George Tilley, LCSW

How therapeutic approaches work online

Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and take small actions toward those values even when feelings are difficult. It is often useful for anxiety, stress, depression, and motivation problems. Cognitive Behavioral Therapy, or CBT, focuses on spotting patterns of thought and behavior that feed distress and then testing new, more helpful ways of thinking. It is commonly used for anxiety, depression, and mood regulation. Attachment-Based Therapy looks at how early relationship patterns affect current connections and communication, and it can help with intimacy issues, trust, and relationship strain. Finding the right approach is part of the work. George will discuss options and collaborate with each person to pick methods that match their goals, needs, and daily life. He blends different tools as needed and checks in to make sure the plan feels useful and realistic. Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy fit busy schedules. Video allows face-to-face conversation when bandwidth supports it, phone can work when hands-free or lower bandwidth is needed, live chat is useful for short check-ins, and messaging lets someone write through feelings between sessions. These options help people keep therapy consistent while managing work, caregiving, or health limitations.