Viviana UrgilesLCSW

Viviana Urgiles is a licensed clinical social worker (LCSW) with 15 years of experience helping people navigate trauma and its effects. She works with adults on stress, anxiety, depression, relationship struggles, and other challenges that often follow difficult life events. Viviana aims to make each session practical and understandable for people feeling overwhelmed.

Her approach centers on trauma-informed care and therapies that focus on thoughts, emotions, and attachment patterns. She uses methods drawn from Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Attachment-Based Therapy, and client-centered work to tailor treatment to each person.

Clients who have faced interpersonal violence, childhood abuse, medical trauma, or ongoing complex stress often seek her support. She also addresses issues that commonly accompany trauma, such as grief, intimacy-related concerns, caregiver stress, and substance use challenges. Viviana helps people learn coping skills, build emotional regulation, and regain a sense of agency.

Viviana pays attention to how trauma affects relationships and self-worth, and she adapts her work to each person’s culture and background. Her sessions often involve clarifying goals, practicing skills, and making small, manageable changes that add up over time.

Based in Texas and licensed in both New York and Texas, she works with clients across a range of life adjustments. The focus is on steady progress rather than quick fixes, helping people reclaim routines and meaning after difficult experiences.

How her approaches fit into online therapy

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It’s useful for anxiety, stress, and life transitions where clarity about priorities matters. Cognitive Behavioral Therapy (CBT) focuses on spotting and changing patterns of thinking and behavior that keep problems going, which is helpful for depression and anxiety. Attachment-Based Therapy looks at how early relationship patterns affect current relationships and emotional reactions, which can help with intimacy and trust issues.

Finding the best approach is a collaborative process. The therapist works with each person to match methods to their needs and goals. Over time they adjust techniques based on what helps most, combining elements from different approaches when that fits the situation.

The biography does not list explicit session formats, so confirm available options before booking. Online therapy can make it easier to fit sessions into busy days, reduce travel time, allow shorter check-ins when schedules are tight, or avoid being on camera if preferred. Licensed professionals can use these flexible arrangements to focus on skills practice, emotional regulation, and processing trauma-related material without requiring the same logistics as in-person care.