- Addiction support
- Stress and anxiety
- Family concerns
About Hiroko
Hiroko Makiyama is a licensed clinical social worker who helps people facing addiction and the stress that often comes with major life changes. She speaks English and provides care from California. She emphasizes that clients know their own stories and brings a supportive presence to sessions.
Hiroko focuses on drug and alcohol addiction along with anxiety, relationship and intimacy concerns. She also assists people dealing with low self-esteem, career strain, compassion fatigue, and the everyday pressures of family life. Her work centers on practical steps clients can take between sessions to notice progress.
Hiroko believes the decision to seek therapy takes real courage, and she meets that step with steady support. Over her career she has developed an approach that honors each person’s strengths while offering clear methods to manage symptoms and choices. She invites people to try small changes and notice what helps.
Clients can expect direct conversation about goals and options. Sessions are goal-oriented while still leaving room to process feelings and setbacks. Hiroko encourages clients to bring questions and to shape the pace of work together.
With ten years of experience as an LCSW, Hiroko draws on practical techniques that fit everyday life. She asks about each person’s routine and responsibilities so recommendations feel doable. Prospective clients are asked to confirm current session options before booking.
Approaches that guide online care
Hiroko uses straightforward, evidence-based therapeutic techniques to address addiction and related struggles. One approach focuses on building practical coping skills for cravings and urges, teaching step-by-step strategies to manage triggers and reduce harmful behaviors. This approach is useful for people working on drug and alcohol addiction and for those needing concrete tools to get through difficult moments.Another approach emphasizes stress and anxiety management through behavioral strategies and routine changes. It helps clients break problems into smaller tasks, practice simple breathing and grounding exercises, and plan realistic steps for work and family demands. This helps people build confidence in handling everyday pressures.
Finding the right approach is part of the work together. The therapist will discuss goals, try methods that match a person’s needs, and adjust plans based on what helps. Clients are invited to give feedback so the plan stays practical and relevant.
Session formats are not listed in the biography, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy week, shorten travel time, and allow check-ins that match a person’s schedule. Some formats may also let people have shorter, focused conversations when time or bandwidth is limited. Licensed professionals can adapt techniques so progress continues even when life is busy.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
10+ years
Listed in
California
Languages
English
Frequently asked questions
What concerns does Hiroko commonly help with?
She works with people facing addictions, stress, anxiety, relationship and intimacy issues, self-esteem struggles, career pressure, compassion fatigue, and coping with life changes.
What is her therapeutic style like?
Hiroko uses practical, evidence-based techniques and focuses on small, doable steps. Sessions balance working toward goals with space to process emotions.
How much clinical experience does she have?
She has ten years of experience as a licensed clinical social worker, working with people affected by addiction and related concerns.
Where is she licensed and located?
She is an LCSW licensed in California and practices from that state.
Which languages are supported in sessions?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How is cost handled?
Cost varies by location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.