Viviana Urgiles, LCSW

Viviana Urgiles is a Licensed Clinical Social Worker (LCSW) with 15 years of experience helping people recover from trauma and its effects. She focuses on practical steps that reduce overwhelming symptoms and help clients regain more balance in daily life. Her approach is calm and direct, aimed at steady progress rather than quick fixes.

She works with people facing trauma, complex trauma, PTSD, childhood abuse and neglect, interpersonal violence, and medical trauma. She also helps with related concerns such as anxiety, depression, relationship struggles, attachment wounds, and grief. Viviana pays attention to how stress shows up in the body and in relationships as part of treatment.

Therapy combines several evidence-informed approaches to match each person's needs. Sessions include learning coping skills, building emotion regulation, and practicing new ways of relating to others. She frames work around small, doable changes so progress is clearer and less overwhelming.

Viviana pays attention to cultural background and the practical pressures in a person’s life. She supports people facing caregiver stress, cancer-related stress, first responder challenges, and work-related burnout, among other concerns. She also addresses issues around gender identity, HIV/AIDS, and addiction where these affect daily functioning.

Clients typically find the work collaborative: goals are set together and adjusted as progress is made. To begin, visitors are asked to use the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on therapist availability.

Therapeutic approaches and how they translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them. It focuses on clarifying values and taking small actions that match what matters most. Cognitive Behavioral Therapy (CBT) breaks problems into thought patterns and behaviors, then practices new ways of thinking and acting to reduce symptoms and improve daily functioning. Attachment-Based Therapy looks at how early relationships shape current patterns and focuses on rebuilding safer ways of relating to others.

Finding the right approach is part of the work. The therapist will review goals, life demands, and how someone responds to different techniques. Together the client and therapist decide which methods to try and adjust the plan as progress is made.

The biography does not specify which online formats are used, so confirm available options before booking. Online sessions can make therapy easier to fit into a busy week, reduce time spent traveling, and allow shorter check-ins when a full session is not needed. They also let people practice new skills in between appointments and bring real-life situations into discussion more readily.