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George Tilley

Therapist · North Carolina

George Tilley, LCSW

Supportive therapist for life transitions

Continue with George

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  • Thoughts and everyday habits
  • LGBTQ+ affirming care
  • 36 years experience

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 facing anxiety, depression, grief, addiction, and major life changes. His style is warm and nonjudgmental, aimed at helping people feel heard and understood.

He creates a calm space to talk about relationships, sexuality, identity, and intimacy-related concerns. He guides people who struggle with self-esteem, anger, communication problems, and career stress. He also addresses ADHD, bipolar concerns, and caregiver strain in everyday terms.

George draws on practical methods that help change unhelpful thought patterns and day-to-day habits. He uses approaches like cognitive behavioral techniques and mindfulness to make small, steady changes. Attachment-based ideas shape how he looks at close relationships and interpersonal patterns.

Sessions focus on clear goals and doable steps. That might include noticing thought patterns, practicing new ways of responding, or building routines that reduce stress. He supports people exploring kink, alternative sexual cultures, body image, and blended family stress without judgment.

People often come for help with relationship trouble, parenting strain, divorce and separation issues, or chronic health and pain challenges. George aims to help people build resilience, improve communication, and find better ways to manage daily life.

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

How therapeutic approaches fit with online work

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without getting stuck and then choose actions that match their values. It is useful for anxiety, depression, and major life changes. Cognitive Behavioral Therapy (CBT) looks at how thoughts affect daily habits and teaches concrete skills to change unhelpful thinking and behavior. It often helps with anxiety, depression, and stress. Attachment-Based Therapy focuses on patterns in close relationships and helps people understand and change how they connect with others.

Choosing the right approach is part of the process. The therapist will work collaboratively to identify goals, try methods that fit your needs, and adjust the plan based on what helps. That means talking about what matters most to you and testing practical steps together.

Confirm current session options before booking so you know what formats are available. Online therapy can make it easier to fit sessions into a busy week, avoid travel time, and use shorter check-ins when schedules are tight. It can also let people use approaches like ACT or CBT from wherever they are, so progress is based on regular practice and real-life changes rather than where the session happens.

Frequently asked questions

What kinds of problems does this therapist help with?

He works with stress, anxiety, depression, grief, relationship and intimacy-related issues, addictions, ADHD, bipolar concerns, caregiving stress, chronic pain and many life changes.

How would you describe his therapeutic style?

His approach is compassionate and nonjudgmental, focused on practical steps and everyday habits. Sessions aim to make thoughts and behavior changes feel manageable.

What is his professional background?

He has 36 years of clinical experience working with adults on a wide range of emotional and interpersonal issues.

What credentials does he hold and where is he located?

He is an LCSW, licensed in North Carolina, and provides services from that state.

Can people meet with him in languages other than English?

Sessions are offered in English.

Are international clients accepted?

International clients are not currently accepted.

How are fees and payment handled?

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

What should I do to begin working together?

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

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