LCSW
Hiroko Makiyama , LCSW
Therapist in California
Online therapy - get matched and start messaging.
About Hiroko
Hiroko approaches each person with a strengths-based mindset, viewing clients as the experts of their own stories and believing that existing strengths can be mobilized to address what feels overwhelming. She recognizes that seeking change requires courage and aims to provide steady support as clients take those first steps toward a more fulfilling life. Her practice also attends to compassion fatigue and self-esteem, offering practical guidance alongside empathetic listening.
With a calm, collaborative style, Hiroko works to meet individuals where they are and help them build skills and strategies that fit their goals and values. Her training and credential as an LCSW - Licensed Clinical Social Worker - reflect clinical preparation to assess needs, offer evidence-based therapeutic techniques, and support recovery and growth over time.
Evidence-Based Techniques and Flexible Online Care
Hiroko Makiyama uses evidence-based therapeutic techniques tailored to address addictions and stress by focusing on practical coping skills, relapse prevention strategies, and steps to reduce substance-related harm. She also employs evidence-based approaches that support relationships, intimacy, and self-esteem work by helping clients improve communication, set healthy boundaries, and rebuild trust within families and partnerships.
Finding the right therapeutic approach is part of the process, and Hiroko collaborates with each person to identify methods that fit their needs, goals, and personal preferences. She works alongside clients to adjust strategies over time so treatment remains responsive and meaningful.
Online therapy offers flexibility that makes consistent care easier to maintain. Clients can meet by video calls or phone sessions when they prefer real-time conversation, or use live chat and text-based messaging for more frequent check-ins and practical support between sessions. These options help reduce barriers to accessing a licensed professional and allow therapy to fit into busy schedules and varied circumstances.
Frequently asked questions
How much experience does Hiroko Makiyama have?
Hiroko Makiyama has 10 years of experience.
Is Hiroko Makiyama a licensed therapist?
Yes. She holds the credential LCSW. License details: CA LCSW LCSW26404.
In which languages does Hiroko Makiyama provide therapy?
Hiroko Makiyama provides therapy in English.
Where is Hiroko Makiyama located?
Hiroko Makiyama is located in California.
How can I work with Hiroko Makiyama as my therapist?
You can work with Hiroko Makiyama through video calls, phone sessions, live chat, or text-based messaging.
Does Hiroko Makiyama work with international clients?
Hiroko Makiyama does not currently work with international clients.
How much does therapy with Hiroko Makiyama cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
10+ years
Licensed
California
Languages
English
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