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LCSW

Viviana Urgiles, LCSW

  • Experience15 years
  • LocationTexas
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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Check the available next steps for working with Viviana online.

About Viviana

Viviana Urgiles is a licensed clinical social worker with 15 years of experience who blends trauma-informed care with evidence-based psychotherapy. She draws on approaches such as Acceptance and Commitment Therapy, Attachment-Based work, CBT, and DBT to help people process painful experiences, develop coping skills, and build emotional resilience.

Background and approach

Her background includes supporting clients through complex trauma, interpersonal and domestic violence, sexual trauma, medical trauma, grief, and the long-term effects of chronic stress. Working from a culturally responsive stance, she addresses the ways trauma can shape relationships, self-worth, emotional regulation, and physical health while tailoring treatment to each person's strengths and goals.

In addition to trauma-focused care, she supports people coping with anxiety, depression, relationship challenges, attachment wounds, life transitions, workplace stress, and concerns such as ADHD, substance use, and compassion fatigue. Viviana holds an LCSW and practices with attention to practical skills, insight-building, and gradual restoration of safety and agency.

Based in Texas and licensed to practice in multiple states, she offers clients collaborative, respectful therapy that emphasizes empowerment and sustainable change.

Therapeutic approaches for online trauma and stress care



Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and develop action-oriented skills to live in line with those values while accepting difficult thoughts and feelings. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking and behavior patterns to reduce symptoms of anxiety, depression, and stress. Attachment-Based Therapy explores relational patterns formed early in life and how they influence current relationships, helping clients build more supported ways of connecting and regulating emotions.

Choosing the right approach is part of the work, and the therapist will collaborate with each person to determine which methods best match their needs, goals, and preferences. That collaborative process may include trying different techniques and adjusting the plan as progress is made.

Online therapy with Viviana can be delivered through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for those with busy schedules or limited local options. These formats make it easier to schedule regular sessions, practice skills between meetings, and maintain continuity of care across locations while working with a licensed professional focused on practical strategies and emotional growth.

Frequently asked questions

What kinds of concerns does Viviana address?
She works with a broad range of issues including trauma and abuse, stress, anxiety, depression, relationship difficulties, grief, ADHD, addictions, LGBT-related concerns, and caregiving or career stress.
What is her therapeutic style and approach?
Her work combines trauma-informed care with modalities like ACT, Attachment-Based Therapy, CBT, DBT, and client-centered techniques to blend skills training with insight-focused exploration.
How much clinical experience does she have?
She brings 15 years of clinical experience to her practice, applying that experience to help clients recover from complex and single-incident trauma and to manage ongoing stressors.
Where is she licensed and located?
Viviana is an LCSW licensed in New York and Texas under NY LCSW 090637 and TX LCSW 115734, and she practices out of Texas.
Does she offer services in other languages or to international clients?
She provides services in English and accepts international clients as part of her practice.
What session formats are available?
Sessions are available by video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions are provided via a subscription model that can be canceled at any time.
What steps are needed to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseDepressionCoping with life changes

Also works with

AddictionsLGBTFamily conflictsGriefIntimacy-related issuesParenting issuesCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

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