic approach – integrating bodily sensations and movements to treat trauma. My approach is grounded in the lived realities and systemic environments that shape each person. Informed by systemic thinking and social sciences, I offer an engaged and intersectional perspective. I provide support in the following areas: Relational and/or sexual difficulties, Intimate well-being, Sex education Dissatisfaction related to pleasure or desire, sexual health, pain, and discomfort, endometriosis, postpartum, anorgasmia, difficulties around desire... I offer support that is: A flexible and adaptable space that puts you in control, empowering you to leverage your own resources and ideas. I provide the guidance and all the tools you may need. Consultations are available in French. English and Russian are available upon request. Several prices are available: fixed price and flexible price A free introductory call is offered (request by email via the contact tab). Je suis sexologue clinicienne et hypnothérapeute PTR. En formation continue, je suis particulièrement sensibilisée aux : Neurodiversités, Handicaps (intellectuels, cognitifs, moteurs), Traumas et syndromes de stress post-traumatique, Questions de santé Queer & LGBTQIA+, TDS, Pratiques Kinky/BDSM Mon approche estadapté et flexible, centré solutions et actions concrètes. Basé sur 3 approches   (MENTAL - ESPRIT - CORPS) :  ​ - Le conversationnel - thérapie via la parole  - L'hypnose PTR - approche qui convoque l'imagination et l'inconscient  - Une approche somatique -  approche intégrant les sensations corporelles et les mouvements pour traiter les traumatismes. Je propose un accompagnement ancré dans la réalité et dans les systèmes qui entourent chaque personne. Inspirée par la systémique et les sciences sociales, j’offre un regard engagé et intersectionnel. J’accompagne notamment sur les thématiques suivantes : Difficultés relationnelles et/ou sexuelles, Bien-être intime, Sexo-éducation Insatisfactions liées au plaisir et au désir, Santé sexuelle, douleurs et inconforts, endométriose, post-partum, anorgasmie, difficultés autour du désir... Je propose, un espace flexible et adaptable qui vous donne le contrôle, en vous permettant de tirer parti de vos propres ressources et idées. Je vous offre le guidage et tous les outils dont vous pourriez avoir besoin. Les consultations sont disponibles en français. L’anglais et le russe sont disponibles sur demande. Plusieurs tarifs sont proposés : forfait et forfait flexible. Un premier appel gratuit est proposé (demande par e-mail via la rubrique « Contact »).

Experience

8 months at It's Complicated
Over 10 years of experience as a support worker and caregiver for people with disabilities and neurodivergent individuals (France and Switzerland). Training and experience in the world of sex toys, sensual products, and BDSM practices. Currently at the love shop Désir&Moi. Plus de 10 ans d'expérience en tant qu'accompagnante et soignante auprès de personnes en situation de handicap et de personnes neurodivergentes (France et Suisse). Formation et expérience dans le monde des sextoys, des produits sensuels et des pratiques BDSM. Actuellement en poste chez Désir&Moi.

Education

2025 - Private trainings - Hypnose PTR by Julien Lociuro - Kink/BDSM and mental health by Noémie Gmür and Léa Revelard - Professionnal training by GenresPluriels : "Beyond binary categories: the diversity of genders and sexes" - SENSORIMOTOR PSYCHOTHERAPY: A BODY APPROACH TO PSYCHOLOGICAL TRAUMA – PAT OGDEN 2025 ULB– Belgium Master's Degree in Clinical Sexology – Dissertation – “Intimacy Between Four Walls and Many Hands – Third-Party Care for the Intimacy and Sexuality of People with Disabilities* Living in Specialized Institutions.” 2024 Aix-Marseille University – France Diploma in Sexual Health Education + Certificate – FPC Violence Against Women + Training – How to Help Victims of Mental Control and Abuse / Active Listening and Interview Techniques 2022 Jean-Jaurès - Toulouse - France Master's Degree in Sociology – Mediation and Social Intervention, Solidarity, and Health 2018 Jean-Jaurès - Toulouse - France Bachelor's Degree in Anthropology ​* The term “disabled” is a neologism claimed by a section of the activist movement for people with disabilities and used by concerned authors such as Zig Blanquer. It aims to revalue the identity of people by removing the notion of “situation” which can suggest that disability is above all a negative condition, a deficiency that must be repaired or corrected.

Services

Intro Call

Free 15 min Online

Individual Session

Sliding scale
€40 1 hr Online & In-person
The usual cost is 60 €. You can also pay less if you need, but think about your privilege and be fair please. We can talk about that.

Individual Session

€60 1 hr Online

Couples Session

€90 1 hr 30 min Online

Insurances

Private Pay
At a glance
Saint-Gilles - Sint-Gillis, BelgiumAvailable in-person and online
Last active
Experienced on It's Complicated8 months on It's Complicated
Offers free 15 minute introductory callThis provider offers a free introductory call
Note from MachaMeet me at FPTM health center, 70 Berckmans street, Bruxelles or online. Rdv au 70 rue Berckmans à Bruxelles, ou en ligne.
Illustration of a smiling sun peeking over a cloud, symbolizing warmth and positivity for connecting with the therapist.
Usually responds within 24 hours
Next available: May 25