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About Luke
Luke Totty works with stress, anxiety, addictions, relationship problems, trauma and self‑esteem by helping people understand how past experiences shape present behaviour. He is a member of the British Association for Counselling and Psychotherapy (BACP) and has three years of experience as a counsellor.
He started by co‑facilitating addiction support groups while completing four years of formal study. Since qualifying he has accumulated over 3,000 clinical hours working in both clinical and community settings. That background means he is familiar with group dynamics and one‑to‑one work around substance use and alcohol concerns.
His view is that addiction often points to deeper emotional or relational issues. In sessions he helps people trace how early relationships affect current patterns of control, abandonment fears, guilt and shame. He also addresses life purpose and men’s issues where these link to other concerns.
Much of his practice focuses on how pain formed in relationships and how healing happens within a relationship. He encourages vulnerability as a route to clearer connection and better self‑understanding. Practical conversation includes looking at behaviour patterns and making small, manageable changes.
Sessions are straightforward and conversational. He works with clients to identify which relationships and habits are causing the most distress, and then helps plan steps towards different ways of relating and coping. This is aimed at durable change rather than quick fixes.
How his approaches fit with online working
Two evidence‑based approaches inform his practice. The first focuses on understanding how relationships shape feelings and behaviour, helping people map patterns of attachment, control and abandonment and then try new ways of relating. The second centres on behavioural change, breaking down unhelpful habits into manageable steps and rehearsing alternative responses to stress and cravings.
Choosing the right approach is part of the work together. He will discuss what to try first based on the client’s goals, preferences and what feels manageable, and then adapt as progress is made. This is a collaborative process rather than a fixed programme.
Practical benefits of online counselling include fitting sessions more easily into everyday life, reducing travel time and allowing shorter check‑ins when needed. The biography does not list specific session formats, so please confirm current session options before booking. Finding a way to make sessions fit day‑to‑day commitments is part of planning the work together.
Sessions take place through BetterHelp by video, phone or messaging. We will earn a commission if you sign up.
Topics Luke lists
Questions about Luke
- Does he work with anxiety?
- Yes. He helps people manage anxiety by identifying triggers and developing practical coping strategies.
- What kind of counselling does he offer?
- He offers conversational, relationship‑focused counselling that looks at past patterns and current behaviour.
- How much experience does he have?
- He has three years of experience and over 3,000 hours of practice in clinical and community settings.
- Is he registered with a professional body in the UK?
- Yes. He is a member of the British Association for Counselling and Psychotherapy (BACP).
- Can I have sessions in a language other than English?
- Sessions are offered in English.
- Does he take international clients?
- He does not accept international clients at this time.
- How much do sessions cost?
- Cost varies with location and sessions use a subscription that can be cancelled at any time.
- How do I start counselling with him?
- Select the Talk to a counsellor online button, complete a short matching questionnaire, and schedule your first session.
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This page is based on Luke's public BetterHelp listing and is not written by Luke. It is not a recommendation. If anything here is wrong, tell us and we will correct it.