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Gio Arcuri, MSc, OT, Occupational Therapist

A note from our founder, Gio Arcuri, OT, MSc

When I started Vivago, I kept noticing something.

 

People weren’t just overwhelmed by anxiety, trauma, or burnout.

 

They were overwhelmed by the system.

 

They were overwhelmed by:

 

  • Long waitlists

  • Confusing intake processes

  • Clinical jargon that felt alienating

  • Diagnostic labels that felt heavy

  • Websites that listed services but didn’t explain what any of them actually meant

  • And the quiet fear of “What if I’m not severe enough?”

 

Mental health care is supposed to reduce anxiety.

 

But for many people, trying to access it increases anxiety.

 

That didn’t sit right with me.

-Gio Arcuri

The Problem Isn’t Just Symptoms. It’s Complexity.

​Somewhere along the way, mental health care became:

 

  • Overly medicalized

  • Overly technical

  • Filled with acronyms

  • Structured around diagnoses instead of daily life

 

You don’t need to understand neurotransmitter pathways to know you’re not sleeping.

 

You don’t need to memorize diagnostic criteria to know your world feels smaller.

 

And you shouldn’t need a psychology degree to understand your treatment options.

 

 

At Vivago, We Do Things Differently

 

Yes, we are a licensed, interdisciplinary clinic.

 

Yes, we follow evidence-based practices.

 

Yes, we use Cognitive Behavioural Therapy, exposure models, Acceptance and Commitment Therapy, occupational therapy frameworks, and medication when indicated.

 

But we translate them.

 

We organize them.

 

We make them understandable.

 

Because clarity reduces fear.

 

 

We Don’t Start With Labels. We Start With Life.

 

Instead of asking:

 

“What diagnosis fits?”

 

We ask:

 

“How is this affecting your daily life?”

 

  • Are you avoiding things you used to do?

  • Is sleep disrupted?

  • Is work harder than it used to be?

  • Are relationships strained?

  • Is your nervous system always “on”?

 

From there, we match the level of support.

 

Not based on how dramatic it sounds.

Based on how much it’s limiting you.

 

 

Why So Many People Feel Lost in the System

 

People often tell us:

 

“I don’t know where I fit.”

“I don’t know what level of care I need.”

“I don’t know what therapy actually involves.”

“I tried something before and it didn’t work.”

 

The system can feel fragmented.

 

One place offers therapy.

Another prescribes medication.

Another runs programs.

Nobody explains how it all connects.

 

We believe care should feel coherent.

 

 

Barriers Shouldn’t Be Part of the Treatment

 

Mental health barriers aren’t just financial.

 

They are also:

 

  • Linguistic (jargon-heavy language)

  • Structural (unclear pathways)

  • Psychological (fear of being judged or not “qualifying”)

  • Informational (not knowing what options exist)

  • Cultural (feeling unseen in the system)

 

Education is access.

 

When people understand their options, they move from confusion to agency.

 

 

What This Section of Our Website Is For

 

This is not just a service directory.

 

Each page is designed to:

 

  • Explain what a treatment actually looks like

  • Clarify who it tends to help

  • Discuss risks honestly

  • Explain medication without fear or oversimplification

  • Describe what intensive care really means

  • Help you think in terms of function, not failure

 

We don’t believe in:

 

  • Overselling therapy

  • Overprescribing medication

  • Making everything sound urgent

  • Or minimizing real struggles

 

We believe in fit.

 

 

A Stepped-Care Model That Makes Sense

 

We use a three-level stepped-care approach:

 

🟢 Prevention & Early Support

🟡 Weekly Outpatient Care

🔴 Semi-Intensive & Intensive Programs

 

Not because one level is “better.”

 

But because needs change.

 

Sometimes you need structure.

Sometimes you need containment.

Sometimes you need a bridge.

Sometimes you need something lighter.

 

Support should match capacity.

 

 

Enough With the Fog

 

Mental health care should feel like:

 

“I understand what’s happening.”

“I understand my options.”

“I understand what the next step could be.”

 

Not:

 

“I need to decode this.”

 

We’re here to remove fog, not add to it.

 

 

You Don’t Have to Be in Crisis to Learn

 

You don’t need a diagnosis to explore.

 

You don’t need to justify curiosity.

 

And you don’t need to decide alone.

 

If you’re feeling overwhelmed by:

 

  • The symptoms

  • The system

  • The language

  • Or the options

 

That makes sense.

 

And making sense of it is exactly where we start.

Discover treatment options

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