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George Tilley

George Tilley, LCSW

Therapist · North Carolina · 36+ years of experience

Experienced LCSW helping people through life changes

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  • 36 years experience
  • Affirms LGBT identities
  • Practical coping skills

About George

George Tilley is a licensed clinical social worker (LCSW) practicing in North Carolina. He brings 36 years of experience working with people facing major life shifts and emotional strain. He frames sessions around practical steps and honest conversation so clients can feel understood and move forward.

George focuses on common concerns like stress, anxiety, depression, grief, and coping with life changes. He also supports people dealing with relationship struggles, intimacy issues, addiction, ADHD, and career challenges. He takes particular care with concerns tied to aging, caregiving, chronic illness, and identity issues that affect daily life.

Sessions are intended to be respectful and non-judgmental. George uses methods that help people notice their thinking, test unhelpful patterns, and try new behaviors. He often combines mindfulness, acceptance-based ideas, and cognitive tools to help people clarify values and take small steps toward them.

His approach emphasizes listening, clear feedback, and collaborative planning. People can expect straightforward talk about what’s getting in the way and practical options to try between sessions. The goal is to build skills for coping, improve communication, and support meaningful change over time.

George welcomes people from diverse backgrounds and affirms LGBT identities. He aims to create an inclusive environment where people can explore sexuality, life purpose, and relationship questions without judgment.

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 shape online work

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them and then choose actions that match their values. It can be useful for anxiety, depression, and navigating big life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and testing new behaviors to reduce symptoms and improve daily functioning. It often helps with anxiety, depression, and stress. Attachment-Based Therapy looks at how early relationship patterns affect current connections and communication, and it can help people understand patterns that come up in partnerships and friendships.

Choosing the right approach is part of the process. The therapist will work together with each person to match methods to their needs, goals, and preferences. That means trying an approach, checking how it feels, and adjusting as needed in a collaborative way.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make therapy easier to fit into a busy day, reduce travel time, and allow shorter check-ins when needed. It also makes it simpler to keep momentum between sessions and to practice skills in real-life settings, while the therapist and client refine goals and next steps together.

Frequently asked questions

What concerns does George often help with?

He works with stress, anxiety, depression, grief, relationship struggles, and coping with life changes, among many other issues listed in his specialties.

What is his therapy style like?

Sessions are practical and collaborative, with a focus on listening, clear feedback, and small behavioral steps to try between meetings.

How much experience does he have?

George has 36 years of experience as a therapist, bringing long-term clinical perspective to common and complex life challenges.

What credentials and region are listed?

He is a licensed clinical social worker with an NC LCSW credential and practices in North Carolina.

Which languages are supported in sessions?

Sessions are offered in English.

Can people from other countries work with him?

International clients are not currently accepted.

How does pricing work for sessions?

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

How do I begin therapy with him?

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

George Tilley Online therapy options on BetterHelp

Continue with George