Titos’ approach to psychotherapy is to build a relationship that enables clients to express their thoughts and vulnerability. He believes that the therapeutic relationship is the fundamental part of how effective sessions are. He works relationally which means that he encourages himself and clients to reflect on how they are interacting in the therapeutic relationship with one another and how this can shed light on their relationships outside of therapy.

Titos’ training began at Regents University, London. He is a trauma informed practitioner, having completed extra training to support his trauma practice. He has extensive experience working with clients dealing with relationship issues, intimacy, infertility and pregnancy, men's issues, and sex-related issues. Titos has lectured at the Regents School of Psychotherapy and Psychology and worked in the NHS and private practice.

He is informed by both existential and relational psychoanalytic perspectives. An existential perspective can help clients understand how they construct meaning, avoid it and why. It can help clients confront the choices they either make or don’t make. It can help them become familiar with uncertainty and possibility. In many respects, an existential approach to the work depends on the attitude and intention.

The relational psychoanalytic approach acknowledges how relationships of the past and present impact our identity, relationships and internal world. The therapeutic relationship is considered the pathway to understanding and processing past and present difficulties.