Viviana Urgiles, LCSW

Viviana Urgiles is a Licensed Clinical Social Worker (LCSW) with 15 years of clinical experience who focuses on helping people recover from the lasting effects of trauma. She works with individuals across New York and Texas, offering trauma-informed care that aims to restore a sense of safety and foster long-term emotional healing.

Her practice emphasizes treatment for complex trauma, post-traumatic stress, childhood abuse and neglect, interpersonal and domestic violence, sexual and medical trauma, grief and loss, and other life-altering events. Viviana recognizes that traumatic experiences can affect relationships, self-worth, emotional regulation, trust, and physical health, and she approaches each case with sensitivity to those wide-ranging impacts.

Using evidence-based methods, she guides clients in understanding how trauma affects the body and mind while teaching practical coping skills and ways to build resilience. Her work supports clients in developing healthier patterns of functioning and stronger emotional regulation. Viviana aims to create a therapeutic relationship where people feel heard, respected, and empowered as they navigate recovery.

Beyond trauma treatment, she addresses related concerns such as anxiety, depression, relationship challenges, attachment wounds, social anxiety, life transitions, workplace stress, and multicultural issues. Viviana personalizes treatment to match each individual’s strengths, needs, and goals, and she is committed to helping clients reclaim a clearer sense of self and pursue a more balanced, fulfilling life.

Therapeutic approaches for online trauma and relationship work

Viviana often draws on Acceptance and Commitment Therapy, Attachment-Based Therapy, and Cognitive Behavioral Therapy to guide online work. Acceptance and Commitment Therapy (ACT) helps clients clarify what matters most to them and learn to accept difficult thoughts or feelings while taking actions aligned with their values - it can be useful for ongoing stress, anxiety, and adjustment after trauma. Attachment-Based Therapy focuses on how early relationships shape current emotional patterns and interpersonal dynamics; it can help with attachment wounds, intimacy issues, and rebuilding trust in relationships. Cognitive Behavioral Therapy (CBT) offers practical tools to identify and change unhelpful thought patterns and behaviors, which is effective for anxiety, depression, and many day-to-day coping challenges.

Finding the right approach is part of the therapeutic process. Viviana works collaboratively with each client to assess needs, goals, and preferences, and she tailors methods so the work fits the person rather than forcing a single model.

Online therapy with Viviana is offered by video calls, phone sessions, live chat, and text-based messaging to provide flexibility in how and when clients engage. This range of options makes it easier to fit therapy into busy lives, maintain continuity through life changes, and access licensed professionals from different locations.