About Hiroko
Hiroko Makiyama is a Licensed Clinical Social Worker who helps people facing anxiety and addiction find steadier footing. She speaks plainly and offers steady support while clients take steps toward clearer thinking and calmer days. She approaches each person as the expert on their own life.
Hiroko builds on strengths you already have and helps identify small, doable changes. She frames therapy as a team effort and aims to make early steps feel achievable rather than overwhelming.
Background and approach
With about 10 years as an LCSW in California, Hiroko has focused much of her work on addiction and related stresses. That experience includes supporting people dealing with drug and alcohol addiction and the ripple effects they bring into relationships and daily routines. In sessions she helps people talk through anxiety, relationship strain, self-esteem concerns, career stress, and coping with life changes.
She also addresses compassion fatigue and intimacy-related issues that can come with caregiving or demanding jobs. Hiroko uses evidence-based therapeutic techniques and adapts them to each person’s needs. She keeps language simple and practical, focusing on concrete strategies clients can try between sessions.
Her style aims to be respectful and collaborative so people feel heard while making real progress.
How Hiroko adapts evidence-based work to online therapy
Hiroko uses evidence-based therapeutic techniques that focus on practical change. One approach helps people learn skills to manage anxiety and stress through step-by-step practices and real-life exercises. Another focuses on patterns related to addiction by identifying triggers and building replacement habits to reduce use and improve daily routines.Choosing the right approach is collaborative. Hiroko starts by listening to your goals and what’s been most challenging. Together you try methods that fit your needs, then adjust based on what helps you make steady progress.
Online therapy with Hiroko is offered via video calls, phone sessions, live chat, or text-based messaging to match how you prefer to connect. Video sessions let you have fuller conversations and work through exercises together. Phone sessions can be easier when video isn’t needed or bandwidth is limited. Live chat and text messaging support brief check-ins, quick strategy work, or ongoing encouragement between longer sessions. These options make it simpler to fit therapy into busy days and maintain momentum while working on anxiety or recovery goals.
Questions people ask
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What this therapist works with
Most often
Also listed
- Career difficulties
- Compassion fatigue
- Coping with life changes
- Drug and alcohol addiction
- Family conflicts
- Intimacy-related issues
- Relationship issues
- Self esteem
- Stress, Anxiety
- Experience
- 10 years
- Licensed
- California
- Languages
- English
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