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George Tilley

LCSW

George Tilley , LCSW

Therapist in North Carolina

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Online therapy - get matched and start messaging.

About George

George Tilley is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 36 years of professional experience supporting people through emotional challenges and major life transitions. He brings a compassionate, tailored approach that centers each person’s unique history and goals, drawing on practical strategies to address depression, anxiety, relationship dynamics, and ongoing personal growth.

He offers a supportive, nonjudgmental setting for exploring sensitive topics such as sexuality, identity, life purpose, and interpersonal connection. His work emphasizes helping people build self-compassion, strengthen communication skills, reduce social anxiety, and navigate significant changes with greater clarity and resilience.

George’s practice covers a range of concerns from workplace stress and midlife transitions to grief and chronic health challenges. He strives to create an affirming space that honors diverse backgrounds, with particular attention to LGBTQ people and older adults. His aim is to empower individuals to develop resilience, form meaningful connections, and create sustainable, positive change in their lives.

Therapeutic Approaches and Online Care

Acceptance and Commitment Therapy (ACT) helps people clarify personal values and take meaningful action even when difficult thoughts or feelings are present. It is useful for managing anxiety, depression, and life changes by focusing on practical steps aligned with what matters most.

Attachment-Based Therapy explores how early relationships influence current patterns in close connections and emotional responses. This approach can help with relationship issues, trust, and understanding attachment-related anxieties.

Client-Centered Therapy emphasizes a respectful, nonjudgmental therapeutic relationship in which the therapist offers empathy and support while the client leads the process. It is especially helpful for building self-understanding, improving self-esteem, and exploring identity.

Finding the right approach is part of the therapeutic process. George works collaboratively with each person to identify approaches that fit their needs, goals, and preferences, adjusting methods as progress unfolds.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to schedule care around work, family, or health needs. These options help increase access to licensed professionals and allow therapy to continue when in-person visits are not convenient, while preserving the collaborative nature of the therapeutic relationship.

Frequently asked questions

How much experience does George Tilley have?

George Tilley has 36 years of experience.

Is George Tilley a licensed therapist?

Yes. He holds the credential LCSW, which denotes Licensed Clinical Social Worker. License details are NC LCSW C003070.

In which languages does George Tilley provide therapy?

George Tilley provides therapy in English.

Where is George Tilley located?

He is located in North Carolina.

How can I work with George Tilley as my therapist?

You can work with George Tilley through video calls, phone sessions, live chat, or text-based messaging.

Does George Tilley work with international clients?

George Tilley does not currently work with international clients.

How much does therapy with George Tilley cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesGriefDepressionCoping with life changes

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

Licensed

North Carolina

Languages

English

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