About Hiroko
Hiroko Makiyama is a licensed clinical social worker who helps people dealing with addiction, stress, and anxiety. She emphasizes practical steps and recognizes each person's strengths. She aims to make the first step feel manageable for a worried parent or anyone feeling overwhelmed.
Hiroko treats concerns related to relationships, intimacy, and self-esteem. She also supports people facing career changes, compassion fatigue, and other life transitions. Her practice includes work with drug and alcohol addiction alongside broader coping strategies.
How Hiroko works
Her style centers on listening first and then working with clients to set clear, realistic goals. Sessions focus on what is useful day to day and on building tools that fit into busy lives. The approach is straightforward and geared toward gradual progress.
Hiroko has 10 years of professional experience and holds a California LCSW, which is a licensed clinical social worker credential. That background informs practical, experience-based support rather than academic theory alone. People can expect collaborative sessions that balance short-term coping skills with longer-term growth.
She encourages clients to name what matters most and to try small changes that lead to relief. The aim is steady, sustainable improvements rather than quick fixes.
What Hiroko works with
The areas below are the ones Hiroko selected when setting up a profile. The first one is listed as the main focus; the rest are also named.
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
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | California |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How evidence-based techniques translate to online care
Hiroko uses evidence-based therapeutic techniques that focus on building skills and coping strategies. One common approach emphasizes identifying problem patterns and practicing different responses in everyday situations; this helps with anxiety, stress, and relationship strain. Another approach concentrates on relapse prevention and practical steps for drug and alcohol addiction, teaching routines and strategies to reduce substance-related risk and manage cravings.Finding the right approach is part of the work. Hiroko collaborates with each person to choose methods that match their goals, comfort level, and life demands. She checks in regularly and adjusts plans so techniques are useful and realistic for daily life.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy flexible. Video is useful for full sessions and face-to-face conversation. Phone can be simpler when bandwidth is limited or for a shorter check-in. Chat and text let people share thoughts between meetings and fit support into a busy schedule. These options help people keep continuity of care while balancing work, family, and other commitments.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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