Profile / United States
Viviana Urgiles, LCSW
Texas
LCSW - Trauma, Anxiety, and Life Stress
See online therapy options- CBT techniques
- ACT strategies
- Attachment work
About Viviana
Viviana Urgiles is a Licensed Clinical Social Worker (LCSW) with 15 years of practice. She works with people facing stress, anxiety, trauma and abuse, depression, relationship difficulties, and related concerns.
She focuses on the lasting effects of traumatic experiences and the problems that often follow. That includes post-traumatic stress, childhood abuse and neglect, interpersonal and domestic violence, sexual trauma, medical trauma, grief, and other major life changes. She also helps with anxiety, mood shifts, and stress tied to work or caregiving roles.
Her approach draws on practical, evidence-informed methods. Sessions include noticing unhelpful thought patterns and testing new ways of responding. She uses strategies from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), attachment-based work, and client-centered methods depending on the issue.
Viviana pays attention to how trauma affects relationships, trust, and emotion regulation. She teaches coping skills for intense feelings and works on communication and boundary skills when relationships are strained. She also addresses related areas such as substance use, caregiver stress, and occupational pressure.
People who come to her learn concrete tools to manage symptoms and improve daily functioning. She supports goal setting and practical steps for change. To begin, people complete a short matching questionnaire and schedule a first session through the online options button.
How CBT, ACT and Attachment Work Online
Viviana integrates Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and attachment-focused work into teletherapy in straightforward ways. CBT looks at thoughts and actions that keep problems going and uses short exercises and behavioral experiments to test new responses. ACT emphasizes values and willingness to accept difficult feelings while taking steps that matter to the person. Attachment-based work focuses on how early relationships shape current patterns and helps improve emotional connection and trust.Finding the right approach is part of the process. She discusses the different methods with each person and chooses techniques that fit the client’s goals, preferences, and daily life. This is a collaborative decision made over the first few sessions rather than a fixed promise up front.
Confirm the available session formats before booking because the profile does not list them. Online sessions can make it easier to fit therapy into a workday, reduce travel time, and allow shorter check-ins when needed. Some methods - for example CBT exercises or ACT values work - adapt well to video or phone sessions, while attachment-focused conversations can work remotely when the person has a quiet time to talk. Ask about current practical options when you schedule.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
New York, Texas
Languages
English
Frequently asked questions
What concerns does she work with most often?
She works with stress, anxiety, trauma and abuse, depression, relationship difficulties, grief, and related challenges like caregiving stress and addiction.
How does she use Cognitive Behavioral Therapy?
She uses CBT to identify unhelpful thoughts and behaviors and to practice alternative responses. Sessions focus on concrete skills and short-term experiments to change patterns.
What is her clinical background?
She has 15 years of clinical experience providing therapy for trauma and related concerns across multiple settings.
What credentials and location apply?
She is a Licensed Clinical Social Worker (LCSW) with licensure in New York and Texas and practices from Texas.
Which languages are used in sessions?
Sessions are offered in English and she accepts international clients.
What session formats are offered?
Please confirm current session options before booking since formats are not specified in the profile.
How are fees and payment handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.