About Viviana
Viviana Urgiles is a Licensed Clinical Social Worker (LCSW) with 15 years of experience. She focuses on practical, down-to-earth therapy for people facing stress, anxiety, trauma, grief, and life transitions. Her approach is straightforward and centered on helping clients find tools that fit their daily lives.
She blends methods from Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Attachment-Based Therapy, and client-centered work. Sessions aim to help clients notice unhelpful patterns, build coping skills, and make values-based changes.
Background and approach
The work is collaborative and paced to each persons needs. Viviana has a long history supporting people through trauma, including interpersonal violence, medical trauma, and childhood abuse and neglect. She also helps with related concerns such as depression, relationship problems, burnout and compassion fatigue, addictions, and ADHD.
She listens for how symptoms show up in everyday routines and focuses on small, manageable shifts. Her practice emphasizes clear strategies for emotional regulation, better communication, and restoring daily functioning. She helps clients practice skills between sessions so progress carries into home and work life.
The goal is better control over reactions and clearer choices about next steps. Viviana works with people from different backgrounds and identities and aims to make therapy culturally responsive. She offers sessions from Texas and holds licenses in New York and Texas, bringing 15 years of clinical experience to each appointment.
Evidence-informed approaches for online care
Viviana uses Acceptance and Commitment Therapy (ACT) to help people notice unhelpful thoughts and commit to actions that match their values. ACT can be useful for anxiety, depression, and frustration that blocks everyday goals. She also draws on Cognitive Behavioral Therapy (CBT) to identify patterns of thinking and behavior that keep problems going, and then practices clear, step-by-step changes to reduce symptoms and improve functioning.Finding the right approach is part of the process. She works with clients to pick methods that match their goals, needs, and comfort with strategies. That collaborative planning means sessions adapt over time as priorities shift or new challenges appear.
Online sessions are offered by video calls, phone sessions, live chat, and text-based messaging to provide flexible options. Video calls work well for full sessions and interactive exercises. Phone sessions can fit a break at work or require less bandwidth. Live chat and text-based messaging are useful for brief check-ins, skill practice, or when writing out thoughts feels easier. These formats let people fit therapy into busy lives and keep momentum between appointments.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- 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
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