ADHD Therapist Directory

About George

George Tilley is a licensed clinical social worker (LCSW) in North Carolina with 36 years of practice. He draws on long experience to help people facing stress, anxiety, depression, grief, addiction, and life changes. He also offers support around relationship struggles, intimacy concerns, and questions linked to sexual identity and kink culture.

He keeps sessions straightforward and focused. Conversations center on the problem at hand and practical ways to move forward.

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Background and approach

He listens carefully, helps people name what matters to them, and suggests exercises they can try between meetings. George uses a mix of approaches including cognitive behavioral ideas, acceptance and commitment techniques, attachment-informed work, and mindfulness practices. Those methods are used to build coping skills, notice unhelpful thoughts, and strengthen close relationships.

Sessions often include short practice tasks and clear goals. He aims to be affirming and nonjudgmental, especially for people in the LGBT community and those navigating sexual concerns. He also has experience supporting people dealing with chronic illness, caregiving strain, aging issues, and workplace or career stress.

Practical matters are part of the process. He can work by video, phone, live chat, or text messaging so people can fit therapy into busy schedules. New clients complete a brief matching questionnaire to begin and then schedule sessions based on availability.

Therapeutic approaches and online care

George often uses cognitive behavioral therapy to help people spot and change unhelpful thought patterns and behaviors. CBT is practical and problem-focused, which can help with anxiety, depression, and managing ADHD-related challenges.

He also draws on acceptance and commitment therapy, which emphasizes noticing thoughts without getting stuck and clarifying personal values. ACT can help when someone wants to reduce avoidance and build a life guided by what matters to them.

Finding the right approach is a team effort. The therapist works collaboratively to match methods to a person's goals, needs, and preferences, and adjusts plans over time based on what helps most.

Online sessions are offered by video, phone, live chat, or text-based messaging to make therapy flexible. Video calls work well for in-depth conversations and seeing nonverbal cues. Phone sessions can fit into a work break or when bandwidth is limited. Live chat or text messaging can be useful for brief check-ins, homework review, or step-by-step coaching between sessions.
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Questions people ask

What concerns does he help with?
He supports people with stress, anxiety, depression, grief, addictions, ADHD, and relationship or intimacy issues.
What is his general therapy style?
Sessions are straightforward and practical, with listening, clear goals, and exercises to try between meetings.
What background does he bring to sessions?
He brings 36 years of clinical experience working with a wide range of emotional and life transition concerns.
What credential and location are listed?
He is a licensed clinical social worker, LCSW, practicing in North Carolina.
Which languages are supported?
Sessions are offered in English.
What formats are available for meeting?
Sessions can be booked as video calls, phone sessions, live chat, or text-based messaging.
How are session costs handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.

What this therapist works with

Most often

Also listed

Therapeutic approaches

Experience
36 years
Licensed
North Carolina
Languages
English

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