- Strengths-based approach
- Addiction support
- Goal-focused work
About Hiroko
Hiroko Makiyama is a California-based LCSW who helps people facing low self esteem and related struggles. She speaks English and focuses on practical steps that can make daily life feel more manageable. Hiroko meets people where they are and aims to build on their existing strengths to move forward.
She has ten years of clinical experience working with addictions and related concerns such as drug and alcohol addiction, stress, anxiety, and relationship or intimacy-related issues. Hiroko emphasizes that each person knows their own story and brings useful resources to therapy. Sessions are framed around small, realistic goals so progress feels tangible.
Her work also addresses career stress, coping with life changes, family concerns, and compassion fatigue. She helps clients notice repeated patterns and try concrete alternatives. The tone in sessions tends to be practical and supportive rather than theoretical.
Hiroko believes beginning therapy takes courage and that support can change how people cope day to day. She uses evidence-based therapeutic techniques to tailor the process to a person’s needs. The emphasis is on collaboration, skill-building, and steady steps toward feeling more confident.
People interested in starting can expect a straightforward process that focuses on achievable changes. If you want a therapist who highlights strengths and works on clear goals, Hiroko offers a direct, compassionate approach.
She has ten years of clinical experience working with addictions and related concerns such as drug and alcohol addiction, stress, anxiety, and relationship or intimacy-related issues. Hiroko emphasizes that each person knows their own story and brings useful resources to therapy. Sessions are framed around small, realistic goals so progress feels tangible.
Her work also addresses career stress, coping with life changes, family concerns, and compassion fatigue. She helps clients notice repeated patterns and try concrete alternatives. The tone in sessions tends to be practical and supportive rather than theoretical.
Hiroko believes beginning therapy takes courage and that support can change how people cope day to day. She uses evidence-based therapeutic techniques to tailor the process to a person’s needs. The emphasis is on collaboration, skill-building, and steady steps toward feeling more confident.
People interested in starting can expect a straightforward process that focuses on achievable changes. If you want a therapist who highlights strengths and works on clear goals, Hiroko offers a direct, compassionate approach.