About George
George Tilley is a licensed clinical social worker (LCSW) in North Carolina with 36 years of practice. He focuses on helping people who are facing stress, anxiety, depression, grief, relationship struggles, and major life changes. He also addresses concerns like addiction, ADHD, bipolar mood issues, and questions around intimacy and identity.
He aims for clear, direct conversations. Sessions are calm and respectful, with an emphasis on listening and practical steps you can try between meetings.
How George works
He uses everyday language to talk about feelings and choices so people leave sessions with a plan that feels doable. Over decades of practice he has helped people dealing with career strain, caregiver stress, chronic illness, and grieving losses. He also works with issues such as communication problems, commitment concerns, body image, and codependency.
His approach is informed by several therapy styles that focus on values, relationships, and thought patterns. George works with people who identify across sexual orientations and gender identities and brings an affirming perspective to those conversations. He also pays attention to aging and geriatric concerns and the stresses that come with long-term caregiving and health conditions.
In sessions he blends practical strategies with attention to attachment and values. People can expect a collaborative process that balances short-term tools and longer-term reflection. The goal is clearer choices, improved coping, and more satisfying day-to-day life.
George lists 9 ways of working on the entry:
What George works with
The areas below are the ones George selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Grief
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- 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
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Workplace issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 36 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Using values, attachment, and practical skills online
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to you and taking small steps toward those values, even when feelings are hard. It can help with anxiety, depression, and life transitions by teaching flexible ways to act toward what you care about. Attachment-Based Therapy looks at how your early relationship patterns shape current connections and emotional reactions, which can be useful for improving communication and intimacy. Client-Centered Therapy emphasizes a respectful, non-directive stance where the therapist listens closely and follows the client’s lead to build insight and self-direction.Figuring out which approach fits best is part of the process. The therapist will work collaboratively to match methods to your goals, needs, and preferences, and will adjust strategies as you learn what helps. You and the therapist decide together whether to focus on values, relationship patterns, skill practice, or a mix of these.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls are good for face-to-face conversation and exercises that benefit from visual cues. Phone sessions work well when bandwidth is limited or when a shorter check-in fits your day. Live chat and text messaging allow for brief updates, real-time support, or ongoing reflection between sessions, adding flexibility for different schedules and rhythms.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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