Luke Totty, BACP

Luke Totty is a counsellor with three years of practice and a BACP accreditation. He has built experience in clinical and community settings and has worked extensively with addiction support groups during his training.

He helps people dealing with stress, anxiety and low self esteem. He also supports those managing alcohol or substance use and the fallout that can follow. His work often looks at how past experiences influence present behaviour.

Luke believes many problems start in relationships, and that healing happens within relationships too. He spends much of his time helping people untangle difficult ties with partners, parents and siblings, and to find a better way of relating to themselves.

Vulnerability is central to his approach. He encourages people to explore painful feelings at a pace that feels manageable and to build new patterns of connection over time. Sessions are conversational and grounded in everyday language.

Luke aims to make therapy practical and relevant. He works with people to notice patterns, try out different responses, and track small changes. This approach supports steady progress rather than quick fixes.

People who come to him usually want clear, honest conversation and simple tools to use between sessions. He frames therapy as a collaborative process and focuses on what can be done now to improve relationships and wellbeing.

How therapeutic approaches work online

Luke draws on evidence-based therapeutic techniques that focus on relationships and behaviour. One common approach helps people track patterns between feelings, thoughts and actions and then try small behaviour changes to shift those patterns; this is useful for anxiety and stress. Another approach centres on exploring past relationships and how they shape current reactions, which can help with trauma, addiction and relationship difficulties.

Deciding which approach suits someone is part of the work. The therapist will talk with each person about goals and preferences and then choose techniques together. This is a collaborative process that may change as progress is made.

Online therapy offers practical flexibility. Video calls let people read facial cues and use a longer slot for in-depth discussions. Phone sessions can be easier when bandwidth is limited or for a shorter check-in. Live chat and text-based messaging suit people who prefer writing, need brief support between calls, or want to reflect before replying. These options make it easier to fit therapy around work and family life while keeping continuity of care.