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LCSW

George Tilley, LCSW

  • Experience36 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About George

George Tilley is an LCSW practicing in North Carolina with 36 years of professional experience guiding people through difficult transitions and emotional challenges.

Background and approach

He draws on a long career in mental health to offer thoughtful, individualized care for concerns such as depression, anxiety, relationship struggles, grief, addictions, and ADHD. His background supports work with a wide spectrum of life issues including career stress, caregiving strain, chronic illness, and questions of intimacy and identity.

His style emphasizes empathy, active listening, and collaboration, creating a respectful space for clients to explore values, goals, and coping strategies. Therapeutic tools include cognitive behavioral techniques, mindfulness practices, acceptance-based methods, and attention to attachment dynamics, all adapted to each person’s needs.

George pays particular attention to strengthening communication, building self-understanding, and fostering practical skills for everyday challenges. Clients can expect an inclusive, nonjudgmental atmosphere that attends to both short-term coping and longer-term growth.

Whether addressing immediate stressors or deeper relational patterns, he aims to help people find clearer direction, greater resilience, and more satisfying connections in life.

Therapeutic Approaches and Online Care



Acceptance and Commitment Therapy (ACT) helps clients clarify what matters most and build actions aligned with personal values while learning to relate differently to difficult thoughts and feelings. It can be useful for managing anxiety, depression, and life changes by emphasizing values-driven action. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thinking patterns and behaviors through practical skill-building, which often helps with mood, anxiety, and stress-related problems. Attachment-Based Therapy attends to relational patterns formed early in life and explores how those patterns affect current relationships and emotion regulation, offering a framework for improving closeness and communication.

Determining the right approach is a collaborative process. The therapist will work with each client to weigh goals, preferences, and challenges and may integrate methods from different approaches to create a personalized plan. This shared decision-making helps ensure therapy fits the client's needs and evolves over time.

Online sessions are offered via video calls, phone, live chat, or text-based messaging, providing flexibility for busy schedules or remote situations. These formats make it easier to maintain continuity of care, practice skills between sessions, and connect with a licensed professional from home or another convenient location.

Frequently asked questions

What concerns does this therapist commonly address?
George works with a broad range of issues including stress, anxiety, depression, grief, addictions, bipolar disorder, ADHD, trauma and intimacy-related concerns.
How would you describe the therapeutic style and approach?
The practice blends client-centered listening with cognitive behavioral strategies, mindfulness, acceptance and commitment methods, and attachment-informed work to tailor care to each person's goals.
What is the clinician's background and experience?
He is a licensed clinical social worker with 36 years of experience helping people navigate life transitions, relationship challenges, and emotional difficulties.
Where is the therapist licensed and what are the credentials?
He is licensed in North Carolina as an LCSW, license number NC LCSW C003070.
Which languages are offered and can international clients join?
Sessions are conducted in English and international clients are not currently accepted.
What session formats are available for appointments?
Appointments can be scheduled as video calls, phone sessions, live chat, or text-based messaging to suit different preferences.
How is cost handled for therapy with this clinician?
Cost varies depending on location and therapist availability and sessions are offered through a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and schedule a session according to the therapist's availability.

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

Licensed

North Carolina

Languages

English