Siarra Maketo, LMSW

Siarra Maketo is a Michigan-based Licensed Master Social Worker (LMSW) who helps people facing stress, anxiety, addiction concerns, relationship and family conflicts, and mood challenges. She approaches conversations with respect, sensitivity, and compassion. Siarra aims to tailor sessions to each person's needs and circumstances.

She uses practical, goal-focused conversation to help people notice patterns in their thoughts and daily habits. That includes working on sleep, anger, self-esteem, career stress, grief, and intimacy-related struggles. Siarra also supports people navigating LGBT concerns, gender dysphoria, and relationship styles such as polyamory or non-monogamous arrangements.

Clients may bring concerns like obsessional thoughts, compulsive behaviors, infidelity, jealousy, or symptoms related to bipolar disorder and seasonal affective disorder. She also addresses parenting strain and compassion fatigue for caregivers. Sessions aim to make small changes in day-to-day routines that add up over time.

Siarra has nine years of professional experience in behavioral health. As an LMSW she focuses on practical strategies people can use between visits. Her style is collaborative and rooted in real-world problem solving.

She invites people who are ready to try a different approach to their worries to take a first step. The work begins by identifying immediate priorities, then building short, manageable goals that fit into everyday life.

How CBT and practical habit work translate to online therapy

CBT, or Cognitive Behavioral Therapy, looks at how thoughts affect feelings and behaviors and then tests small changes to those thoughts and routines. It is often used for anxiety, depression, obsessive thoughts, and sleep problems by helping people try new ways of thinking and acting.

Sessions that focus on everyday habits support concrete steps like sleep routines, activity scheduling, and coping plans for cravings or intense emotions. These techniques help when managing stress, addictions, relationship patterns, or seasonal mood shifts.

Finding the right approach is part of the work. The therapist will talk with the client about goals and preferences and then try methods that fit those needs. That choice is collaborative and can be adjusted as progress is made.

Confirm current session options before booking, as the profile does not list specific formats. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when needed. It can also accommodate people living in other places since international clients are accepted, but check which formats are supported before scheduling.