About Siarra
Siarra Maketo is a licensed social worker in Michigan with nine years of clinical experience. She greets people with calm, practical support and focuses on helping them manage stress, anxiety, and life challenges. Siarra uses plain language and a down-to-earth approach so conversations feel direct and useful.
She helps people cope with addictions, relationship strain, and family conflict. Depression, grief, sleep problems, anger, and self-esteem concerns also fall within her practice.
Background and approach
Siarra lists ADHD among the issues she works with and addresses related struggles like focus, organization, and overwhelm. Siarra tends to shape each session to the person in front of her. That means setting clear goals, practicing skills, and checking progress.
She leans on Cognitive Behavioral Therapy, which uses practical exercises and straightforward talk to change unhelpful thinking and behavior. People who turn to her often want tools they can use between sessions. Siarra offers coping strategies, step-by-step plans, and short exercises to try at home.
She also talks through relationship patterns, intimacy concerns, and career or parenting stress in simple terms. Her style is respectful and compassionate. She aims to support people as they take steps toward change, helping them build skills and confidence at a manageable pace.
How CBT and online care can fit your life
CBT, or Cognitive Behavioral Therapy, focuses on the link between thoughts, feelings, and actions. It uses simple exercises and short homework tasks to challenge unhelpful thinking and build new habits that reduce anxiety, low mood, and disruptive behaviors.Alongside CBT, Siarra emphasizes practical skill building like stress management, sleep routines, and organization strategies that can help with ADHD-related challenges. These techniques aim to give small tools you can use day to day rather than abstract theories.
Choosing the right approach is a team effort. She will talk with you about your goals and preferences, try techniques, and adjust the plan based on what helps most. That collaborative process helps match methods to your needs over time.
Online therapy offers flexible ways to work together. Video calls let you have longer, face-to-face conversations. Phone sessions can be easier when bandwidth is limited or you need a quick check-in. Live chat or text-based messaging work well for brief updates, coaching-style exchanges, or people who prefer writing. Together these options make it easier to keep therapy consistent around work, family, and daily life.
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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