Medical Psychologist Natalia Zentsova
When a problem has existed for a long time, touches several areas of life at once, or previous help hasn't given the expected result, it's important not just to pick another technique, but to understand the situation systematically.
During the consultation we analyze your psychological state, the history of the problem, your life context and any previous help, and identify the main psychological tasks and next steps. If medical diagnosis or treatment is required, I recommend consulting the appropriate doctor.
Alcohol, drug, medication and other forms of addiction
Relapses and psychological support after treatment/rehabilitation
Codependency and difficulties faced by relatives of a person with an addiction
Effects of psychological trauma and PTSD
Anxiety, panic symptoms, low mood and apathy
Chronic stress and emotional burnout
Crisis life situations and loss
Complex and combined cases
Lack of the expected result from previous help
Need for a second expert opinion and an individual roadmap
A medical psychologist is a specialist with a psychological education and training to work with the psychological aspects of health, illness, treatment and rehabilitation. Their work may include clinical-psychological assessment, psychodiagnostic methods and psychological-help techniques within their professional competence.
A medical psychologist does not prescribe medication and does not replace a doctor where medical diagnosis and treatment are required.
A consultation isn't only about emotional support. In a complex case it's necessary to understand the structure of the problem: when and how it arose, what sustains it, what attempts at help have already been made, what brought improvement, why symptoms or behavior kept coming back, and whether other specialists are needed.
The goal is for a person to leave the session not just feeling "heard," but with a clearer understanding of the situation and the next step.
Clarifying the request and the current situation
Analyzing the history of the problem and how it has developed
Assessing the psychological and life context
Discussing previous psychological and medical help
Using psychodiagnostic tools within professional competence, if needed
Identifying the main psychological tasks and risk factors
Discussing the further route and format of help
Recommending a consultation with a relevant doctor or other specialist, if indicated
A more structured understanding of the psychological problem
Identification of priority tasks
Recommendations for further psychological work
Clarity on whether you need to see a doctor or another specialist
Recommendations on the sequence of next steps
A decision on whether a second expert opinion or personal support is worthwhile
The problem has lasted for years
Several interconnected difficulties are present
There have been many specialists and methods
Recommendations contradict each other
The problem keeps returning after treatment or psychological help
The patient or family don't know who to turn to next
An independent analysis is needed before a long or costly course of help
Psychological and medical problems can overlap. Pronounced depressive symptoms, suspected mental disorder, the need for medication, severe addiction, withdrawal, psychotic symptoms, neurological or other medical symptoms all call for the appropriate doctor.
In such cases the medical psychologist's role is not to replace medical care, but to define the psychological tasks and, if needed, fit them into a broader course of care.
A scheduled psychological consultation is not designed for situations of immediate danger to life. In cases of suicidal intent or plan, severe impairment of consciousness, overdose, severe withdrawal, psychotic states, seizures, dangerous behavior, or a sharp, severe deterioration of the condition, urgent medical/emergency help is required.
Consultations can be held in person in Moscow or remotely, if the online format suits the condition and the task.
Online sessions are especially convenient for patients from other regions and abroad, as well as for continuing psychological work while traveling.
If you live abroad or are temporarily outside Russia, a consultation can help structure the psychological side of the situation and clarify what kind of help is needed next. Where medical help is required, options for contacting appropriate specialists in the patient's location are taken into account.
If you've already seen psychologists or doctors, been through treatment, rehabilitation, or long-term psychological work, but still don't have clarity, you can choose the second-expert-opinion format.
This is a more systematic analysis of the case history, previous help, its dynamics, and the possible next steps.
Get a second expert opinionIf a single consultation isn't enough and you need long-term psychological work, several specialists, support for the family, or coordination of care in Russia or abroad, the personal-support format is discussed separately.
Personal and VIP support
Over 20 years of professional practice. Main areas: addictions and relapses, psychological trauma and PTSD, anxiety and crisis states, codependency, chronic stress and emotional burnout, complex cases, second expert opinions and personal support. The approach combines clinical, research and teaching work and is built on an individually chosen set of methods within professional competence.
More about meDepending on the task, methods and techniques of medical psychology and psychological help may be used, including EMDR, hypnotic techniques, motivational interviewing, self-regulation methods, and elements of systemic family and other psychological approaches — within professional competence and tailored to the specific situation.
You don't need to already know your diagnosis, pick a method, or figure out exactly which specialist you need. The first consultation helps structure the problem and identify the next reasonable step.
Medical Psychologist Natalia Zentsova
When a problem has existed for a long time, touches several areas of life at once, or previous help hasn't given the expected result, it's important not just to pick another technique, but to understand the situation systematically.
During the consultation we analyze your psychological state, the history of the problem, your life context and any previous help, and identify the main psychological tasks and next steps. If medical diagnosis or treatment is required, I recommend consulting the appropriate doctor.
Alcohol, drug, medication and other forms of addiction
Relapses and psychological support after treatment/rehabilitation
Codependency and difficulties faced by relatives of a person with an addiction
Effects of psychological trauma and PTSD
Anxiety, panic symptoms, low mood and apathy
Chronic stress and emotional burnout
Crisis life situations and loss
Complex and combined cases
Lack of the expected result from previous help
Need for a second expert opinion and an individual roadmap
A medical psychologist is a specialist with a psychological education and training to work with the psychological aspects of health, illness, treatment and rehabilitation. Their work may include clinical-psychological assessment, psychodiagnostic methods and psychological-help techniques within their professional competence.
A medical psychologist does not prescribe medication and does not replace a doctor where medical diagnosis and treatment are required.
A consultation isn't only about emotional support. In a complex case it's necessary to understand the structure of the problem: when and how it arose, what sustains it, what attempts at help have already been made, what brought improvement, why symptoms or behavior kept coming back, and whether other specialists are needed.
The goal is for a person to leave the session not just feeling "heard," but with a clearer understanding of the situation and the next step.
Clarifying the request and the current situation
Analyzing the history of the problem and how it has developed
Assessing the psychological and life context
Discussing previous psychological and medical help
Using psychodiagnostic tools within professional competence, if needed
Identifying the main psychological tasks and risk factors
Discussing the further route and format of help
Recommending a consultation with a relevant doctor or other specialist, if indicated
A more structured understanding of the psychological problem
Identification of priority tasks
Recommendations for further psychological work
Clarity on whether you need to see a doctor or another specialist
Recommendations on the sequence of next steps
A decision on whether a second expert opinion or personal support is worthwhile
The problem has lasted for years
Several interconnected difficulties are present
There have been many specialists and methods
Recommendations contradict each other
The problem keeps returning after treatment or psychological help
The patient or family don't know who to turn to next
An independent analysis is needed before a long or costly course of help
Psychological and medical problems can overlap. Pronounced depressive symptoms, suspected mental disorder, the need for medication, severe addiction, withdrawal, psychotic symptoms, neurological or other medical symptoms all call for the appropriate doctor.
In such cases the medical psychologist's role is not to replace medical care, but to define the psychological tasks and, if needed, fit them into a broader course of care.
A scheduled psychological consultation is not designed for situations of immediate danger to life. In cases of suicidal intent or plan, severe impairment of consciousness, overdose, severe withdrawal, psychotic states, seizures, dangerous behavior, or a sharp, severe deterioration of the condition, urgent medical/emergency help is required.
Consultations can be held in person in Moscow or remotely, if the online format suits the condition and the task.
Online sessions are especially convenient for patients from other regions and abroad, as well as for continuing psychological work while traveling.
If you live abroad or are temporarily outside Russia, a consultation can help structure the psychological side of the situation and clarify what kind of help is needed next. Where medical help is required, options for contacting appropriate specialists in the patient's location are taken into account.
If you've already seen psychologists or doctors, been through treatment, rehabilitation, or long-term psychological work, but still don't have clarity, you can choose the second-expert-opinion format.
This is a more systematic analysis of the case history, previous help, its dynamics, and the possible next steps.
Get a second expert opinionIf a single consultation isn't enough and you need long-term psychological work, several specialists, support for the family, or coordination of care in Russia or abroad, the personal-support format is discussed separately.
Personal and VIP support
Over 20 years of professional practice. Main areas: addictions and relapses, psychological trauma and PTSD, anxiety and crisis states, codependency, chronic stress and emotional burnout, complex cases, second expert opinions and personal support. The approach combines clinical, research and teaching work and is built on an individually chosen set of methods within professional competence.
More about meDepending on the task, methods and techniques of medical psychology and psychological help may be used, including EMDR, hypnotic techniques, motivational interviewing, self-regulation methods, and elements of systemic family and other psychological approaches — within professional competence and tailored to the specific situation.
You don't need to already know your diagnosis, pick a method, or figure out exactly which specialist you need. The first consultation helps structure the problem and identify the next reasonable step.