About Viviana
Viviana Urgiles is a licensed clinical social worker who uses trauma-informed care and practical therapies to help people regain balance. She brings 15 years of experience and a calm, straightforward style to sessions. Many clients come for anxiety, relationship strain, grief, or problems tied to past abuse.
Her work focuses on helping people understand how painful events affect thinking, feelings, and behavior. She teaches coping skills for emotional regulation and supports rebuilding trust in relationships.
Background and approach
Sessions often include concrete tools to manage stress and mood swings. Viviana draws on several approaches when planning treatment, including acceptance and commitment ideas, cognitive behavioral techniques, and attachment-focused work. She adapts methods to each person’s goals and life circumstances rather than following one fixed model.
She addresses a wide range of concerns that commonly follow trauma: post-traumatic reactions, interpersonal violence, medical trauma, grief, and the long-term effects of chronic stress. She also helps with addiction, parenting strain, career stress, ADHD, and compassion fatigue. Viviana holds LCSW credentials in New York and Texas and practices from Texas.
Sessions are offered in English and she accepts international clients. Her approach is collaborative - she helps people set clear goals and checks progress along the way.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck in them, then choose actions that match what matters most. It can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy breaks problems into thoughts, feelings, and actions and teaches practical skills to change unhelpful patterns; this works well for stress, panic, and mood shifts. Attachment-Based Therapy focuses on how early relationship experiences shape current connections and emotion regulation, helping with intimacy issues, trust, and relationship repair.Finding the right approach is part of the work. The therapist will discuss goals, try methods that fit the person, and adjust over time. That collaborative process helps determine whether ACT, CBT, attachment-based work, or a mix feels most helpful.
Online therapy offers flexibility and a range of ways to stay connected. Video calls allow face-to-face conversation and interactive exercises. Phone sessions can be a simple option when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging make it easier to check in between sessions or have shorter, focused conversations during a busy week. These formats help people fit therapy into work, caregiving, or travel schedules while keeping the focus on progress and practical skills.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also works with
- Abandonment
- Addictions
- ADHD
- Attachment issues
- Bipolar disorder
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Family conflicts
- Family problems
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Immigration issues
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 15 years
- Licensed
- New York, Texas
- Languages
- English