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- Addictions focus
- Evidence-based techniques
- Career and relationships
About Hiroko
LCSW in California with 10 years of experience, Hiroko Makiyama helps people navigate addictions, stress, anxiety, relationship and family concerns, intimacy issues, self-esteem, career shifts, compassion fatigue, and drug and alcohol addiction. She sees clients in California and conducts work in English. Hiroko frames clients as the experts on their own stories and looks for strengths to build on.
Her practice centers on practical conversations about what is happening now. Sessions focus on identifying stressors, patterns, and coping skills that can be used between meetings. She uses evidence-based therapeutic techniques to guide those conversations and to address substance use and related problems.
Hiroko aims to make the first steps manageable. She listens for immediate worries and helps set small, concrete goals. She works with clients to find strategies for cravings, workplace stress, relationship strain, and shifts in self-worth.
Over the course of treatment she tracks progress and adjusts the work when needed. The approach is collaborative: she helps people test what works and drop what does not. Sessions can include practical exercises, problem-solving, and planning for real-life situations.
Clients who book through the site follow a short matching questionnaire and schedule a first session. Sessions use a subscription that can be canceled at any time, and cost varies with location. Confirm current session options before booking.
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How her evidence-based approaches translate to online work
Hiroko uses evidence-based therapeutic techniques to structure sessions and guide practical change. One common approach focuses on identifying unhelpful patterns and building concrete coping skills that can be practiced between meetings; this helps with anxiety, stress, and cravings. Another approach emphasizes behavioral change strategies for substance use, including setting clear goals, planning for triggers, and rehearsing alternative responses to high-risk situations.Finding the right approach is part of the work. She collaborates with each person to decide which techniques fit their needs and goals. The therapist and client review what helps and adjust the plan as progress is made.
The original biography does not list specific session formats. Confirm the available session options before booking. Online sessions can make it easier to fit therapy into a busy life by removing travel time, enabling shorter check-ins when needed, and allowing appointments during breaks from work. These practical benefits help people maintain consistency while they work on stress, relationships, addiction, and other concerns.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
10+ years
Listed in
California
Languages
English
Sheet 4
Frequently asked questions
What concerns does she work with?
She focuses on addictions, stress, anxiety, relationship and family concerns, intimacy issues, self-esteem, career changes, coping with life changes, and compassion fatigue. Drug and alcohol addiction is an additional focus area.
What is her therapeutic style?
She uses evidence-based therapeutic techniques and keeps sessions practical. The work emphasizes identifying patterns, building coping skills, and setting small, concrete goals.
How much clinical experience does she have?
She has 10 years of professional experience as a licensed clinical social worker. That experience includes helping clients cope with addictions.
What are her credentials and where is she based?
She is an LCSW licensed in California. Her practice is located in California.
Which languages are offered?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
The original biography does not specify session formats. Confirm the current session options before booking.
How does payment and cost work?
Sessions use a subscription model that can be canceled at any time and cost varies with location. Check pricing details during the booking process.
How do I get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That begins the intake and planning process.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.