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Doctors for anhedonia

Online consultations with doctors to assess anhedonia, loss of pleasure, and related mental health symptoms.

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Doctor
5.0(7)

Anastasiia Hladkykh

Psychiatry15 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
Doctor
5.0(1)

Pedro Alvarez Guerrero

Psychiatry8 years of experience

Dr. Alvarez Guerrero graduated in Medicine from the San Pablo CEU University in Madrid. He subsequently completed his specialization in Psychiatry in the Department of Psychiatry at Hospital Sant Joan de Deu in Manresa (Barcelona), where over the course of four years he acquired solid training in the bio-psycho-social model, developing his expertise across the different areas of mental health.

During his residency, he undertook training placements at Hospital Clínic de Barcelona, where he trained for several months in the psychiatric consultation-liaison unit. He also completed another placement at Hospital de Cruces in Bilbao, in the first-episode psychosis unit.

Throughout his professional career, Dr. Alvarez Guerrero has sought to complement his medical training with psychotherapeutic tools that allow him to address mental health disorders from a comprehensive perspective. For this reason, he specialized in Brief Strategic Psychotherapy through the Spanish Society of Psychosomatic Medicine and Psychotherapy, an approach focused on targeted and effective interventions.

With the aim of deepening his knowledge and promoting the rational use of treatments, he also completed a Master’s Degree in Psychopharmacology at the University of Valencia, which has enabled him to rigorously integrate the most up-to-date scientific evidence into the clinical management of psychopharmacological treatments.

He has also shown a particular interest in the field of legal psychiatry, completing an Official Master’s Degree in Legal, Forensic and Criminological Psychopathology at the Universitat Internacional de Catalunya. This training has allowed him to acquire the necessary competencies for the preparation of psychiatric expert reports in judicial and medico-legal contexts, thereby broadening the scope of his professional activity.

Doctor
0.0(0)

Elizaveta Marinicheva

Psychiatry5 years of experience

Elizaveta Marinicheva is a psychiatrist who has been practising since 2022. She received her medical degree from the University of Milan (Università degli Studi di Milano, UNIMI) and holds official authorisation to practise medicine in Italy (Abilitazione all'esercizio della professione medica). She is a member of the Milan Medical Association (Ordine dei Medici di Milano).

She is currently completing her specialist training in psychiatry at Sapienza University of Rome (Sapienza Università di Roma). She has also received additional training in psychoanalysis and has completed more than 500 hours of personal psychoanalytic therapy.

In her practice, Dr Marinicheva combines a modern medical approach to mental health with careful consideration of each patient's individual history and current condition. When pharmacotherapy is required, treatment decisions are based on the principles of evidence-based medicine and current international clinical guidelines, including NICE, APA, WFSBP and CANMAT.

Dr Marinicheva provides online psychiatry consultations for anxiety, low mood, emotional instability, sleep problems, chronic stress and other conditions affecting mental wellbeing and quality of life. During a consultation, she assesses the patient's symptoms and overall condition, discusses potential treatment approaches and, when clinically appropriate, recommends medication and an appropriate follow-up plan.

Doctor
5.0(2)

Tetiana Radchuk

PsychiatryNeurology11 years of experience

Tetiana Radchuk is a psychiatrist, psychotherapist and neurologist providing online consultations for adults experiencing mood disorders, anxiety disorders and neurological conditions affecting sleep, daily functioning and quality of life.

Her combined expertise in psychiatry, psychotherapy and neurology allows for a comprehensive assessment of both mental and neurological health, helping to develop an individualised treatment plan.

Areas of expertise

  •  depression, low mood, fatigue and emotional burnout; 
  •  anxiety disorders, panic attacks, phobias and generalized anxiety disorder; 
  •  insomnia and other sleep disorders; 
  •  bipolar disorder and other mood disorders; 
  •  obsessive-compulsive disorder (OCD); 
  •  adult ADHD and autism spectrum disorder (ASD): assessment and ongoing care; 
  •  psychosomatic disorders, stress-related conditions and adjustment disorders; 
  •  headaches, migraine and autonomic nervous system disorders; 
  •  medication management, treatment adjustment and psychotherapeutic support. 

Tetiana Radchuk combines evidence-based medicine with clinical expertise and a patient-centred approach. Assessment and treatment follow current clinical guidelines, with decisions made together with the patient according to their individual needs. Online consultations provide confidential and convenient access to professional mental health care.

Doctor
5.0(24)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

How doctors assess anhedonia

Understanding loss of pleasure, emotional numbness, and changes in motivation

What anhedonia means in medical practice

What anhedonia means in medical practice

Anhedonia is a clinical symptom characterised by a reduced ability to feel pleasure, enjoyment, or interest in activities that were previously meaningful. It can affect emotional responses, motivation, and overall quality of life.

People with anhedonia often describe feeling emotionally flat, disconnected, or unable to experience joy, even in situations that would normally feel rewarding. This experience is different from ordinary tiredness or temporary low mood.

In medical practice, anhedonia is considered an important symptom because it can signal underlying mental health conditions and affect daily functioning.

Doctors focus on how persistent and impactful these changes are rather than on isolated emotional states.

Why loss of pleasure should be discussed with a doctor

Why loss of pleasure should be discussed with a doctor

Many people hesitate to seek help for anhedonia because they struggle to describe it or assume it is simply part of stress, burnout, or getting older. Others worry that nothing can be done or that the symptom is not serious enough.

Over time, loss of pleasure can lead to social withdrawal, reduced motivation, and difficulties at work or in relationships. It may also coexist with anxiety, sleep problems, or emotional exhaustion.

Anhedonia can appear in different clinical contexts and should not be dismissed as a personality trait or lack of effort.

Medical consultation helps place these symptoms in a clinical framework and determine whether further assessment is needed.

How doctors evaluate anhedonia

How doctors evaluate anhedonia

There is no single test to diagnose anhedonia. Doctors assess it through a structured clinical conversation that explores emotional responses, motivation, interest levels, and changes over time.

They consider how long symptoms have been present, whether they fluctuate, and how they affect everyday activities. The focus is on patterns rather than on a single moment or feeling.

Doctors also explore related factors such as sleep, stress levels, physical health, and medication use.

This comprehensive approach helps distinguish anhedonia from temporary emotional states.

What is discussed during an anhedonia consultation

What is discussed during an anhedonia consultation

During a consultation, doctors may ask about reduced enjoyment, emotional numbness, loss of interest, and changes in motivation or energy levels.

They also explore daily routines, social engagement, work functioning, and how symptoms have evolved. The aim is to understand the full context of the experience.

Doctors may assess overlapping symptoms such as low mood, anxiety, cognitive fatigue, or sleep disturbance.

The conversation remains clinical, respectful, and focused on understanding rather than judgement.

Anhedonia and realistic expectations

Anhedonia and realistic expectations

Anhedonia can vary in intensity and duration. For some people, it develops gradually, while for others it appears suddenly in response to prolonged stress or other factors.

Medical assessment is not about immediate solutions, but about clarity, understanding, and appropriate next steps.

Recognising anhedonia as a symptom rather than a personal failure can reduce self-blame and uncertainty.

Clear information and realistic expectations support informed decision-making and follow-up care.

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Common questions about anhedonia

Answers to frequent questions about loss of pleasure and medical assessment

Common symptoms include loss of pleasure, reduced interest in activities, emotional numbness, and decreased motivation. Some people also notice social withdrawal or difficulty feeling positive emotions.

If these symptoms persist or interfere with daily life, medical evaluation is recommended.

Anhedonia is a symptom that can occur in depression, but it can also appear in other mental health conditions or on its own.

A doctor can help determine how anhedonia fits into the overall clinical picture during assessment.

Anhedonia can be assessed by doctors working in mental health, family medicine, or internal medicine.

Depending on the evaluation, further assessment or follow-up may be suggested.

The doctor helps guide the most appropriate clinical approach.

Yes. Anhedonia can be assessed during an online consultation through detailed discussion of symptoms and medical history.

Online consultations offer privacy and convenient access to medical guidance.

After the consultation, the doctor explains their clinical assessment and how symptoms may be understood.

Further steps or follow-up may be discussed depending on the situation.

The goal is to provide clarity and appropriate medical direction.

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