Luke Totty, BACP

Luke Totty is a counsellor with a BACP credential and three years of clinical experience. He began by co-facilitating addiction support groups while completing four years of formal study, and has since accumulated over 3,000 hours working in clinical settings.

He helps people dealing with stress, anxiety, trauma and abuse, relationship difficulties, addictions and low self-esteem. He often looks beyond symptoms to understand how past experiences and relationships shape current behaviour. He describes addiction as frequently rooted in deeper emotional or relational struggles.

Much of his work focuses on relationships - with partners, parents, siblings and the self. He emphasises vulnerability as a route to stronger connections and uses the therapeutic relationship as the place where change happens. Sessions involve talking through patterns, noticing how the past shows up now, and trying different ways of relating.

Luke also pays attention to issues such as abandonment, control problems, forgiveness, guilt and shame, life purpose and men’s issues. He brings practical curiosity to these topics and works with each person’s priorities and pace.

People who want a direct, relationship-focused counsellor may find his style helpful. He aims to create space for honest discussion and for clients to practise new responses to old problems. To start, readers should use the site’s Start Therapy button and complete the matching questionnaire.

Therapeutic approaches and how they work online

Luke draws on evidence-based therapeutic techniques that emphasise the role of relationships and past experience in present problems. One common strand is trauma-informed work, which helps people understand how distressing events affect thoughts, feelings and behaviour, and supports learning new ways to react. Another familiar focus is addiction-informed practice, where the counsellor looks at how substance use links to emotional needs and relationship patterns and explores alternatives to harmful coping.

Finding the right approach is part of the process. The therapist will work together with the person to identify priorities, try methods that fit their goals, and adjust as needed. This collaborative stance means approaches can change as people learn more about what helps them.

Practical benefits of online therapy include easier fitting of sessions into a busy life and reduced travel time. If you are interested in remote work, confirm the current session formats before booking so you know what options are available. Many people find online sessions helpful for maintaining regular contact and for working through relationship patterns without needing to travel.