
Hiroko Makiyama
Compassionate support for change and recovery
Start with Hiroko MakiyamaLicensed · Professional · Cancel Anytime


Compassionate support for change and recovery
Start with Hiroko MakiyamaLicensed · Professional · Cancel Anytime
Hiroko Makiyama is a licensed clinical social worker practicing in California who brings ten years of therapy experience to her work. She specializes in supporting people facing addictions, stress and anxiety, relationship and family conflicts, intimacy and self-esteem concerns, career difficulties, compassion fatigue, and the challenges of life transitions.
Hiroko approaches each person as the expert on their own story and focuses on identifying strengths that can be used to overcome obstacles. She recognizes that reaching out for help takes courage and provides steady, compassionate support as clients work toward a more fulfilling and balanced life. Her California licensure reflects her training and qualifications to provide clinical social work services.
Many people ask whether online therapy can truly help. For common concerns such as stress, anxiety, depression, relationship struggles, or navigating life changes, remote therapy has been found to be as effective as traditional in-person sessions for most people.
A major benefit is flexibility - individuals can choose the format that fits their life, whether that is video calls, phone sessions, live chat, or in-app messaging. This makes it easier to attend sessions consistently when schedules are busy or travel is difficult.
All therapists are licensed professionals, and clients have the option to switch clinicians if they feel another therapist would be a better fit. Online therapy can be a practical, accessible way to engage in the work of healing and problem solving while fitting care into everyday life.