Hiroko Makiyama, LCSW

Licensed in California · 10 years in practice

Hiroko Makiyama meets people where they are and focuses on practical steps for change.

License and registration

LCSW, California: LCSW26404 · expires July 2027
NPI: 1891168241 · national provider identifier
Years in practice: 10
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Hiroko

Hiroko Makiyama meets people where they are and focuses on practical steps for change. She invites clients to name what feels hard and works alongside them to build on existing strengths. Conversations are straightforward and geared toward small, doable actions that add up over time.

Hiroko is a licensed clinical social worker, LCSW, practicing in California. She has ten years of experience helping people cope with addictions and related concerns.

Background and approach

Her work emphasizes the person’s knowledge of their own life and priorities rather than a one-size-fits-all plan. In sessions she listens for what matters most and helps set clear short-term goals. That might mean making a plan for stress, addressing anxiety, or finding ways to manage cravings and triggers.

She also supports people working through relationship and intimacy-related issues, changes at work, low self-esteem, and compassion fatigue. Her style is collaborative and down-to-earth. She offers strategies that fit daily life, such as coping tools, communication steps, and routines that reduce overwhelm.

Progress is tracked in simple, concrete ways so clients can see what’s changing. Hiroko favors approaches grounded in evidence and adapts them to each person. Sessions can include problem-solving, skills practice, and reflection about patterns that get in the way.

She aims to make therapy a clear, manageable part of a client’s life.

Focus areas and approaches

Everything Hiroko lists on their public professional profile, in their own terms.

Addictions
Stress, Anxiety
Relationship issues
Family conflicts
Intimacy-related issues
Self esteem
Career difficulties
Coping with life changes
Compassion fatigue
Drug and alcohol addiction

Online support

Evidence-Based Approaches for Online Care

Hiroko uses evidence-based therapeutic techniques that are practical and focused on change. One approach emphasizes skills training and coping strategies to reduce anxiety and stress; clients learn specific tools they can use during hard moments. Another approach centers on relapse prevention and managing cravings for people facing drug and alcohol addiction; it focuses on identifying triggers, building routines, and planning concrete responses.

Finding the right method is part of the work together. She will help clients choose and adjust approaches based on their goals, needs, and how they respond. The process is collaborative, with regular check-ins to see which techniques are helping and which need change.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to match different lives and schedules. Video lets people use visual cues and longer conversations. Phone sessions work well when lower bandwidth is needed or when being off camera helps concentration. Live chat and text messaging offer brief check-ins, day-to-day support, or a way to fit therapy into a busy day. These options make it easier to keep continuity of care and practice skills between meetings.

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Questions people ask

What concerns does Hiroko commonly address?

Hiroko focuses on addictions, including drug and alcohol addiction, plus stress, anxiety, relationship and intimacy-related issues, self-esteem, career questions, coping with life changes, and compassion fatigue.

How would you describe her therapy style?

She takes a collaborative, down-to-earth approach that emphasizes practical steps and building on a person’s strengths. Sessions often include goal setting, skills practice, and straightforward problem solving.

What is her professional background?

Hiroko has ten years of experience working with clients on addictions and related concerns. She emphasizes the client’s own knowledge of their life when forming a plan.

What credentials and location are listed?

She is a licensed clinical social worker, LCSW, licensed in California and practices from that state.

Which languages are supported for sessions?

Sessions are offered in English.

What session formats are available?

Hiroko meets by video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

How does payment and cost work?

Cost varies by location and therapist availability; sessions are accessed through a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist’s availability.

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