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George Tilley

George Tilley, LCSW

North Carolina

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LCSW - Mood and relationship concerns

  • Anger and stress
  • Depression and anxiety
  • Mindfulness and ACT

About George

George Tilley is a Licensed Clinical Social Worker (LCSW) in North Carolina with 36 years of experience. He works with adults dealing with stress, anxiety, depression, grief, addictions, relationship strain, parenting concerns, and anger. He also lists ADHD, bipolar mood concerns, and issues tied to identity and intimacy among his areas of focus.

George uses straightforward talk and practical techniques to help people manage strong feelings and life changes. Sessions are conversational and goal-focused. He listens for what matters most and helps clients try new ways of responding when feelings run high.

He draws on cognitive behavioral methods to identify unhelpful thinking and on Acceptance and Commitment Therapy to clarify values and next steps. Attachment-based thinking is used to look at how early relationship patterns show up now. Mindfulness tools are offered for stress, mood swings, and moments of overwhelm.

George also supports people working through caregiver strain, chronic illness, body image concerns, blended family dynamics, and kink-aware matters. He names these topics directly and explores practical steps clients can take between sessions. His work includes communication skills, setting boundaries, and relapse prevention when addictions are a concern.

People who contact him should expect a mix of short-term skills practice and longer-term problem solving. He encourages clear goals and regular check-ins so progress can be tracked. To begin, readers are asked to follow the site process for arranging an initial appointment.

Therapeutic approaches and how online sessions work

George often uses Acceptance and Commitment Therapy to help people clarify what matters to them and take step-by-step action despite strong emotions. ACT can be useful for anger that sparks avoidance or repeated conflict because it focuses on values and practical moves. He also draws from Cognitive Behavioral Therapy to spot thinking patterns that fuel upset and to build alternative responses that reduce reactivity.

Finding the right approach happens together. The therapist will review what is most troubling, what has helped before, and what the person wants to change. From that discussion, he and the client try methods that match the goals and adjust them based on how things go over a few sessions.

Session formats are not specified here, so please confirm current options before booking. Online work can make it easier to fit regular sessions into a busy life, shorten the time needed for check-ins, and provide ways to practice skills between meetings. Many people find that remote sessions let them schedule therapy around work, caregiving, or medical appointments without long travel times.

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

Listed in

North Carolina

Languages

English

Frequently asked questions

What kinds of problems does he work with?

He works with stress, anxiety, depression, grief, relationship and intimacy issues, addictions, anger, and related concerns such as ADHD and caregiver stress.

What is his approach in sessions?

He combines cognitive behavioral techniques, Acceptance and Commitment Therapy, attachment ideas, and mindfulness in a practical, talk-based style focused on skills and clear goals.

How many years has he practiced?

He brings 36 years of clinical experience as a Licensed Clinical Social Worker to his practice.

Where is his practice based and what credential does he hold?

He is an LCSW licensed in North Carolina and practices from that state.

Does he offer sessions in languages other than English?

Sessions are offered in English.

Can international clients work with him?

He does not accept international clients at this time.

How are fees handled?

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

How do I begin the process?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Whenever you are ready

Review online therapy options and next steps on BetterHelp, in your own time.

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Online talk therapy is not emergency care. If anyone is in danger, or you are afraid of someone at home, contact emergency services. Emergency and domestic abuse numbers

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George TilleyLCSW

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