Viviana Urgiles

Compassionate CBT-informed trauma care

LCSW Texas

Experience: 15 years in practice
Focus areas: Stress, Anxiety, Relationship, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Viviana

Viviana Urgiles is a licensed clinical social worker who blends cognitive behavioral techniques with trauma-informed care to help clients understand and change unhelpful thoughts and behaviors. With 15 years of practice, she supports people navigating stress, anxiety, depression, relationship difficulties, grief, and the aftereffects of trauma.

Background and approach

She draws on evidence-based strategies while remaining attentive to each person's history and strengths. Her work addresses a wide range of concerns including addictions, intimacy-related issues, parenting and family challenges, compassion fatigue, ADHD, and identity-related topics such as LGBT and gender dysphoria.

Additional focus areas include attachment and abandonment wounds, blended family dynamics, caregiver stress, communication problems, domestic violence, and coping with serious illness. Licensed in New York and Texas, she aims to help clients develop practical coping skills, improve emotion regulation, and restore healthier patterns of relating.

Clients can expect an individualized approach that utilizes acceptance and commitment ideas, attachment perspectives, client-centered listening, and DBT skills when appropriate. Viviana emphasizes collaboration and practical tools that support resilience and everyday functioning while tailoring treatment to each person’s goals and life context.

Therapeutic approaches for online healing and growth

Viviana integrates cognitive behavioral techniques to help people identify unhelpful thought patterns and experiment with new behaviors, which can reduce anxiety and improve daily functioning. She also draws on acceptance and commitment therapy to encourage values-based action and present-moment awareness when managing difficult emotions and life changes. Attachment-based work explores relational patterns and early bonds to improve how clients connect and regulate feelings in current relationships.

Finding the right approach is treated as a collaborative process. The therapist works with each person to select or combine methods based on their goals, preferences, and experiences, adjusting strategies over time as needs shift.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility. These options make it easier to fit care into busy schedules, maintain continuity across locations, and choose a format that feels most comfortable for starting and continuing therapy.

Frequently asked questions

What issues does this therapist commonly address?

The practice focuses on stress, anxiety, depression, trauma and abuse, relationship problems, grief, addictions, LGBT concerns, parenting, career issues, ADHD, and related challenges listed in the profile.

What is the therapist's general approach to therapy?

Therapy combines evidence-based methods such as cognitive behavioral therapy, acceptance and commitment ideas, attachment-based work, client-centered listening, and DBT skills to build coping strategies and emotional regulation.

How much clinical experience does the therapist have?

The clinician brings 15 years of clinical experience working with people affected by trauma, life transitions, and a range of mental health and relational concerns.

What credentials and location are listed for this clinician?

The therapist holds an LCSW credential and is licensed as NY LCSW 090637 and TX LCSW 115734, with practice based in Texas.

Can I work with this therapist if I live outside the United States?

International clients are accepted and sessions may be scheduled for those outside the therapist's region, subject to licensing and availability.

Which session formats are available for online care?

Sessions can be conducted via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and needs.

How are fees and payment handled for sessions?

Cost varies with location and therapist availability; services use a subscription model that can be canceled at any time.

What are the first steps to begin therapy here?

To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuse Depression Coping with life changes

Also works with

AddictionsLGBTFamily conflictsGriefIntimacy-related issuesParenting issuesCareer difficultiesBipolar disorderCoachingCompassion fatigue ADHD

Additional focus areas

AbandonmentAttachment issuesBlended family issuesCancerCaregiver issues and stressCommunication problemsControl issuesDivorce and separationDomestic violenceFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSImmigration issuesInfidelityIsolation / lonelinessLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsPanic disorder and panic attacksPersonality disordersPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

15+ years

Licensed

New York, Texas

Languages

English