- CBT methods
- Narrative work
- Trauma-focused techniques
About Lorena
Lorena Borella-Clements is a Licensed Marriage and Family Therapist (LMFT) with 17 years of clinical work in Oregon. She works with people facing stress, anxiety, trauma and abuse, grief, intimacy-related issues, and depression. Her practice also addresses concerns such as abandonment, attachment wounds, communication and commitment challenges, and feelings of guilt and shame.
She draws on Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Narrative Therapy, and Trauma-Focused Therapy to match her approach to each person's needs. Sessions focus on naming what feels hard, learning practical coping skills, and looking at the stories people tell about themselves. She offers concrete techniques that aim to reduce distress and improve everyday functioning.
Lorena emphasizes a calm, direct style in sessions. She invites people to bring their thoughts and feelings into the conversation without judgment. Together they identify patterns that maintain pain and experiment with different ways of responding to old wounds and current stressors.
Her background includes a Bachelor of Arts in Sociology from UC Santa Cruz and a Master of Arts in Counseling Psychology from Sofia University in Palo Alto. Over her career she has helped people work through trauma symptoms, complicated grief, and relationship strain. She notes that documentation for courts, custody/DHS, and HR is outside the scope of her practice.
People often come for help when guilt, shame, or attachment wounds affect their day-to-day life. In sessions she mixes skills work, narrative reflection, and trauma-focused techniques to help people move toward clearer decisions and steadier moods.
Therapeutic approaches and working online
Client-Centered Therapy focuses on listening closely and reflecting what a person brings. It helps when someone needs a space to sort through feelings and decide what matters most. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions interact and teaches practical skills to change unhelpful patterns. It can be useful for anxiety, depression, and stress management. Narrative Therapy helps people separate themselves from painful stories they carry and try new ways of telling their experiences, which can reduce shame and blame.Finding the right approach is part of the work. Lorena treats approach choice as collaborative. She will talk with each person about goals and preferences and then recommend methods to test and adjust together over time.
Session formats are not specified in the provided biography, so confirm current session options before booking. Online work can make it easier to fit sessions around work, childcare, or travel, and some approaches lend themselves to shorter check-ins or exercises to use between meetings. Therapists in general can adapt CBT homework, narrative writing prompts, and trauma-focused practices to an online setting to keep momentum between sessions.
Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
17+ years
Listed in
California, Oregon
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, trauma and abuse, grief, intimacy-related issues, and depression, and also addresses concerns like abandonment, attachment issues, and guilt and shame.
How would she approach feelings of guilt or shame?
She uses a mix of Client-Centered, CBT, Narrative, and Trauma-Focused approaches to name those feelings, examine the stories behind them, and try practical techniques to reduce their intensity.
How long has she been practicing?
She has 17 years of clinical experience working with people on trauma symptoms, grief, anxiety, and relationship concerns.
What are her credentials and where is she based?
She is an LMFT licensed in California and Oregon and practices from Oregon.
Which languages are supported in sessions?
Sessions are offered in English.
Can she work with clients outside the United States?
International clients are not currently accepted.
How are sessions paid for and how much do they cost?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
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.