- CBT based
- Relationship issues
- Stress management
About Siarra
Siarra Maketo is a Licensed Master Social Worker (LMSW) in Michigan with nine years of professional experience. She works with people who are struggling with stress, anxiety, addiction, relationship and family conflicts, depression, grief, anger, sleep problems, and related concerns. She also supports clients facing issues around gender dysphoria, intimacy, self-esteem, ADHD, and career strain.
Siarra uses straightforward conversation to identify what is causing distress and what practical steps can help. She draws on Cognitive Behavioral Therapy (CBT) to look at patterns of thought and behavior that keep problems going. Sessions focus on clear skills to manage feelings, test new behaviors, and reduce symptoms over time.
Her approach is respectful and sensitive, with an emphasis on concrete tools rather than abstract theory. She works with clients on specific situations such as jealousy, infidelity, compulsive behaviors, and the emotional fallout of trauma and abuse. Siarra also addresses issues that come up for people in non-monogamous relationships and those dealing with seasonal mood changes.
In session she combines discussion with practical exercises and homework when it helps. She explains steps plainly and checks in about what is or isn’t working. Clients can expect goal-focused conversations aimed at improving day-to-day functioning and reducing the things that trigger anger and distress.
Siarra practices in Michigan and offers services in English. International clients are accepted; confirm current session options before booking.
How CBT and online sessions work together
CBT helps by breaking large problems into small, manageable steps. It focuses on identifying unhelpful thoughts, testing them with real-life experiments, and practicing new behaviors. That approach can help with anger, anxiety, sleep issues, compulsions, and mood difficulties.When used online, CBT translates to clear exercises you can do between sessions. A therapist guides skill practice, helps set simple goals, and reviews progress together. This makes the work collaborative - the therapist and client decide which strategies to try based on current goals and what feels practical.
Confirm the exact session formats before scheduling, as the biography does not list them. Online work can make it simpler to fit sessions into a busy week. For example, shorter check-ins can be scheduled during a lunch break, and sessions that do not require video can reduce bandwidth needs. Licensed professionals can also use online meetings to review real-life situations from home or work and to assign brief practice tasks you can try between sessions.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
Michigan
Languages
English
Frequently asked questions
What kinds of issues does she help with?
She works with stress, anxiety, addictions, depression, anger, relationship and family conflicts, grief, sleep problems, and related concerns.
What style of therapy does she use?
She uses Cognitive Behavioral Therapy (CBT) as a core approach, focusing on patterns of thought and behavior and practical skills to change them.
How much clinical experience does she have?
She has nine years of professional work experience in clinical settings and community care.
What are her credentials and where is she based?
She is an LMSW - Licensed Master Social Worker - practicing in Michigan.
Which languages are supported and can she work with clients outside the US?
Sessions are offered in English and she accepts international clients.
What session formats are available?
The original biography does not specify session formats; please confirm current session options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin if I want to work with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.