Viviana Urgiles , LCSW

Viviana Urgiles is a licensed clinical social worker (LCSW) with 15 years of experience. She uses practical, evidence-informed methods to help people who are overwhelmed by stress, anxiety, grief, or traumatic experiences.

She focuses on trauma and its effects on everyday life. That includes complex trauma, childhood abuse, interpersonal violence, medical trauma, and loss. She also addresses related problems such as depression, relationship strain, intimacy concerns, and issues tied to identity or sexual orientation.

In sessions she talks through what happened and what’s happening now. She helps people notice how trauma shows up in their feelings, behavior, and relationships. Then she works with them to build coping skills and restore emotional balance.

Her approach blends several practical therapies. Cognitive Behavioral Therapy (CBT) looks at how thoughts and actions affect mood. Dialectical Behavior Therapy (DBT) teaches emotion regulation and distress tolerance. Attachment-Based work centers on repair of relationship patterns that can keep people stuck.

Viviana also supports people facing life changes like caregiving, medical challenges, job stress, and issues related to gender or sexual identity. She offers straightforward guidance and goal-focused planning so people can make clearer choices and feel steadier day to day.

Viviana practices from Texas and holds LCSW credentials in New York and Texas. Sessions are offered in English and she accepts international clients. To begin, clients follow the site's matching steps to connect and schedule time with her.

Practical therapy approaches for online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take small actions toward those values despite difficult thoughts or feelings. It is useful for stress, anxiety, and life changes where motivation or direction feels lost. Attachment-Based Therapy looks at how early relationship patterns shape current connections and trust. It helps when intimacy, abandonment fears, or communication problems cause repeated conflicts or feeling stuck. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and replacing them with more effective options to reduce symptoms like anxiety or depression.

Finding the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what has or hasn’t helped before. Together they decide which methods to use and adjust the approach as progress continues, keeping the process collaborative and goal-oriented.

Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video is good for in-depth conversations and visual cues. Phone sessions work when bandwidth is limited or when someone prefers not to be on camera. Live chat and messaging are helpful for quick check-ins, homework prompts, or brief coaching between longer sessions. These options make therapy easier to fit into busy lives while keeping the focus on practical skills and steady progress.