- Acceptance and Commitment Therapy
- Attachment approaches
- Mindfulness and CBT
About George
George Tilley is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 36 years of experience. He works with people facing stress, anxiety, depression, grief, relationship concerns, addictions, ADHD, and other life challenges. Sessions focus on practical steps and clearer thinking rather than jargon or long lectures.
He helps people talk through relationship tensions, intimacy questions, and the stress that comes with major life changes. He also supports those dealing with career strain, caregiver stress, chronic illness, and issues around sexuality and identity. The profile lists blended family issues among his additional focus areas, so he is familiar with stephousehold concerns and related conflicts.
George uses a mix of everyday strategies drawn from cognitive behavioral ideas and mindfulness. He emphasizes noticing patterns, testing small changes, and building realistic habits that fit daily life. He also brings attachment-based perspectives to relationship questions, looking at how early patterns affect current interactions.
Sessions are described in plain language and aim to be practical. Conversations may include reflective listening, goal-setting, and short exercises to practice between meetings. People can expect clear suggestions and chances to try new approaches outside session time.
With many years in practice, he has worked across a wide range of concerns from trauma and abuse to sexual expression topics such as BDSM and kink. He offers services in English and provides more detailed intake steps online for those who choose to proceed.
How therapeutic approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) is about clarifying what matters to a person and taking small steps toward those values. It helps with anxiety, depression, stress, and life transitions by linking action to meaningful goals. Attachment-Based Therapy looks at patterns in how people relate to others and explores safer, more effective ways to connect; it is useful for relationship and intimacy concerns. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts, testing them, and practicing new behaviors; it helps with anxiety, mood, and coping skills.Figuring out which approach fits best is part of the early work. The therapist will talk with the client about goals, preferences, and the problems they want to solve. Together they will try methods that seem most useful and adjust based on what helps in real life.
Confirm the specific online session options before booking so you know how meetings are run. Online work can make it easier to schedule shorter check-ins, fit sessions around work or caregiving, and remove travel time. It can also allow for doing mindfulness or behavioral experiments between meetings and then discussing what was learned during the next session.
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 problems does he address?
He works with stress, anxiety, depression, grief, addictions, relationship and intimacy issues, parenting concerns, ADHD, and a broad range of other life challenges listed in his specialties.
What is his therapeutic style?
He uses practical, conversational methods drawn from Acceptance and Commitment Therapy, cognitive behavioral ideas, attachment-based thinking, and mindfulness. Sessions focus on noticing patterns and trying small changes.
How much experience does he have?
He has 36 years of clinical experience as an LCSW in North Carolina and has worked with many issues across adult mental health.
Where is he licensed and practicing?
He is an LCSW licensed in North Carolina and provides services from that state.
Are sessions offered in other languages or internationally?
Sessions are offered in English. He does not accept international clients at this time.
What session formats are available?
Confirm current session options before booking so you know which formats are offered for initial and follow-up meetings.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with him?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the platform workflow.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.