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SM Portrait of Siarra Maketo

Siarra Maketo

Compassionate, practical therapy for life transitions

LMSW Michigan

Experience
9 years in practice
Focus areas
Stress, Anxiety, Addictions, Relationship
Approaches
Cognitive Behavioral Therapy (CBT)
Languages
English
Continue with Siarra

About Siarra

Siarra Maketo is a licensed Michigan social worker who aims to support people seeking relief from stress, anxiety, depression, addictions, and a wide range of relationship and identity concerns.

Background and approach

She brings nine years of professional experience to her practice and focuses on building respectful, sensitive, and compassionate therapeutic relationships that meet each person where they are. Her style centers on adapting conversation and treatment to the client’s needs, crafting individualized plans rather than applying a one-size-fits-all approach.

Siarra works with issues including family conflict, grief, intimacy and sexual health concerns, parenting challenges, attention difficulties, mood conditions such as bipolar disorder, and concerns related to gender identity and LGBT matters. She also addresses specific topics like OCD, infidelity, jealousy, polyamory and seasonal mood changes.

Clients seeking practical, skills-based strategies may find her use of cognitive behavioral therapy helpful alongside her broader emphasis on empowerment and collaboration. Siarra frames the work as a partnership, encouraging clients to take courageous steps toward clearer goals and a more satisfying life while she offers guidance, support, and tailored interventions.

Practical approaches and online therapy options

CBT, or cognitive behavioral therapy, is a goal-oriented method that helps identify unhelpful thought and behavior patterns and replace them with more effective strategies; it is often used for anxiety, mood concerns, stress, and compulsive behaviors. Siarra applies CBT techniques to help clients build concrete skills like cognitive reframing, behavioral activation, and exposure-based strategies when appropriate to the client’s goals.

Alongside structured skill work, she emphasizes collaborative planning and tailoring interventions to fit individual needs. Finding the right therapeutic approach is presented as a joint process: the therapist and client explore goals, preferences, and responses to different techniques and adjust the plan together over time to ensure it matches changing needs.

Online therapy with video calls, phone sessions, live chat, or text-based messaging offers flexible access to care and can make it easier to fit sessions into busy schedules or different time zones. These formats allow for ongoing skill practice, brief check-ins, and regular sessions without the need to travel, supporting continuity of care and practical application of therapeutic tools in daily life.

Frequently asked questions

What kinds of concerns does she address?
Siarra works with a broad range of concerns including stress, anxiety, depression, addictions, relationship and family issues, grief, trauma and abuse, intimacy-related matters, sleeping problems, parenting, anger, self esteem, career challenges, bipolar disorder, compassion fatigue, and ADHD. She also focuses on gender dysphoria, infidelity, jealousy, OCD-related symptoms, personality disorders, polyamory and seasonal affective disorder.
How would you describe her therapeutic approach?
Her work is collaborative and tailored to each client, with an emphasis on practical, skills-based methods. She uses cognitive behavioral therapy (CBT) as a documented approach to help people identify patterns and develop new coping strategies.
What is her clinical background and experience?
She has nine years of professional experience in clinical settings and brings that background to individualized treatment planning and supportive therapeutic work.
What are her credentials and where is she located?
She holds an LMSW and practices in Michigan; her credential is listed as MI LMSW 6801117422.
Does she work with clients in languages other than English or internationally?
She provides services in English and is available to accept international clients.
In what formats are sessions offered?
Sessions are available via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How is cost handled for sessions?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time.
What steps are involved to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesFamily conflictsDepression

Also works with

LGBTTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

Gender dysphoriaInfidelityJealousyObsessions, compulsions, and OCDPersonality disordersPolyamory / non-monogamous relationshipsSeasonal Affective Disorder (SAD)

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)

Experience

9+ years

Licensed

Michigan

Languages

English