- Anxiety and stress
- Relationship skills
- Mindfulness and ACT
About George
George Tilley is an LCSW - Licensed Clinical Social Worker practicing in North Carolina with 36 years of experience. He works with people facing anxiety, stress, depression, grief, relationship problems, and life changes, along with concerns such as addiction, ADHD, and issues related to sexuality and identity.
He uses straightforward conversation to identify what matters to each person. Sessions focus on practical steps and clearer thinking rather than jargon. George helps people build skills for handling social situations, improving communication, and managing strong emotions.
His approach draws on methods like cognitive behavioral work and mindfulness to change unhelpful patterns. Attachment-based ideas are used to look at relationship habits and how earlier connections affect current behavior. Acceptance and Commitment Therapy (ACT) tools are blended in to help people choose valued directions while tolerating discomfort.
People who come to him often want help with day-to-day coping, career stress, or big transitions such as separation or caregiving demands. He also addresses issues tied to sexual expression, kink culture, and identity in frank, nonjudgmental conversation. Sessions cover both immediate problem-solving and longer-term shifts in thinking and behavior.
George keeps language clear and practical during meetings. He invites discussion of goals and adjusts strategies as progress unfolds. To begin, people are asked to describe their main concerns and pick a first step they can try before the next session.
How therapy methods translate to online work
Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and take small actions toward those values even when anxiety is present. It is useful for social worries, career decisions, and life transitions. Cognitive Behavioral Therapy, or CBT, focuses on spotting unhelpful thoughts and testing new behaviors to reduce avoidance and build confidence in social settings. Mindfulness Therapy teaches simple attention and breathing exercises to reduce reactivity and improve focus in tense moments.Finding the right mix of methods is part of the process. The therapist will talk with the client about goals and try approaches that match their needs and preferences. This is a collaborative effort that can shift as progress is made and different challenges appear.
Confirm the current online session options before booking so the reader knows what formats are offered. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. Some approaches translate well to remote sessions because they use exercises, homework, and brief skill practice that clients can do between meetings.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
36+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does he help with?
He helps with anxiety, stress, depression, grief, relationship problems, addictions, ADHD, and related life changes. He also works with issues around sexuality, identity, and intimacy.
What is his therapeutic style like?
He uses clear, practical conversation and teaches skills users can apply between sessions. The focus is on changing unhelpful patterns and improving daily coping.
How much experience does he have?
He has 36 years of experience as a clinician working with a wide range of emotional and relationship concerns.
What are his credentials and where does he practice?
He is an LCSW - Licensed Clinical Social Worker in North Carolina and practices there.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the US work with him?
International clients are not currently accepted.
How are session formats handled?
Confirm current session options before booking to learn which formats are offered for meetings and scheduling.
How does the subscription and getting started process work?
Cost varies by location and sessions use a subscription that can be canceled at any time. To begin, complete the short matching questionnaire and schedule a first session using the See online therapy options button.