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George Tilley

Therapist · North Carolina

George Tilley

LCSW

Compassionate practical therapy for life changes

Continue with George

Review online therapy options on BetterHelp.

  • Practical coping skills
  • Support for identity
  • Focus on relationships

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 navigate stress, anxiety, grief, depression, career concerns, and other life changes in a calm and respectful way.

He creates a welcoming space to talk about sensitive topics such as sexuality, identity, and intimacy-related issues. Sessions are meant to be practical and down-to-earth, with attention to communication skills, self-esteem, and coping strategies.

George uses a mix of approaches to suit each person’s needs. He often brings in cognitive behavioral ideas to address unhelpful thinking, mindfulness practices to reduce reactivity, and acceptance methods to handle painful feelings. These tools are presented in simple steps that people can try between sessions.

He has long experience supporting people facing workplace stress, midlife transitions, grief, chronic illness, and addictive patterns. He also works with people concerned about relationship patterns, attachment issues, and navigating kink and alternative sexual cultures.

George emphasizes collaboration and respects each person’s values and goals. He aims to help people build practical habits, improve communication, and find clearer direction in work and personal life.

Areas of expertise

Primary focus

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

How his approaches translate to online work

George often draws on Acceptance and Commitment Therapy, Attachment-Based Therapy, and Client-Centered Therapy. Acceptance and Commitment Therapy (ACT) focuses on noticing difficult thoughts and feelings without letting them dictate action, which can help with anxiety, depression, and life transitions. Attachment-Based Therapy looks at patterns in close relationships to improve how people connect and communicate. Client-Centered Therapy centers the person’s own goals and pace, letting sessions follow what matters most to the client.

Finding the right approach is part of the work. George will discuss goals, preferences, and what feels most useful, and then try methods together to see what fits. That collaborative process helps shape a plan that matches everyday needs and responsibilities.

Session format options are not specified in the biography, so confirm current session choices before booking. Many people find online therapy helpful because it can fit more easily into a weekday, reduce travel time, and let brief check-ins happen during busy schedules. It can also make it simpler to use mindfulness exercises or homework between visits. Licensed professionals can adapt these approaches to work effectively in different settings, and George will help decide how to use them to meet practical goals.

Frequently asked questions

What kinds of problems does George help with?

He works with stress, anxiety, depression, grief, career transitions, addictions, and many relationship and intimacy concerns listed in his profile.

How would you describe his therapy style?

His style is compassionate and down-to-earth, focusing on practical steps, clearer communication, and routines that fit everyday life.

How much experience does he have?

He has 36 years of experience as a licensed clinician in social work.

What credentials and location are listed?

He holds an LCSW (licensed clinical social worker) credential and practices in North Carolina.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with him?

He does not accept international clients at this time.

How are fees and payment handled?

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

What should I do to begin therapy?

Select the Start Therapy button, complete the short matching questionnaire, and then schedule according to therapist availability.

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