Luke Hirst


Luke Hirst


Telehealth Available
Professions: Clinical Social Worker
License Status: I'm a licensed professional.
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: My standard rate is $150 for a 55-minute session. I have some sliding scale spots available for those who need it.
Free Initial Consultation


Durham, North Carolina 27707

My Approach to Helping

Therapy is a partnership in which I support you in working toward your goals. I am not here to “fix” you, and I’ll tell you upfront that I don’t have all the answers! What I do have is faith that you are enough as you are, and you already have vast healing potential. Together we can understand the emotions driving you and help you get clear on what you want your next steps to be. If you're stuck in the same patterns, we can get you unstuck so you can be your best self again.

I also believe it's important to acknowledge the larger cultural and systemic frameworks in which we live and the ways they impact us on a daily basis. I am passionate about creating a space where people can embrace their whole embodied selves, especially folks from marginalized identities. Taking care of ourselves and each other is a critical and radical act.

Specific Issue(s) I'm Skilled at Helping With

My work focuses largely on people going through life transitions or exploring issues of gender and sexuality. I help people in relationships come back into connection with each other, and individuals come into connection with themselves. I especially enjoy working with LGBTQIA+ and neurodivergent folks and people in nontraditional relationship structures.

Video Message

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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, individuals, couples, relationships, LGBTQIA+, queer, trans, BIPOC, CNM, kink, disabled, chronically ill, immigrant, fat, neurodivergent, gifted kids, recovering perfectionists, sensitives, activists, movement workers, healing arts practitioners, spiritual seekers

Industries & Communities Served

  • LGBTQ+

Client Concerns I Treat

  • Adjusting to Change / Life Transitions
  • Anxiety
  • Communication Problems
  • 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

Types of Therapy

  • Acceptance and Commitment Therapy (ACT)
  • Cognitive Behavioral Therapy (CBT)
  • Discernment Counseling
  • Emotionally Focused Therapy
  • Exposure Therapy
  • Feminist Therapy
  • Humanistic Psychology (humanism)
  • Relational Psychotherapy

See other therapists in Durham, NC.

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