About Viviana
Viviana Urgiles is a licensed clinical social worker who centers her work on practical tools and steady support. She draws on 15 years of experience to help people handle anxiety, stress, and the fallout from painful life events. She speaks English and serves people in Texas and beyond.
Her approach blends several evidence-based methods to meet real needs. She uses Cognitive Behavioral Therapy to spot unhelpful thoughts and build new habits.
Background and approach
Acceptance and Commitment Therapy helps clients notice difficult feelings without getting stuck in them. Attachment-based ideas guide work on trust, closeness, and long-standing relational patterns. Sessions focus on what feels most urgent to the client.
Common concerns include trauma and abuse, grief, relationship strain, parenting challenges, addiction, workplace stress, and major life changes. She also addresses issues linked to identity, gender dysphoria, HIV/AIDS, and first responder stress. Viviana aims to make therapy straightforward and collaborative.
People learn coping strategies, emotion regulation skills, and ways to improve communication. Progress is tracked in concrete steps tied to each person's goals. Clients describe a practice that balances practical tools with attention to personal history.
With experience in both New York and Texas systems, she brings a broad perspective to the work. The focus stays on helping each person regain stability and move toward a more manageable daily life.
Approaches for online anxiety and trauma care
Acceptance and Commitment Therapy helps people notice difficult thoughts or feelings without getting stuck in them, then focus on actions that match their values. Cognitive Behavioral Therapy looks at thought patterns and behaviors to build practical skills for managing anxiety and depression. Attachment-Based Therapy explores relational patterns to improve trust and closeness and can be useful when past relationships affect current stress.Finding the best approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what feels most urgent. Together they choose methods and adjust them over time so the work fits the client's life and needs.
Online therapy offers practical flexibility. Video calls let people use visual cues and go deeper into emotion work. Phone sessions can be easier when bandwidth is low or a shorter check-in is needed. Live chat and text-based messaging support quick coping tools, check-ins between sessions, or people who prefer written exchanges. These options help therapy fit into busy schedules and different daily routines.
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- ADHD
- Attachment issues
- Bipolar disorder
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Family conflicts
- Family problems
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Immigration issues
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 15 years
- Licensed
- New York, Texas
- Languages
- English
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