Luke Hirst


Luke Hirst


Telehealth Available
Professions: Clinical Social Worker
License Status: I'm a therapist practicing under supervision. Supervisor: LCSW
Primary Credential: LCSWA - P017583
Billing and Insurance:

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: $120 for individuals, $140 for couples or other relationships
I am currently working on getting paneled with BCBS and Aetna.
Free Initial Consultation


Durham, North Carolina 27707

My Approach to Helping

Hi! I'm Luke. I strive to create a collaborative therapeutic space of warmth, compassion, curiosity, and playfulness. I am especially passionate about creating a space where people can build resilience and embrace their whole selves, especially LGBTQIA+, BIPOC, disabled or chronically ill, immigrant, fat, neurodivergent, and other marginalized folks. I currently provide psychotherapy to adults and teenagers ages 13 and up and am conducting all sessions via telehealth.

More Info About My Practice

Prior to becoming a therapist, my paid work included nonprofit accounting and consulting, political organizing, community building, immigrant justice, journalism, food service, and retail. I also have significant volunteer experience with a number of different advocacy and community organizing groups and have been in therapy myself on and off since I was a teenager. I believe that this background allows me to bring a fresh perspective and willingness to think outside the box, while taking into account the evidence base for established practices. It also means I am still very much excited to be learning and exploring this field.

Among many other facets of who I am, my worldview is shaped by my being white, queer, nonbinary trans, and invisibly disabled. I live and work on land that is unceded territory of the Lumbee, Tuscarora, Occaneechi, Shakori, and Cheraw peoples.

My View on the Purpose of Psychotherapy

Therapy is a partnership in which I support you in working toward your goals. My primary role will be to help you connect to your own abilities to heal yourself, but that also means you have to be willing to do the (sometimes difficult, sometimes joyful) work. As Audre Lorde, Tricia Hersey, and many others continue to teach us, taking care of and healing ourselves is a critical and revolutionary act. My perspective on mental health also holds that no amount of individualized services will be adequate without addressing systemic patterns and working to be in right relationship with each other and with the land we live on.

More than anything, I want to be a source of compassion and a reflect of your own value. Life is hard. Change is hard. And they both can be beautiful beyond measure.

Services I Provide

  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Telehealth

Ages I Work With

  • Teens
  • Adults
  • Elders


  • English

Groups I Work With

    adults, teenagers, LGBTQIA+, queer, trans, BIPOC, couples, partners, poly, ENM, kink, disabled, chronically ill, immigrant, fat, neurodivergent, recovering perfectionists, sensitives, activists, movement workers, healing arts practitioners, religious trauma survivors, spiritual seekers, weirdos, misfits

Industries & Communities Served

  • LGBTQ+

Client Concerns I Treat

  • Adjusting to Change / Life Transitions
  • Anxiety
  • Chronic Illness / Disability
  • Communication Problems
  • Depression
  • Emotional Overwhelm
  • Family of Origin Issues
  • Identity Issues
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Life Purpose / Meaning / Inner-Guidance
  • Phobias
  • Polyamory / Nonmonogamous Relationships
  • Relationships and Marriage
  • Self-Compassion
  • Spirituality

Types of Therapy

  • Acceptance and Commitment Therapy (ACT)
  • Cognitive Behavioral Therapy (CBT)
  • Emotionally Focused Therapy
  • Exposure Therapy
  • Feminist Therapy
  • Holistic Psychotherapy
  • Humanistic Psychology (humanism)
  • Integration of different therapy models
  • Interpersonal Psychotherapy (IPT)
  • Mindfulness-Based Interventions
  • Neuropsychology
  • Person-Centered Therapy (Rogerian Therapy)
  • Positive Psychology
  • Relational Psychotherapy
  • Somatic Psychotherapy

See other therapists in Durham, NC.

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