About Luke

Hello,
I'm Luke.

I'm a licensed therapist and the owner of Driftless Therapy Solutions. I provide telehealth therapy for adults and couples across Minnesota, with a focus on anxiety, depression, relationship concerns, and intimacy.

Clients often tell me they appreciate my calm, straightforward approach — and that sessions can include both real depth and a little humor. Healing doesn't have to be heavy all the time.

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Luke Mattheisen, MS, LPCC, NCC

My approach

Grounded in evidence,
built around you.

I draw on several evidence-based approaches depending on what you're working through — always adapting to what actually helps you move forward.

SFT

Solution-Focused Therapy

A goal-oriented approach that focuses on your strengths and what's already working. Rather than dwelling on problems, we identify practical steps to move forward and create real, sustainable change.

DBT

Dialectical Behavior Therapy

A skills-based approach for managing intense emotions and building healthier coping strategies. DBT helps you find balance — accepting where you are while actively working to change what isn't serving you.

CBT

Cognitive Behavioral Therapy

A structured approach to identifying and shifting the thought patterns that keep you stuck. By challenging unhelpful beliefs, you gain more control over your emotional responses and daily experience.

Integrative & Individualized

No single approach works for everyone. I blend methods based on what you need — bringing empathy, respect, and a practical focus to every session, whether it's your first or your fiftieth.

What to expect

Therapy that feels
like a real conversation.

No judgment

Whatever brought you here — you'll be met with genuine curiosity and care, not evaluation. There's no "right" way to show up to therapy.

Practical focus

We'll build real skills you can use outside of sessions. Insight is valuable, but so is having concrete tools that make a difference in your day-to-day life.

A little humor

Therapy doesn't have to be somber. When appropriate, levity is part of the process — it builds connection and makes hard work a little more sustainable.

Your pace

We move at whatever speed is right for you. There's no agenda to push through material faster than it's useful. Depth matters more than speed.

Background & experience

I earned my Master's degree in Mental Health Counseling in 2010, and since then I've worked across a range of settings — community mental health, local government agencies, and private practice. That breadth has given me a grounded, flexible perspective on what actually helps people change.

I started Driftless Therapy Solutions to offer something I believe in: quality mental health care that's accessible, convenient, and genuinely personal. Telehealth allows me to serve clients across all of Minnesota, including in rural areas where in-person options are limited.

When I'm not in session, I'm rooted in southeastern Minnesota — the rolling hills and river valleys that gave this practice its name.

On the river, southeastern Minnesota

I work with adults who are:

Struggling with anxiety, panic attacks, or chronic stress

Dealing with depression, low motivation, or major life transitions

Couples navigating communication breakdowns or conflict cycles

Partners working on trust repair or reconnection

Individuals with intimacy or sexual concerns affecting their relationships

Anyone who feels stuck and isn't sure why

Hello,I'm Luke.

Grounded in evidence,built around you.

Therapy that feelslike a real conversation.

Let's see ifwe're a good fit.

Hello,
I'm Luke.

Grounded in evidence,
built around you.

Therapy that feels
like a real conversation.

Let's see if
we're a good fit.