George Tilley, LCSW

George Tilley is a Licensed Clinical Social Worker with 36 years of practice in North Carolina. He focuses on helping people who are facing stress, anxiety, depression, grief, relationship struggles, and major life changes. He uses straightforward, practical steps in sessions and listens closely to what each person says they need.

He creates a calm, nonjudgmental space where people can talk about identity, sexuality, and intimacy. He often helps clients work on communication, build self-esteem, and manage anger or compulsive behaviors. His practice also supports people coping with chronic illness, caregiver strain, addiction concerns, and career stress.

George draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help people notice unhelpful thoughts and try new behaviors. He also uses attachment-based and client-centered methods when relationships and emotion patterns are central to the work. Mindfulness techniques are woven in to help with distress and grounding.

Sessions tend to be collaborative and goal-focused. He works at a pace set by the person in therapy and offers practical tools to use between sessions. He is experienced supporting people from diverse backgrounds and affirms LGBTQ identities.

People who prefer clear strategies alongside empathic listening often find his style a fit. He offers video calls, phone sessions, live chat, and text-based messaging to meet different needs and schedules.

How his approaches fit into online therapy

George commonly uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy when working online. CBT helps people identify unhelpful thought patterns and try practical behavior changes to reduce anxiety or depression. ACT focuses on values and acceptance, teaching people to make room for difficult feelings while moving toward what matters to them.

He also brings attachment-based ideas into sessions when relationship patterns or emotional bonds are part of the concern. That approach looks at how past and current connections affect feelings and reactions, and it helps people try different ways of relating to others.

Finding the right mix of approaches is part of the work. He collaborates with each person to choose methods that match their goals and comfort level, and he adjusts the plan as needed during therapy.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people work face-to-face from different locations, phone can be easier when bandwidth is limited, live chat is useful for quick check-ins, and text messaging supports brief ongoing contact and between-session practice. These options make it simpler to fit therapy into busy lives.