Alexander Dimitrevich
is a Clinical/Crisis Psychologist and CBT Therapist.
is a Clinical/Crisis Psychologist and CBT Therapist.
- Aftermath of Crisis situations
- Panic attacks
- Anxiety disorders / PTSD
- Fears / phobias
- Excessive anger
- Depressive states
Languages: English, Ukrainian, Russian
I adhere to international protocols (with confidentiality as a fundamental principle) and utilize cognitive-behavioral therapy, as it is the most effective approach available today.
What can you expect from our work together?
You will learn and understand:
- How our thinking is formed
- What core and intermediate beliefs are
- What automatic thoughts are and how they impact the quality of our lives
- What is a rumination and vicious cycles are
You will understand the basics of mental health:
- How to maintain psycho-emotional balance
- Signs of mental disorders
- How to support yourself in difficult life circumstances.
You will learn the fundamentals of the cognitive-behavioral model:
- How thoughts, feelings, and behaviors are interconnected
- What underlies our behavior
Will help to analyse your behavior and thinking patterns to:
- Develop an action plan to change unwanted thinking and behavior patterns that cause unpleasant emotions and physical sensations, and affect relationships with others, hindering your career, relationships, and personal development.
- Select effective techniques and systems to change unuseful habits.
- Find meanings and enhance your motivation.
You will understand how to overcome your own limiting beliefs and unproductive habits by:
- Using the "wise mind"
- Mastering systems of questions that you can use in various life situations for a rational approach.
What is NOT a part of my work?
- Uncomfortable questions about topics you do not wish to discuss.
- Delving into the past or surfacing hidden memories.
- Analyzing family relationships and the periods of childhood and personal development.
- Esoteric and "secret" techniques.
- Complex professional jargon that is difficult to understand.
You will be able to manage your own conditions during:
- Panic attacks
- Anxiety disorders (neuroses)
- Fears
- Stress (chronic and acute)
- Excessive anger
- Depression
Why do you need a psychologist? I can be my own "mind healer"! There's no better psychologist than a bottle of Jameson and a friend, right?
Good friends are undoubtedly important and a necessary part of a fulfilling life. If you can easily solve all problems, then perhaps you don't need a psychologist. However, often this approach leaves you with a headache and unresolved issues in the morning. Would you trust your friend to perform a simple appendectomy if your friend isn't medically trained? Has your friend been trained as Consellor or Therapist? It's important to note that psychologists do not work with their own friends, family members, don’t diagnose them, and certainly don’t commit them to psychiatric care. Moreover, every psychologist has their own psychologist. Yes, we seek help from professionals. Therefore, if difficult, dramatic, or tragic events occur or have occurred in your life, such as a divorce or breakup, a crisis situation, a sudden severe illness, marital infidelity, or betrayal, it is crucial not to isolate yourself or freeze in your experiences, but to seek help from an independent expert. I will do everything possible to teach you to be "your own psychologist" and, when necessary, you will be able to appropriately support a friend, colleague, or loved one.
Will Counselling definitely help me?
People usually seek my help when:
- They need to understand a complex situation that has arisen in their life or work, when they are overwhelmed with emotions and realize that they cannot continue this way.
- They are dissatisfied with what is happening in their lives. You might know what needs to be fixed but not how to do it.
- They feel the need to understand something important about themselves, to learn something new. Want to find out where to look for more opportunities and strength? These insights are necessary to change your life for the better.
- They have been in a prolonged state of oppression that does not pass but instead worsens. Those who are constantly feeling anxiety, insecurity, depression, fear, irritability, insomnia, panic attacks…
For whom my work is most effective?
- People interested in enhancing their quality of life through more skillful and conscious use of their inner resources.
- People who strive to ensure that their actions do not adversely affect their colleagues, loved ones, or themselves.
- Those who are truly honest with themselves, namely those who are ready to admit that they do not know everything about themselves. Those who are very interested in learning new things and applying this knowledge in practice.
- Those who face difficulties in interacting with the outside world and acknowledge that the world is not fair, but perhaps they are also doing something wrong.
- And, of course, a psychologist is needed by those who need changes and understand that rarely does anything happen by itself.
Emergency psychological help is truly necessary when a person is in a situation that they feel unable to cope with alone, and which may pose an immediate threat to their well-being or the well-being of others. Here are some scenarios where emergency psychological assistance is essential:
1. Severe Mental Health Crisis: This includes situations where someone may be experiencing intense suicidal thoughts or behaviors, severe psychotic symptoms like hallucinations or delusions, or a severe manic episode.
2. Traumatic Events: Immediate psychological help is crucial after a person has experienced or witnessed a traumatic event such as a serious accident, violent assault, natural disaster, or the sudden death of a loved one.
3. High levels of distress and inability to function: If a person is so distressed that they cannot perform daily tasks, go to work, or manage their personal relationships, immediate help may be necessary.
4. Acute Anxiety and Panic Attacks: When panic attacks are intense and frequent and the individual is unable to calm themselves, leading to significant disruption in daily life or fear of imminent danger.
5. Substance Use Emergencies: If someone has a severe reaction to substances or is in danger of substance overdose, combined with significant psychological distress.
6. Risk of Harm to Others: If someone is threatening violence or harm towards others, immediate psychological intervention can help manage the situation and prevent harm.
Emergency psychological assistance aims to stabilize the person, assess their immediate needs, and provide the necessary support or referral to appropriate services for ongoing care. This kind of support can be crucial in preventing a crisis from worsening and helping the individual begin to recover.
When a person is overwhelmed by strong emotional experiences that cloud their judgment and hinder sound thinking, while there is an acute need for mental clarity, timely decisions, and the energy to actively participate in ongoing events, emergency psychological help becomes crucial. This is particularly true in a crisis situation, which is characterized by:
- Rapidly changing feelings, chaotic thoughts, and other intense, overwhelming reactions.
- External events that trigger the crisis.
- Strong fears concerning one’s own life or the lives of others, or the perception of another significant threat of loss.
- A lack of sufficient prior experience to deal with the situation, leading to feelings of helplessness.
Typical and normal reactions to such a crisis include:
- A sense of unreality, as if experiencing a terrible dream from which one wishes to wake up.
- Strong emotional surges.
- Intrusive memories or flashbacks.
- Sleep disturbances.
- Anxiety and vulnerability.
- Physical discomfort and tension.
- Irritability and anger.
- Sadness and grief.
- Feelings of guilt or self-reproach.
- Problems with concentration and memory.
- Recollections of previous traumatic or crisis events.
In such cases, psychological intervention can provide crucial support. It aims to stabilize the individual’s emotional and psychological state, offer techniques for managing overwhelming emotions, and create strategies for coping with the crisis effectively. It is essential to seek professional help to ensure that the responses to the crisis do not evolve into more severe or enduring psychological issues.
How much do I pay for your services?
The initial consultation, whether by phone, Skype, or in-person, is free and lasts up to 40 minutes. During this meeting, we discuss the problem and possible solutions. Each case is unique and requires an individual cost assessment. Therefore, I can only provide basic pricing here. The base cost of one session (1 hour) is equivalent to Eur 100. On average, clients plan for about 8 sessions over two months.
How many sessions do I need?
I work within the framework of the cognitive-behavioral model, which aims for measurable and effective results within a specific time frame. Typically, you can expect to see results after 3-5 sessions. To consolidate success, an average of 8 sessions lasting 1 hour each is required. Initially, if it is a complex situation with excessive distress, two sessions may be needed in the first week. Then, one session per week, meaning the entire process averages 8-9 weeks. Subsequently, by mutual agreement, booster sessions can be scheduled—once a month, every three months, and later once every six months. This approach ensures we maintain contact and you always have the opportunity to ask any accumulated questions.