- Family of origin patterns
- Attachment-based work
- 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 facing stress, anxiety, depression, relationship struggles, grief, and life transitions. He also supports people dealing with addictions, ADHD, and questions around sexuality and intimacy.
Tilley keeps sessions direct and conversational. He focuses on what is happening now and how past family patterns continue to affect daily life. He talks through communication habits, boundaries, and ways to manage intense emotions. Practical strategies and short exercises are used between sessions when helpful.
His work often looks at attachment and the roles people learned growing up. That can include expectations about closeness, caregiving, or emotional distance. He helps people name those patterns and try different ways of relating that feel more manageable.
When identity, kink, or LGBT concerns come up, he addresses them without judgment and with attention to how those issues interact with relationships and self-esteem. He also supports people navigating aging, caregiver stress, chronic illness, or blended family challenges.
Sessions combine elements of acceptance and commitment therapy, cognitive behavioral techniques, mindfulness practices, and a client-centered stance. The emphasis is on clear goals, small experiments, and improving daily functioning rather than lengthy theory. People who prefer straightforward, experience-based work tend to fit his style.
Therapeutic approaches and online sessions
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them. It helps people clarify values and take small actions that match those values, which can be useful for anxiety, depression, and struggles with motivation.Attachment-Based Therapy looks at how early relationships shape current patterns. It helps people recognize roles learned in their family of origin and experiment with different ways of relating to others and to themselves.
Client-Centered Therapy emphasizes a nonjudgmental, person-focused conversation. The therapist follows the client's concerns and helps them find their own solutions rather than imposing a set plan.
Choosing the right approach is part of the work. The therapist will discuss options and try methods that match the client's goals, needs, and preferences. That collaborative process can mean combining techniques from different approaches over time.
Session formats are not specified here, so please confirm current options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It can also let people use video, audio, or phone in ways that match their comfort and daily schedule. Licensed professionals adapt the practical details to what works for each person.
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 address?
He works with stress, anxiety, depression, relationship problems, grief, life transitions, addictions, and related issues listed in his specialties.
How would you describe his therapeutic style?
Sessions are conversational and practical, using clear goals, short exercises, and skills you can try between sessions.
How much experience does he have?
He has 36 years of clinical experience as a clinician working with adults on a range of emotional and relational concerns.
What is his credential and where is he based?
He is an LCSW, Licensed Clinical Social Worker, practicing 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 are sessions scheduled and paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin if I want to work with him?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.