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Therapy for expats and life transitions in London

For adults finding London harder than expected after a move, or facing another big turning point. In English or Russian, in Marylebone or online.

Psychotherapy sessions

In person at 85 Wimpole Street

And online via Zoom

Duration — 50 minutes

Fee — £120

You can ask a question first. I usually reply within an hour. Confidential

Maria Ilinsky, Psychotherapist in London
GMBPsS
Graduate Member of the British Psychological Society
14 years
of practice
10,205 hours
of training: university degree and further courses
40 reviews
from clients on Google
Maria Ilinsky, psychotherapist in London

Who you will be working with

Maria Ilinsky, psychotherapist

  • Psychology degree, St Petersburg State University; UK ENIC: comparable to a Bachelor’s (Honours) degree
  • Practising since 2006, with breaks; integrative approach, weekly supervision, BPS Code of Ethics
  • I have emigrated twice myself: to Israel (2014) and to the UK (2022)

After my first move, to Israel, I worked as a counsellor at Maccabi Healthcare Services. More about me

When the move is done but life hasn’t settled

You have a flat, a bank account that works and a bus route to the office. Then, a year or so in, weekends start to feel longer and emptier.

Many expats describe this: the practical move is over, but the emotional one is still going on. Therapy is a place to look at that second part.

Twice I have had to start again in a new country, with a new language, new paperwork and my degree to get recognised.

Your move will not be the same as mine, but I know from the inside what starting again involves.

Moving to London: why it can feel harder months later

The first weeks after a move are full of tasks: a flat, a National Insurance number, a GP, perhaps a school. Novelty carries people through.

The difficulty often arrives later, when routine sets in and the losses become visible.

Those losses are rarely dramatic: a friend who has known you since you were twenty, family shorthand, laughing a beat late at a joke in a meeting.

Being understood without explaining yourself is easy to take for granted until it is gone.

Settling in rarely runs in a straight line: a good autumn can be followed by a bad spring, and a trip home can unsettle someone for weeks.

We started working on immigration issues, but have long gone beyond one topic.

Yulia Rigachnaia · Translated from Russian

What people bring to sessions

What expats bring often sounds practical at first, with more underneath:

  • Loneliness with a full diary: friendly colleagues and Friday drinks, but no one to call at eleven at night.
  • A career that didn’t travel: someone who led a team at home starts again in a junior role, or waits for a qualification to be recognised.
  • Living in a second language: quick and funny in your first language, slower and flatter in English, and more tired by evening than the work explains.
  • Parents getting older far away: video calls where they look frailer, flights booked at short notice, guilt about not being there.
  • Life on a visa timer: renewal dates, whether to apply to stay for good, plans on hold until the paperwork is sorted.
  • The pull to go back, or the shock of going back. Home has moved on too, and returning can feel as foreign as arriving here did.
  • Guilt about struggling at all. “I chose this, so I have no right to complain” keeps many people from asking for help.

How we work

My approach is integrative, with no set programme for settling in. We start from what matters to you now.

One week that may be a decision you keep putting off, another what you miss, or an old family pattern the move has stirred up.

Often we begin with something specific, such as a call home that went badly, and then look at what it connects to.

We usually meet once a week, and you can stop at any time. Sometimes one session is enough.

Short-term counselling usually takes five or six sessions; therapy means regular sessions for a year or more.

How to start

  1. Message me in the website chat

    One line is enough. You don’t need to describe the problem in writing.

  2. We agree a time

    In person at 85 Wimpole Street, W1G 9RJ, or online via Zoom. Weekday evenings are available; I don’t work at weekends.

  3. The first session

    50 minutes, £120, the same in person and online. We get to know each other; you share only what you feel ready to share.

    Afterwards you decide whether to book again: no packages, no commitment.

If you are not sure where to begin, the first session can start with the move itself: when you came, why, and how it has gone so far.

You can cancel or move a session free of charge with at least 48 hours’ notice.

Whether you arrived last month or ten years ago, it is not too early or too late to come.

You can ask a question first. I usually reply within an hour. Confidential

Urgent help: 999 or A&E in an emergency · NHS 111, mental health option · Samaritans 116 123, free, any time.

Other turning points

Not every big change involves a passport.

Separation or divorce

The end of a relationship changes where you live, who you see and what weekends look like.

It can also reopen the question of which country makes sense, especially if your partner was the reason you came.

Redundancy or a change of career

Losing a job can shake your sense of who you are, especially when work was how you belonged in a new city.

A chosen career change unsettles too: you stop being good at the old work before you are good at the new.

Feeling lost

Sometimes nothing visible has happened, yet what used to matter no longer does. Some call it a quarter-life or midlife crisis; it is worth taking seriously.

When to look for more support

Some sadness after a big change is expected and often eases. If homesickness has turned into constant low mood, see therapy for depression.

If you have only recently arrived, register with a GP early. In England it is free, and the NHS says you need no ID, proof of address or immigration status.

You need that registration to refer yourself to NHS Talking Therapies. Private sessions, including mine, need no GP referral or registration.

Beyond life changes, my work covers depressive episodes, anxiety disorders and the effects of trauma, including PTSD.

If drinking, eating or sharp mood swings become the main problem, I will say so and suggest seeing a psychiatrist.

Sources (3)

What clients say

40 reviews on Google

Questions about therapy for expats and life changes

I moved to London a year ago and feel worse than when I arrived. Is that normal?

Yes. Many people find the second year harder than the first. There is no fixed timetable for settling, and feeling worse now does not mean something is wrong with you or that the move was a mistake. You don’t need to be in crisis to come.

How can I tell homesickness from depression?

Homesickness is usually about specific people, places and food, and comes in waves. If low mood lasts more than two weeks, the NHS advises seeing a GP.

If you have thoughts of not wanting to live, call Samaritans on 116 123.

Do you only work with Russian speakers?

No. I work in English as well as Russian. I don’t assume I know your culture: where your background matters, I will ask rather than guess.

Can therapy help me decide whether to stay in the UK or go back?

It can help you think it through; the decision stays yours. Often each option means a loss, or the question is really about a relationship, a parent or a fear of having failed. I don’t give immigration or legal advice.

My partner is struggling with the move too. Can we come together?

Yes: besides individual sessions, I offer couples sessions. You can also come on your own and talk about how settling at different speeds affects you and the relationship. If your partner wants individual support, they can find a therapist of their own.

Can I have online sessions if I live outside the UK or move again?

It depends on where you live. Message me your country and time zone, and I will tell you honestly whether we can work on Zoom. Payment is by secure link: Revolut Pay, bank transfer, Apple Pay or card.

I’m new to the UK system. How can I check your qualifications?

My degree, its UK comparability statement and my course certificates are in the About section below. So is the badge of my verified Psychology Today profile.

I’m not on the BACP or UKCP registers.

Why £120 when I can find cheaper online?

You can meet in person on Wimpole Street, W1, not only on Zoom, in English or Russian. I live here too, so you won’t need to explain what a GP or a visa renewal is. You pay per session, with no packages, and I usually reply within an hour.

Is there a free introductory call?

Yes, on request: a free, no-obligation 15-minute call via Zoom. It’s a chance to ask questions, tell me what brings you, and see if my approach feels right for you.

How do you handle confidentiality?

What you tell me stays between us, except as set out in my client agreement: a risk to your life, a threat to someone else’s life or of serious harm to others, or a court order.

In supervision I mention only your first name and the topic.

Do you accept health insurance?

Unfortunately no. I work solely as a private psychotherapist and don’t accept insurance.

You can ask a question first. I usually reply within an hour. Confidential

About me and qualifications

My biography

I’m originally from St Petersburg. After university I worked in counselling under supervision and co-facilitated psychology workshops.

In Israel I worked at Maccabi Healthcare Services, mostly with trauma, anxiety and relationship difficulties.

Since moving to the UK, I have had a private practice in central London: individual and couples sessions for adults, in person and online.

My later training includes courses on trauma work, life crises and changes, and the supervision of complex cases.

I have professional indemnity insurance.