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Therapist profile

George Tilley

LCSW North Carolina 36 years of experience

Experienced LCSW guiding people through change

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George Tilley
  • 36 years experience
  • Values based care
  • LGBT affirmative

About George

George Tilley is a licensed clinical social worker (LCSW) practicing in North Carolina. He has 36 years of experience helping people through difficult changes and emotional struggles. George focuses on practical support for everyday problems and big life shifts alike.

He creates a calm, nonjudgmental space where people can talk about sensitive topics. Sessions often cover depression, anxiety, relationship patterns, and questions of identity and sexuality. He aims to help clients build clearer communication and greater self-compassion.

George uses straightforward, person-centered methods. He listens closely and helps clients identify what matters to them. Together they set small, concrete steps to reduce stress and manage intense feelings.

His work also includes support for grief, chronic health challenges, workplace stress, and midlife transitions. He pays attention to how attachment and past relationships shape current patterns. Mindfulness and values-based tools are part of shorter-term practical plans.

George brings an inclusive outlook and names particular comfort working with people from the LGBT community and older adults. He focuses on helping people regain stability, rebuild meaning after loss, and adapt when life circumstances shift.

To begin, he guides each person through goals that fit their life. Sessions emphasize usable skills and clearer choices so people can move forward with more confidence.

How his approaches translate to online care

George commonly draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. ACT helps people clarify their values and take small steps toward them while managing painful thoughts. CBT focuses on identifying unhelpful thinking and testing new behaviors to reduce anxiety and depressive symptoms.

He also uses Attachment-Based ideas to look at how early relationships shape current patterns. That can help with communication, intimacy-related worries, and understanding reactions in close relationships. These approaches are explained in simple terms during sessions and adapted to each person's goals.

Finding the right approach is a collaborative process. George will discuss options and tailor methods based on what a person wants to work on, their pace, and daily routines. He checks in about what is or isn't helping and adjusts plans together.

Session format options are not listed in the biography, so confirm current session choices before booking. Online work can make it easier to fit therapy into a busy week, shorten some check-ins, and reduce travel time. Talk with the therapist about scheduling and what will best fit everyday 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

Frequently asked questions

What kinds of concerns does George focus on?

He focuses on stress, anxiety, depression, grief, relationship issues, coping with life changes, addictions, trauma, and related concerns listed in his profile.

What is his general therapeutic style?

His style is compassionate and person-centered, with an emphasis on listening, practical steps, and helping clients set small achievable goals.

How long has he been practicing?

He has 36 years of experience as a clinician supporting people with emotional and life transition challenges.

What credential does he hold and where is he located?

He is an LCSW (licensed clinical social worker) licensed 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 does pricing work for sessions?

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

What are the steps to begin working with him?

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

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