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George Tilley

George Tilley, LCSW

Therapist in North Carolina

Experienced LCSW focused on life transitions

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Areas of expertise

Also works with

AddictionsLGBTTrauma and abuseIntimacy-related issuesParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCompassion fatigueADHD

Additional focus areas

Aging and geriatric issuesAttachment issuesAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameHIV / AIDSHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPolyamory / non-monogamous relationshipsPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSex addictionSexualitySocial anxiety and phobiaWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

36+ years

Credentials

North Carolina

Languages

English

  • Trauma and abuse
  • Anxiety and depression
  • Relationship concerns

About George

George Tilley is a licensed clinical social worker (LCSW) practicing in North Carolina with 36 years of experience. He focuses on helping people get through major life changes, manage strong emotions, and rebuild a sense of balance. He creates a calm, respectful space where difficult topics can be talked through without judgment.

His background includes long-term work with anxiety, depression, relationship concerns, grief, and issues related to identity and intimacy. He also addresses burnout, addiction-related concerns, and stress tied to caregiving or chronic health problems. That breadth of experience shapes practical ways to handle day-to-day struggles.

George draws on approaches such as acceptance and commitment therapy, cognitive behavioral techniques, attachment-based ideas, client-centered methods, and mindfulness practices. He uses these to help people notice patterns, try new actions, and strengthen what matters most to them. Sessions are aimed at clear goals and steady progress rather than quick fixes.

People who reach out often want straightforward tools and a steady presence while they make changes. Conversations may include skill-building for managing anxiety, steps to improve communication, or strategies to face grief and loss. The focus is on what works for each person’s life and values.

With an affirming, nonjudgmental stance, George offers support to people from diverse backgrounds, including members of the LGBT community and older adults. He works at the pace a person needs and helps them find ways to move forward with greater resilience.

How George’s Approaches Work Online

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to a person and taking small steps in that direction while learning to live with uncomfortable thoughts. It often helps when someone feels stuck by worry, low mood, or life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns. It is useful for anxiety, depression, and many stress-related problems. Attachment-Based Therapy pays attention to how early relationships shape current patterns, and it can be helpful for people who want clearer communication and more satisfying connections.

Finding the right approach is part of therapy. George works together with each person to decide what methods fit their needs, goals, and preferences. That collaborative process may blend elements from different approaches and adjusts as progress happens.

If you are considering online work, confirm the current session options before booking since formats are not specified here. Online sessions can make it easier to fit therapy into a busy day, reduce travel time, and allow shorter check-ins when that helps. They also let people use tools learned in sessions in real time at home or work. Licensed professionals, including therapists using ACT or CBT techniques, often adapt exercises and worksheets for effective online use, and George will discuss which setup will best support your goals.

Frequently asked questions

What concerns does George commonly address?

He helps people navigate stress, anxiety, depression, grief, relationship problems, trauma and abuse, and a range of other life challenges.

How would you describe his therapy style?

His style is compassionate and straightforward, mixing practical skills with reflective conversation to help people make steady changes.

What is his professional background?

George holds an LCSW and brings 36 years of clinical experience working with adults on emotional and life-transition issues.

Where is he licensed and based?

He is a licensed clinical social worker in North Carolina and practices there.

Which languages are supported for sessions?

Sessions are offered in English.

Can people outside the United States work with him?

He does not accept international clients at this time.

How are fees and payment handled?

Cost varies with location and therapist arrangement; sessions use a subscription that can be canceled at any time.

What is the first step to begin therapy?

Click the Start Therapy button, complete a short matching questionnaire, and schedule based on the therapist's availability.

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