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- Cognitive Behavioral Therapy
- Stress and anxiety
- Addictions and recovery
About Siarra
LMSW clinician licensed in Michigan with 9 years of professional experience, Siarra Maketo helps people facing stress, anxiety, addictions, relationship and family concerns. She also works with depression, grief, sleep problems, anger, parenting strain, self-esteem issues, career questions, and ADHD-related challenges. Siarra lists additional focus areas that include gender dysphoria, infidelity, jealousy, obsessive-compulsive concerns, personality disorder-related issues, non-monogamous relationship dynamics, and seasonal affective disorder. Sessions are conducted in English and international clients are accepted.
Siarra uses Cognitive Behavioral Therapy (CBT) as a primary clinical approach. In sessions she talks through patterns of thinking and behavior and practices concrete skills to reduce distress. She frames work as a collaboration where the person and therapist set goals and test what helps in day-to-day life.
Her background includes nine years of clinical work in Michigan as a Licensed Master Social Worker, which she cites when describing her overall approach. She focuses on clear, practical steps rather than abstract ideas. Clients can expect focused conversations about current problems, skill practice, and planning for real-world situations.
Siarra emphasizes respect and sensitivity in her interactions and adapts the session dialogue to the person’s stated needs. She describes treatment planning as individualized and goal-oriented. Progress is tracked through small, measurable changes rather than promises about outcomes.
To begin working together clients follow the site process to match and schedule a first session. The therapist asks about current concerns and priorities at intake so early sessions can focus on immediate, practical goals.
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How CBT and online sessions work together
CBT focuses on identifying unhelpful thoughts and changing behaviors that keep problems going. Work often includes setting small, practical goals, testing new ways of responding, and practicing skills between sessions. This approach is commonly used for anxiety, depression, obsessive-compulsive patterns, and behavioral habits like those in addictions.Sessions also involve clear skill practice and planning. That can include breathing or grounding techniques, structured problem-solving, and brief behavior experiments to try during the week. These methods help translate talking into changes you can notice in daily life.
Finding the right approach is part of the work. The therapist will listen to your priorities and suggest which CBT techniques to try first. Together you will review what helps and adjust methods as needs and goals evolve.
The therapist’s biography does not specify which online formats she uses, so confirm available session modes before booking. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. They also let people work on skills in the settings where problems occur, which can make practice more relevant.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
Michigan
Languages
English
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Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, addictions, relationship and family concerns. Additional focuses include grief, sleep problems, parenting strain, ADHD, and gender dysphoria.
What therapeutic style does she use?
Her primary approach is Cognitive Behavioral Therapy (CBT). Sessions emphasize identifying thinking and behavior patterns and practicing concrete skills.
How much clinical experience does she have?
She has nine years of professional experience in clinical settings. That experience shapes how she structures goal-focused sessions.
What credentials and location apply?
She is a Licensed Master Social Worker (LMSW) in Michigan. Sessions are offered through the site for people connected to that licensure context.
Which languages and international work are supported?
Sessions are offered in English and she accepts international clients.
What session formats are available?
The original biography does not list specific session formats. Confirm the current session options on the booking page before scheduling.
How does cost and payment work?
Cost varies with location and sessions use a subscription that can be canceled at any time. Check the service details for exact pricing for your region.
What are the first steps to get started?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session. The intake asks about current concerns and goals to shape early sessions.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.