About Lorena
Lorena Borella-Clements is a licensed marriage and family therapist (LMFT) with 17 years of clinical experience. She focuses on helping people who struggle with stress, anxiety, trauma and abuse, grief, intimacy-related issues, and depression. Her work is direct and compassionate, aimed at reducing symptoms and improving day-to-day coping skills.
She uses an eclectic mix of approaches tailored to each person’s needs. Sessions typically combine client-centered listening with skills from cognitive behavioral therapy and narrative work.
Background and approach
When trauma is part of the picture, she incorporates trauma-focused methods to address lingering symptoms. Her style is practical and rooted in everyday life. She offers tools for managing strong emotions, addressing relationship patterns, and handling difficult losses.
Conversations are held in a nonjudgmental manner so people can talk honestly about what they are feeling. Borella-Clements brings a multicultural perspective to therapy, shaped by her upbringing after immigrating from Argentina and growing up in the San Francisco Bay Area. She works in English and draws on that life experience when supporting people from different backgrounds.
She provides psychotherapy in Oregon and does not perform court documentation, custody/DHS reports, or HR evaluations. To begin working together, people complete a short matching questionnaire and schedule sessions that fit their needs.
How therapy approaches translate to online care
Client-centered therapy focuses on understanding each person's experience and responding with empathy and respect. In online sessions this means the therapist listens carefully and follows the client's lead to set goals and priorities. Cognitive behavioral therapy (CBT) helps people notice unhelpful thoughts and behaviors and practice new skills to reduce symptoms like anxiety and low mood. Online CBT often uses short exercises, homework, and check-ins to track changes between sessions.Finding the right approach is part of the work together. The therapist will talk with the client about goals, symptoms, and preferences, then try methods that fit best. This is a collaborative process and methods can be adjusted as progress is made.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which make it easier to fit therapy into a busy life. Video calls let people see facial expressions and use visual tools. Phone sessions can be a good option when bandwidth is limited or a camera is not convenient. Live chat and text-based messaging work well for brief check-ins, journaling exercises, or when someone prefers written communication. These options provide flexibility and multiple ways to practice skills between sessions.
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What this therapist works with
Most often
Also listed
- 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
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