Therapy About Education Stories Blog Book a free call →
Barcelona & Worldwide · EN · RU

You don't have to keep
holding it all together.

I'm Ksenia — a trauma therapist working in English and Russian with people who are ready to go deeper. 2nd generation psychotherapist in the family.

4+ yearsin practice
Online & In-personBarcelona
EN · RUlanguages
Ksenia Trefilova — trauma therapist Barcelona
EEIP
East-European Institute
of Psychoanalysis
Counseling Psychology · 2023
ICEERS Certified
Psychedelic Integration
You might be here because

If you feel
this inside…

  • tired of holding yourself together
  • disconnected from your body or your life
  • ashamed of things that were not your fault
  • functional, but empty
  • strong, but exhausted
  • like you're living someone else's life
  • stuck in patterns you can't seem to break
"You are not broken. Something in you adapted to survive."

The question is: are you ready to let it change? I help people make sense of themselves — and find their way back to who they really are.


Let's talk →
Areas of work

What we can work on together

I work deeply, not quickly — with adults who are ready to face themselves. Not for quick fixes, but for real and lasting change.

Trauma & PTSD

Something from the past keeps bleeding into the present — your body, your relationships, the way you react. Trauma can change.

Identity & Transitions

You moved countries, left a relationship, changed careers. The person you were doesn't quite fit anymore. You're searching for who you're becoming.

Relationships

Patterns that repeat, love that feels complicated, boundaries that collapse. We explore how your inner world shapes every connection.

Neurodiversity

ADHD, autism, high sensitivity — navigating a world that wasn't designed for how you think and feel. You're not broken.

Addiction

Behind every addiction is a hungry heart. We work with the unmet need beneath the behaviour — with compassion and without judgment.

Burnout & Numbness

You're capable and functional — and completely exhausted. You've been strong for so long that you've lost the thread back to yourself.

Psychedelic Integration

A psychedelic experience can open doors you didn't know existed. Integration therapy helps you understand what it meant. ICEERS-trained.

Sexual Trauma

Slow, respectful, consent-based work. Restoring bodily dignity, reconnecting with self, separating your identity from what happened.

Expat Life & Belonging

Loss of identity after relocation, loneliness, code-switching exhaustion. I've lived in four countries. I know what it means to rebuild yourself with no map.

The process

How we begin

Starting therapy can feel like a big step — especially when you're already exhausted. Here's what to expect.

01

Free 30-min call

We meet to see if we're a good fit. No commitment, no pressure. You can ask anything.

02

First session

We begin to explore what's really happening beneath the surface — not just the symptoms, but the story beneath them.

03

Ongoing work

Real change takes time — but you'll notice something shifting within the first few sessions. We work at your pace.

Ksenia Trefilova
"The privilege of a lifetime is to become who you truly are." — Carl Jung

I became a therapist
the long way round.

For 17 years, I worked in international companies across Russia, Bali, Indonesia, Australia, and Spain. I was competent. I was also completely disconnected from myself.

I grew up between two countries — born in Russia, raised in Iran — in a family with strong expectations. The moment everything stopped was the moment things started to change.

"I'm a second-generation psychotherapist in my family. My grandmother was publicly elected by her community to mediate conflicts after WWII. She never had a diploma — she had the kind of wisdom people recognise and vote for."

When I couldn't find the depth I needed as a therapy client, I enrolled in university and studied it. Today I work in English and Russian — I know what it means to rebuild yourself in a foreign country, with no map.

I also co-founded AskFritz — a Gestalt-based AI dreamwork tool — because I believe deep self-exploration shouldn't require a waiting list. askfritz.chat →


Work with me →
Credentials

Education & Training

My practice is built on rigorous training across multiple modalities — because different people need different approaches.

Moscow State Pedagogical University

Bachelor's degree · Secondary Education & Teaching · 2001–2007

ВЕИП логотип

East-European Psychoanalytical Institute

Diploma in Counseling Psychology · St. Petersburg · 2020–2023

InSight California Gestalt Therapy Group

Trauma & Addiction: Compassionate Relational Gestalt · 2024–2026

ICEERS

Altered States of Consciousness Integration · Spain · 2023–2024

Meta Institute Spain — Systemic Rituals

Training with Daan Van Kampenhout · 2023

Supporting People Leaving High-Control Groups

Identity Rebuilding · American Association

EMDR Gestalt Therapy Somatic Work Existential Analysis Systemic Constellations CBT Psychedelic Integration Bibliotherapy
Client stories

What people say

I began weekly sessions with Ksenia after working with another therapist for three years. I came in pretty pragmatic, thinking there wasn't much left to uncover. I couldn't have been more wrong. My relationships with my family began to shift — and somehow, even my income grew.
RobApril 2025
This period with Ksenia saw my heart rate variability improve drastically. I was happy to share this data with her — a level of engagement I had never experienced with a therapist before. Ksenia was always available and it felt like this was not just a job for her.
AdenApril 2024
To my own surprise, I was able to voice events from my past that were very traumatic and dark — which I had never been able to share with anyone before. This helped me feel more like myself and more courageous.
DannyJuly 2024
I started thinking about myself more — and that is good for me. I have become more resilient with my emotions. I am now capable of stopping unnecessary noise and focusing on what I really want.
NesMarch 2026
With your therapy I finished assimilating things I had been working on for a long time. After 6 years with another therapist I felt stuck. You helped me close what I couldn't close alone.
DaniJanuary 2025
I worked with Ksenia for almost six months. She was incredibly helpful in identifying my trauma and addictions — helping me distinguish what was truly mine from external influences.
MyriamJuly 2024
I went to the deepest holes of myself with Ksenia to discover my wholeness. Inner resources we found in the darkness of subconsciousness will stay with me forever.
ValentinaAugust 2023
Ksenia's sessions helped me navigate the different layers of my identity and how they show up in my life. If you are ready to delve deeper into yourself, she will support you in finding clarity.
ManalApril 2024
I had been living my life on autopilot for years. With her guidance I delved into the darkest corners of my mind and confronted the demons I had been hiding for most of my adult life. I have rediscovered my path.
RobertoOctober 2023
Working with Ksenia was the best choice I made. She helped me see my resources, skills, and strengths — and helped me grow my faith in myself. Now I am opening my own business.
DimitriOctober 2024
After the session it was the first time I actually slept relaxed and well in months. I did not take any meds. I feel good in my heart. Not euphoric — just well. Being is cool.
AnonymousJanuary 2024
После нескольких сессий с Ксенией в моём состоянии появился лёгкий прогресс. Я начал делать упражнения, которым она меня научила, и вижу — появляется просвет.
AlexeyFebruary 2024
The way you put things together is more help and ideas than I have gotten from anyone in the last 4 years. Thank you.
JazzMay 2025
Ksenia is an empathic, sensitive and caring person who thinks deeply and feels strongly. Her passion for understanding the human psyche is unbound — trust you are in good hands.
TaranaAugust 2023
My change would not have been possible without therapy with Ksenia.
RyanDecember 2025
Food for Brain

Thoughts & reflections

Writing about what I think about: trauma, love, identity, neurodiversity, and the inner life.

Addiction

Behind Every Addiction Is a Hungry Heart

You crave something. What is the need beneath the behaviour?

Aug 2025
Relationships

Black and White, and Sex

Some nights, after sex, a woman doesn't feel radiant.

Jun 2025
Relationships

Oh… is this Love?

Love is not a noun. It's something we make, unmake, and discover again.

Jun 2025
Neurodiversity

Finding Myself in the Chaos: One Story of ADHD

We live in two worlds now. Our brains are changing in response.

May 2025
Relationships

When Helping Hurts: Escaping Codependent Love

Codependent relations can feel like a full-time job you never signed up for.

May 2025
Trauma

"You Can't Possibly Love Me": Healing the Unlovable Wound

We all want love. But for some, when it gets too close, something inside pulls away.

May 2025
Identity

Blending In or Fading Out: Immigration, Identity, and the Cost

There's a strange thing that happens when we move to a new country.

Apr 2025
Trauma

The Art of Joy

Joy and trust in ourselves aren't luxuries — they're quiet inner compasses.

Apr 2025
Neurodiversity

Life, Interrupted: Living with Epilepsy

Epilepsy is often misunderstood. For many, it's a deeply personal, invisible experience.

May 2025
Relationships

Who Gets to Speak? The Quiet Power Games We All Play

Communication is never just about information. It's about power and who gets heard.

May 2025
Identity

"I'm Not That Kind of Person": Silent Success Sabotage

We all sell something. But the inner critic often wins.

Apr 2025
Trauma

The Healing Power of Example: Why Watching Others Recover Changes Us

What touches us deepest isn't what's said — it's what's lived.

Mar 2025
Relationships

How Many Dates Before Sex? Honest Talk

My mother never spoke to me about intimacy. I was handed a book instead.

Mar 2025
Identity

Tough But Trapped? The Hidden Cost of 'Being a Man'

After years of observing men, I've noticed: flexibility makes them deeply uncomfortable.

Feb 2025
Neurodiversity

Life Without the Voice in Your Head: Superpower or Curse?

Have you ever caught yourself talking to yourself — rehearsing, criticising?

Feb 2025
Trauma

What Lies Beneath Our Sudden Impulses

Have you ever had a fleeting, intense desire that seems out of character?

Feb 2025
Identity

Waking Up vs. Growing Up: The Great Confusion of Spiritual Awakening

Have you met someone who claims awakening — but still acts the same way?

Feb 2025
Neurodiversity

Neurodiversity: My Auditory Dyslexia

Living with auditory dyslexia — rarely talked about but deeply affecting daily life.

Feb 2025
Identity

Secrets to Achieving Any Goal

Life's too short for eternal procrastination. A psychological approach to following through.

Jan 2025
Relationships

Please Hold: What to Do with Uncertainty in Communication?

The discomfort of not knowing what someone means — and how we fill the silence.

Dec 2024

Let's find out
if we're a good fit.

Not sure if therapy is right for you right now? That's okay. A free 30-minute call costs nothing and commits you to nothing.

OnlineWorldwide. Any timezone. All you need is a private space.
In-personBarcelona, Spain. Face-to-face sessions at my practice.
Hiking therapyWalking sessions in and around Barcelona. Ask me about this.