Siarra Maketo, LMSW

Siarra Maketo is a licensed clinical social worker who helps people facing stress, anxiety, addiction struggles, relationship strain, and grief. She emphasizes a respectful, sensitive approach and aims to create straightforward, helpful conversations from the first visit.

In sessions she focuses on practical steps you can try between meetings. She uses ideas from Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and actions connect. That approach is often useful for anxiety, mood changes, sleep problems, and unwanted habits.

Siarra draws on nine years of professional experience in Michigan settings. She listens for what is most pressing and then tailors the plan to each person's needs. Treatment plans are adjusted as progress and life circumstances change.

Her work includes support for people coping with trauma and abuse, LGBT concerns, and relationship and intimacy questions. She also helps with parenting stress, career pressure, compassion fatigue, and challenges linked to ADHD and bipolar concerns.

When appropriate, she addresses more specific issues such as infidelity, jealousy, obsessive-compulsive patterns, personality disorder symptoms, gender dysphoria, and non-monogamous relationship dynamics. The goal is to help people develop clearer coping choices and manageable steps to move forward.

How practical approaches meet online therapy

CBT focuses on identifying unhelpful thoughts and testing small behavior changes to reduce distress. It often involves short, focused exercises such as tracking patterns, trying new coping skills, and planning steps to change routines. This can help with anxiety, low mood, sleep issues, and patterns related to addictions or compulsions.

Sessions are collaborative and goal oriented. The therapist and client decide together which techniques to try and adjust them over time based on what works. That collaborative process makes it easier to adapt treatment to real life and changing needs.

Online formats offer flexible ways to use these approaches. Video calls allow for face-to-face conversation and guided skill practice. Phone sessions can be a simpler option when bandwidth or camera use is an issue. Live chat and text-based messaging support shorter check-ins, tracking progress, and quick coaching between longer sessions. These options make it easier to fit therapy around work, family, and other commitments while still using CBT-based tools and planning.