- Years in practice
- 36
- Credentials
- LCSW
- Licensed in
- North Carolina
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Relationship issues
- Focus
- Grief
About George
George Tilley is a licensed clinical social worker (LCSW) based in North Carolina with 36 years of experience. He focuses on helping people navigate stressful life changes, manage anxiety and depression, and address relationship and intimacy concerns. His work often touches on parenting issues and elements of identity and sexuality in a respectful way.
He offers a calm, nonjudgmental space for people to talk about difficult topics. Sessions emphasize practical steps and clearer communication rather than long theory.
Background and approach
He helps clients build everyday skills for coping, managing mood, and improving self-esteem. George blends several approaches to suit each person’s needs. He uses cognitive behavioral techniques to spot unhelpful thinking, mindfulness to bring attention to the moment, and acceptance-based ideas to clarify values and next steps.
Attachment-focused work helps when relationship patterns are part of the problem. Many people come to him for help with grief, caregiving stress, chronic illness, or career strain. He also supports those facing issues related to addiction, trauma, or sexual identity.
He aims to make therapy practical and relevant to daily life. Sessions are conversational and collaborative. He listens first, then outlines small changes a person can try between sessions.
The emphasis is on steady progress and clearer choices that fit each person’s values and routines.
What George works with
Everything George lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else George helps people with.
- Stress, Anxiety
- Relationship issues
- Grief
- Depression
- Coping with life changes
- Addictions
- LGBT
- Trauma and abuse
- Intimacy-related issues
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Compassion fatigue
- ADHD
- Aging and geriatric issues
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-love
- Sex addiction
- Sexuality
- Social anxiety and phobia
- Workplace issues
Approaches George lists
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches translate to online sessions
George commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in his online work. Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small, value-driven steps even when emotions are hard. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and trying different behaviors to change how someone feels and acts.Finding the right approach is a collaborative process. He talks with each person about their goals and preferences, then adapts methods to fit their needs. Together they check what is helping and adjust the plan as therapy progresses.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use body language and visual cues, phone calls work well when bandwidth is limited, live chat can be a quick check-in, and messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into work, caregiving, or health schedules while keeping consistent progress.
Questions people ask about George
What kinds of concerns does he address?
He helps with stress, anxiety, depression, grief, relationship and intimacy issues, parenting concerns, addictions, trauma, and a wide range of life changes.
What is his therapy style like?
Sessions are conversational and practical. He focuses on clearer communication, everyday coping skills, and small steps clients can try between meetings.
How long has he practiced?
He brings 36 years of clinical experience as a licensed clinical social worker working with adults through many kinds of life stressors.
Where is he licensed and based?
He holds an LCSW license in North Carolina and practices from that state.
Which languages are supported?
Sessions are offered in English.
Can people outside the United States work with him?
He does not accept international clients at this time.
What session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging to suit different schedules and needs.
How does payment and scheduling work?
Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time; to begin, select Start Therapy, complete a short matching questionnaire, and schedule based on availability.
More therapists for parents in North Carolina
All in North Carolina
North Carolina 25 years in practice
Practical, compassionate care for parenting and life strain
- Stress, Anxiety
- Relationship
- Trauma and abuse
Anne Douglas
LMFT
North Carolina 25 years in practice
Calm, experienced guidance for parenting and life challenges
- Stress, Anxiety
- Relationship
- Family
Jacqueline Baiada
LCSW
North Carolina 30 years in practice English, Danish
Compassionate therapist who challenges and supports change
- Relationship
- Anger
- Stress, Anxiety