About Siarra
Siarra Maketo helps people who are feeling overwhelmed by stress, anxiety, depression, or relationship and family struggles. She uses clear, practical talk to help clients identify problems and make workable changes. Siarra brings nine years of professional experience and practices in Michigan as an LMSW - Licensed Master Social Worker.
She focuses on issues such as addictions, grief, sleep difficulties, anger, self-esteem, and career concerns. Additional areas of focus include ADHD, bipolar challenges, compassion fatigue, and LGBTQ related concerns like gender dysphoria.
How Siarra works
She also supports people facing infidelity, jealousy, obsessive-compulsive patterns, personality disorder challenges, and non-monogamous relationship dynamics. Siarra favors Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and actions interact. Sessions aim to build practical skills that can be used between meetings.
She adapts conversation and plans to each person’s situation rather than using a one-size-fits-all approach. In sessions she emphasizes respect, sensitivity, and compassion. She frames therapy as a partnership where the client’s goals guide the work.
Siarra encourages small, realistic steps so progress feels manageable. People who choose her often want straightforward guidance and tools they can apply day to day. She supports clients through change by offering a steady, supportive presence and solutions-focused strategies.
Siarra lists one way of working on the entry:
What Siarra works with
The areas below are the ones Siarra selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LMSW |
|---|---|
| Years in practice | 9 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Michigan |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How CBT and online therapy work together
Siarra uses Cognitive Behavioral Therapy (CBT) as a core approach. CBT helps people notice thought patterns that fuel anxiety, depression, or unhelpful behavior, then practices new ways of thinking and acting. This approach is useful for stress, anxiety, sleep problems, compulsive behaviors, and mood concerns.Finding the right method is part of the work. Siarra treats the choice of approach as collaborative and will help clients decide what fits their goals, needs, and preferences. She may adapt CBT exercises, homework, and conversational focus to match what each person wants to accomplish.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation when more connection helps, phone sessions can work when bandwidth is limited, live chat is useful for quick check-ins, and text-based messaging supports ongoing reflection between appointments. These options make it easier to fit therapy into a busy life and to use the format that best supports each step of the work.
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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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