About Lorena
Lorena Borella-Clements uses a client-centered approach that puts each person's story first. She draws on practical therapies to help people manage stress, anxiety, trauma, grief, intimacy issues, and depression.
Background and approach
Lorena brings 17 years of clinical experience and works from Oregon as a licensed marriage and family therapist - LMFT. She aims to create a calm, nonjudgmental space where thoughts and feelings can be spoken about openly.
Sessions focus on concrete coping skills and on making sense of difficult experiences. People often work on managing symptoms, improving day-to-day functioning, and finding ways to reconnect to what matters.
Lorena blends several approaches to match a client's needs. She uses client-centered techniques to follow a person’s pace, cognitive behavioral methods to challenge unhelpful patterns, and narrative ideas to reframe painful stories.
Trauma-focused work is used when past events continue to cause strong reactions. Her background includes long-term work with issues like abandonment, attachment problems, caregiver stress, blended family challenges, and the fallout from domestic violence or separation.
She also supports people coping with grief, shame, guilt, and concerns related to HIV/AIDS. Lorena was born in Argentina and grew up in the San Francisco Bay Area.
She trained in counseling psychology and brings a multicultural perspective to sessions. Services are offered in English, and she practices from Oregon as a CA and OR LMFT.
How therapeutic approaches translate to online care
Client-Centered Therapy focuses on listening and following a person's pace, helping someone feel heard and understood while they name what matters most. This approach is useful for building trust and deciding what to work on first.Cognitive Behavioral Therapy (CBT) helps people spot and change unhelpful thoughts and behaviors through clear exercises and practice. It is often used for anxiety, depression, and stress because it gives concrete tools to use between sessions.
Narrative Therapy invites people to rewrite the stories they tell about themselves, separating a person from their problems and opening new possibilities for meaning and action. It can be helpful when past events or family-of-origin patterns feel stuck.
Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most helpful, then adapt methods over time in a collaborative way.
Online therapy offers several practical benefits. Video calls let people hold fuller conversations and read facial cues, while phone sessions can be a better fit when bandwidth is limited or a quieter check-in is needed. Live chat and text-based messaging make it easier to keep brief contact, process thoughts between sessions, or fit therapy into a busy schedule. These options make therapy more flexible and easier to fit into daily life.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Attachment issues
- Avoidant personality
- Blended family issues
- Caregiver issues and stress
- Commitment issues
- Communication problems
- Control issues
- Depression
- Divorce and separation
- Domestic violence
- Emptiness
- Family of origin issues
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Immigration issues
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 17 years
- Licensed
- California, Oregon
- Languages
- English