George Tilley
Compassionate therapist helping people move forward
- Credentials
- LCSW
- Experience
- 36 years
- Licensed in
- North Carolina
- Languages
- English
- Format
- Online sessions
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 who are dealing with stress, anxiety, depression, grief, relationship issues, and major life changes. He uses straightforward language and practical tools so conversations stay useful and focused.
Tilley offers a calm, respectful space to talk about sensitive topics such as sexuality, identity, intimacy, and career concerns. He aims to reduce shame and improve communication.
Background and approach
Sessions are geared toward real-life steps people can try between meetings. His background includes decades of work with people facing addiction, trauma, ADHD, bipolar challenges, and caregiver stress. That experience shapes a flexible approach rather than a one-size-fits-all method.
He matches techniques to each person’s needs. Tilley blends therapies that emphasize values, attachment, and practical thinking. He draws on Acceptance and Commitment Therapy, Attachment-Based ideas, Cognitive Behavioral Therapy, and mindfulness practices to help clients notice thoughts, choose actions, and build healthier patterns.
The practice supports people dealing with parenting concerns, blended family stresses, communication problems, and issues around intimacy or kink culture. Sessions move at a pace set by the client, with an emphasis on clarity, respect, and steps that help life feel more manageable.
Therapeutic approaches for online sessions
Acceptance and Commitment Therapy helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy focuses on patterns of thinking and behavior and teaches practical skills to change unhelpful habits; it often helps with stress, mood problems, and relationship habits. Attachment-Based Therapy looks at how early connection patterns affect current relationships and communication, and it can help people improve intimacy and trust.Choosing the right approach is part of the work. The therapist will talk with clients about their goals, history, and preferences and then recommend techniques that fit. That decision is collaborative and can change as progress is made.
Online sessions make it easier to fit therapy into busy lives. Video calls allow face-to-face conversation from home, phone sessions offer a simpler option when video is difficult, and live chat or text messaging provide short, flexible ways to check in between meetings. These formats support consistent work and make it easier to try new skills in everyday settings.
Acceptance and Commitment Therapy (ACT)
Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.
Attachment-Based Therapy
Looks at how early bonds shaped what you expect from closeness, and how that plays out now with a partner, a parent, or your own children.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Grief
Also works with
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Workplace issues
Therapeutic approaches
- Experience
- 36 years
- Licensed
- North Carolina
- Languages
- English
Next step
Talk to George
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point