PuttingFamilyFirst

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SM Portrait of Siarra Maketo
Online therapist

Siarra Maketo

Calm, practical support for families

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Credentials
LMSW
Experience
9 years
Licensed in
Michigan
Languages
English
Format
Online sessions

About Siarra

Siarra Maketo is a licensed social worker who welcomes people looking for practical support with family and parenting concerns. She focuses on clear, steady help for problems that make daily life harder. Parents and caregivers often seek her out when stress, relationships, or mood get in the way of family routines.

Siarra uses straightforward conversation to understand what matters most to each person. She tailors questions and a plan to fit each situation instead of using a one-size-fits-all approach.

Background and approach

Sessions emphasize real steps you can try between meetings and honest feedback about what is and isn’t working. Her work over nine years in Michigan includes helping with anxiety, depression, addictions, grief, and relationship strain. She also supports people facing issues related to LGBT identity, gender dysphoria, and non-traditional relationships.

Concerns such as sleep troubles, anger, self-esteem, ADHD, and compassion fatigue are also within her practice. Siarra is credentialed as an LMSW, which stands for Licensed Master Social Worker. That training guides her to combine practical strategies with empathy and respect.

She emphasizes building skills and strengthening coping so families can move forward. People describe the step of reaching out as brave. Siarra aims to meet that courage with clear guidance and encouragement.

Her style is supportive and direct, helping clients set small goals that add up to meaningful change.

CBT-based care and flexible online formats

Siarra primarily uses Cognitive Behavioral Therapy, which helps people notice thoughts and behaviors that keep problems going and then practice new, more helpful choices. CBT is often used for anxiety, depression, sleep problems, and stress-related concerns.

In sessions she focuses on practical tools and skill building. That means setting small goals, trying exercises between meetings, and checking what helps. The right approach can change over time, so she works with each person to adjust techniques to match their goals and comfort level.

Finding the best fit is a team effort. The therapist and client discuss priorities, preferences, and what has or hasn’t worked in the past. Together they choose methods and pace that feel doable, and they review progress as therapy continues.

Online therapy offers flexibility for busy family schedules. Video and phone sessions let people meet from home, while live chat and text-based messaging provide shorter, on-the-go options for check-ins and coaching. These formats make it easier to keep a steady routine of support without added travel time.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Frequently asked questions

What issues can I bring to therapy?
Siarra works with a wide range of concerns including stress, anxiety, depression, addictions, relationship and family difficulties, grief, and parenting challenges. She also supports people with issues like LGBT concerns, gender dysphoria, intimacy problems, and ADHD.
How does she approach therapy?
She uses practical, goal-oriented methods rooted in Cognitive Behavioral Therapy (CBT) to help clients identify unhelpful patterns and build new skills. Sessions focus on actionable steps and problem solving that can be tried between meetings.
What kind of experience does she have?
Siarra has nine years of professional experience working with people on stress, relationships, mood concerns, and addiction-related issues. Her background includes supporting those facing trauma, grief, and non-traditional relationship dynamics.
What are her credentials and where is she based?
She is an LMSW, which means Licensed Master Social Worker, and practices in Michigan. The license number on file is MI LMSW 6801117422.
What languages are supported?
Sessions are offered in English. She also accepts international clients for remote sessions.
What session formats are available?
Clients can meet through video calls, phone sessions, live chat, or text-based messaging depending on what works best for their schedule and needs.
How does payment and cost work?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time. Exact pricing is provided when choosing a subscription plan.
How do I get started?
To begin, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist's listed availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
9 years
Licensed
Michigan
Languages
English

Next step

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