- CBT focused
- Compassionate support
- Practical steps
About Siarra
Siarra Maketo is a licensed social worker in Michigan who helps people facing stress, anxiety, addiction, relationship strain, and sleep difficulties. She works with clients who are navigating grief, trauma, mood concerns, and issues around identity and intimacy. Conversations are respectful and straightforward, focused on what matters most to each person.
Siarra uses clear, goal-focused strategies tailored to each client. She and the client work together to set practical steps and small goals. Sessions aim to build coping skills, reduce day-to-day distress, and improve routines that affect sleep and energy.
Over nine years of practice inform her approach to common life challenges. She draws on Cognitive Behavioral Therapy, which helps people notice and shift unhelpful thoughts and habits. That method is often useful for anxiety, low mood, insomnia, and patterns that keep problems going.
Siarra emphasizes compassion and sensitivity in sessions. She adapts the pace and tone to fit each person's needs, offering a mix of talking, problem-solving, and practical exercises when helpful. Clients can expect clear explanations and collaborative planning.
Her work also addresses areas such as parenting stress, workplace strain, ADHD-related concerns, and relationship ruptures including infidelity and non-monogamous dynamics. She welcomes people across sexual orientations and gender experiences and provides a calm space to sort through difficult moments.
How CBT and online therapy can support sleep and daily routines
Cognitive Behavioral Therapy (CBT) focuses on identifying thoughts and behaviors that keep problems going and replacing them with more helpful patterns. For sleep issues this can mean changing bedtime routines, testing beliefs about sleep, and practicing small behavioral shifts that improve rest over time.Siarra brings a practical, step-by-step focus to sessions. She uses talking, planning, and homework exercises to help people change habits that affect mood, energy, and sleep. This approach is often useful for anxiety, depression, insomnia, and managing compulsive or addictive behaviors.
Choosing the right approach is part of the work. She will collaborate with each person to figure out what methods fit their goals, comfort level, and daily schedule. That collaborative process helps shape the plan and pace of therapy.
Online therapy can make it easier to fit sessions into a busy life. It can reduce commute time, allow quicker check-ins, and make it simpler to try strategies in the context of everyday routines. Because session options are not specified here, confirm current formats before booking so you know which kinds of online appointments are offered.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Credentials
Michigan
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She supports people dealing with stress, anxiety, depression, addictions, relationship and family conflict, grief, trauma, sleep difficulties, and related concerns.
What is her general approach in sessions?
Sessions are collaborative and goal-focused. She tailors conversations and plans to each person's needs and uses practical steps to address thoughts, behaviors, and routines.
How much experience does she have working in this field?
She has nine years of professional experience supporting people with mood, anxiety, addiction, relationship, and sleep-related issues.
What are her credentials and where is she based?
She holds an LMSW, which is a Licensed Master Social Worker, and practices in Michigan.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the U.S. work with her?
She accepts international clients; confirm any region-specific details before scheduling.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions are provided via a subscription model that can be canceled at any time.
What steps are involved in getting started?
Begin by selecting the Start Therapy button, completing a brief matching questionnaire, and scheduling a first appointment based on the therapist's availability.