About Siarra
Siarra Maketo is a Michigan-based Licensed Master Social Worker (LMSW) who helps people manage stress and anxiety. She works with adults facing mood challenges, relationship tensions, and struggles with addictive behaviors. Her style is direct and compassionate, aiming to make the first steps toward change feel manageable.
She adapts conversations and plans to each person's situation. Sessions focus on concrete goals and small, practical changes that fit day-to-day life. Siarra emphasizes respect and sensitivity while people talk through difficult topics like grief, trauma, or self-esteem concerns.
Background and approach
Over nine years of professional practice, she has supported people with sleep problems, anger, career stress, and compassion fatigue. She also addresses concerns related to gender dysphoria, LGBT issues, and non-monogamous relationships when relevant to the individual. Her work includes attention to obsessive thoughts, compulsions, and seasonal mood shifts.
Siarra uses Cognitive Behavioral Therapy (CBT) tools to help people notice unhelpful thinking and try different behaviors. She pairs that with coaching-style guidance for practical problem solving and skill building. The focus is on what a person can do between sessions to feel more in control.
People who choose her usually want clear steps and supportive feedback. She aims to empower clients to build routines, improve relationships, and reduce the hold of anxiety or addictive habits. The approach is collaborative, with plans adjusted as progress is made.
How CBT and online formats support practical change
CBT, or Cognitive Behavioral Therapy, helps people spot thinking patterns that keep them stuck and then practice small, different behaviors. It is often used for anxiety, depression, sleep problems, and obsessive thoughts by focusing on clear skills and homework tasks between sessions.Siarra also blends coaching-style methods that break bigger goals into manageable steps. That approach suits people who want direction, check-ins, and straightforward tools to try in everyday life. Together these methods aim to create habits that reduce stress and improve daily functioning.
Finding the right fit is a team effort. The therapist will work with each person to choose which techniques to try first based on goals and preferences. Plans are adjusted as progress is made so the work feels relevant and achievable.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video is useful for fuller conversation and visual cues. Phone sessions can be quicker and use less bandwidth. Live chat or text messaging is helpful for short check-ins, homework support, or when writing feels easier than speaking. These options make it simpler to keep therapy consistent around work, family, or travel commitments.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Career difficulties
- Coaching
- Compassion fatigue
- Depression
- Family conflicts
- Gender dysphoria
- Grief
- Infidelity
- Intimacy-related issues
- Jealousy
- LGBT
- Obsessions, compulsions, and OCD
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sleeping disorders
- Trauma and abuse
Therapeutic approaches
- Experience
- 9 years
- Licensed
- Michigan
- Languages
- English
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