Viviana Urgiles, LCSW

Viviana Urgiles is a licensed clinical social worker who uses practical, evidence-informed methods to help people manage stress and heal after trauma. She draws on Cognitive Behavioral Therapy and related approaches to help clients name problems and try small, workable changes. Her style is straightforward and warm. With 15 years of experience, Viviana helps people who are dealing with anxiety, depression, grief, and the fallout from traumatic events. She also addresses relationship strain, intimacy questions, parenting stress, work burnout, and challenges that come with life transitions. She pays attention to each person's cultural and life context. In sessions she helps people learn skills for managing difficult emotions and testing new ways of thinking and behaving. She blends acceptance-focused work with practical behavior changes to reduce distress. Attachment-based ideas are used when relationship patterns and trust issues are central concerns. Viviana keeps therapy focused on real life. She coaches on coping skills, supports planning for change, and helps clients practice new approaches between sessions. The work often includes problem-solving, emotion regulation techniques, and stronger communication habits. She holds LCSW credentials in New York and Texas and brings a trauma-informed perspective to clinical work. People who reach out can expect a collaborative stance - the therapist and client make decisions together about goals and steps forward. Sessions are offered in English and Viviana accepts clients based in Texas and internationally. The practice aims to tailor care to each person’s needs while building resilience and clearer next steps.

How CBT, ACT, and Attachment Work Online

Cognitive Behavioral Therapy (CBT) focuses on the link between thoughts, feelings, and actions. Online CBT sessions help people identify unhelpful thinking patterns and try new behaviors to reduce anxiety, depression, and stress-related problems. Acceptance and Commitment Therapy (ACT) teaches acceptance of difficult emotions while guiding people toward values-based action. It can help with grief, chronic stress, and problems that persist despite efforts to control feelings. Attachment-Based Therapy looks at early relationship patterns and how they affect current trust and intimacy. This approach is useful when problems keep repeating in close relationships or when abandonment and attachment wounds are present. Finding the right approach is part of the work. The therapist collaborates with each person to choose or blend methods that match their goals, preferences, and the problems they bring. That shared planning guides what happens in sessions and between meetings. Online sessions make it easier to fit therapy into a busy life. Video calls provide face-to-face interaction for skills practice and coaching. Phone sessions can be used when bandwidth is low or a simpler check-in is needed. Live chat and text messaging support shorter check-ins, quick skills coaching, or ongoing support between longer appointments. These options increase flexibility and help therapy continue despite scheduling hurdles.