- Trauma focused
- Skills for emotion regulation
- Attachment work
About Viviana
Viviana Urgiles is a Licensed Clinical Social Worker (LCSW) with 15 years of clinical experience, licensed in New York and Texas. She works with adults who carry the weight of trauma, stress, anxiety, and related concerns including guilt and shame. She offers direct, practical help for people wrestling with difficult life events and long-standing emotional pain.
Viviana focuses on trauma and its ripple effects. That includes complex trauma, PTSD, childhood abuse and neglect, interpersonal and domestic violence, sexual trauma, medical trauma, and grief. She also addresses problems that often come with trauma, such as depression, relationship strain, attachment wounds, and burnout from caregiving or work.
In sessions she uses evidence-informed methods to help people understand how trauma affects thoughts, feelings, and behavior. She teaches skills for emotion regulation, coping, and managing distress. She also helps people practice ways to rebuild trust and healthier patterns in relationships.
Her approach draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and Client-Centered Therapy. These models guide concrete practices rather than abstract theory, like noticing unhelpful thinking, trying new behaviors, and naming painful emotions including shame or guilt.
Viviana works with people from varied backgrounds and is responsive to cultural differences. Sessions are offered in English and she accepts international clients. Practical steps to begin include completing a short matching questionnaire and scheduling a first session.
How her approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) focuses on noticing painful thoughts and feelings without trying to fight them, then choosing actions that reflect your values. It can help with persistent guilt, avoidance, and life changes by teaching practical exercises to stay engaged in life despite difficult feelings.Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behaviors. It teaches skills to identify unhelpful thinking patterns and try different behaviors to reduce distress. That approach is often used for anxiety, depression, and rumination about past events.
Attachment-Based Therapy looks at how early relationships shape expectations and patterns in current relationships. It helps people notice attachment wounds, practice new ways of relating, and repair intimacy problems that can feed shame or isolation.
Finding the right approach is part of the work. The therapist will collaborate with each person to select methods that match their goals, preferences, and specific struggles. That process can include trying different techniques and reviewing what helps most.
The biography does not specify session formats, so confirm available options before booking. Online work can make it easier to fit appointments into a busy life, allow shorter check-ins when needed, and remove travel time. Those practical benefits can help people keep therapy consistent while working on guilt, shame, trauma, and recovery.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
New York, Texas
Languages
English
Frequently asked questions
What concerns does she address related to guilt or shame?
She works with guilt and shame that come from trauma, relationships, grief, and life changes. Other related concerns include anxiety, depression, and intimacy issues.
How does she approach feelings of guilt in therapy?
She uses evidence-informed methods to help people name painful emotions, examine unhelpful thinking, and practice small behavioral changes. Therapeutic approaches guide practical skills rather than offering quick fixes.
What is her professional background and experience?
She is an LCSW with 15 years of clinical experience working primarily with trauma and its effects. Her work has addressed complex trauma, PTSD, and related emotional struggles.
Where is she licensed and where does she practice?
She holds LCSW credentials in New York and Texas and practices from Texas when meeting with clients. Sessions are offered in English.
Can people outside the United States work with her?
Yes, she accepts international clients. Sessions are conducted in English.
What session formats are offered for online work?
The original biography does not list specific session formats. Confirm current session options before booking to know whether video or phone sessions are available.
How are fees handled for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing depends on where you are located.
How do I begin working with her?
To start, select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.