Why Visión Plena exists.

At Visión Plena, we heal and learn in community. We exist to heal trauma — together.

We do this through compassionate, evidence-based clinical care, training the next generation of trauma-informed providers, and supporting those who do this work every day with dedication and love.

Founded by Dr. Rosaura Orengo-Aguayo, a Puerto Rican clinical psychologist, researcher, and nationally certified trauma trainer, Visión Plena offers compassionate, transformative, evidence-based trauma care — through three pillars: Therapy, Training, and Consulting & Mentorship.

Trauma clouds our vision. Visión Plena clears it.

The world we envision.

At Visión Plena we envision a world where trauma care reaches every person who needs it — in their language, in their community.

A world where trauma finds care at every level: in those who experience it, in those who treat it, and in those who dedicate their careers to this mission.

Together, we can have Visión Plena.

Visión Plena

What it means

Full clarity. The clarity that returns when trauma no longer controls the lens through which you see yourself and the world.

01

Healing is possible

Healing is possible — no matter what you have experienced or how long you have carried it. At Visión Plena, we walk with you toward a life of purpose, connection, and hope.

02

Together is better

At Visión Plena, no one walks alone. Not the clients, not the providers, not those who are learning. We support each other, learn, and heal together — in community.

03

Science and heart

We use only treatments with solid scientific evidence — and adapt them to who you are. Your story, your culture, and your values matter. Science is our foundation. You are at the center.

04

Breaking down barriers

Trauma care should not be a privilege. We offer telehealth, services in Spanish and English, and reduced fees for those who need them. We also train providers so this care reaches more communities.

05

Changing the world

True change is not made by one person alone. At Visión Plena we treat, train, and accompany — because when each person has what they need to heal and grow, the effect multiplies. One life at a time.

06

Your culture matters

At Visión Plena, every person is welcomed in their wholeness — their language, their story, their community, and their worldview. We don't adapt treatment as an afterthought. We build it with you, from who you are.

My goal: to offer you a safe space where you arrive just as you are — and together we walk toward a life that is full of purpose and hope.

From our very first session, I want you to feel that you are in a safe place. Here you can speak honestly, at your own pace, without fear of being judged. I want you to feel that you matter — that you deserve to be heard and validated. I genuinely care about understanding you: who you are, where you come from, what you carry, and what you dream of. Together we walk toward healing, and I walk with you every step of the way.

I offer evidence-based therapies for the treatment of trauma in children, adolescents, and adults. While I am guided by what science says works, what matters most to me is that the process feels like yours: adapted to your story, your identities, your needs, and your own pace. I offer all my services in English and Spanish, whichever feels most comfortable for you.

My clients describe me as warm, compassionate, and present — and they come back because they see the changes: they sleep better, their relationships improve, their lives regain light and hope. Healing after trauma is possible. It would be an honor to walk alongside you in the process.

Training Components

Who it's for

Next Training

Next TF-CBT Cohort: January 2027

Asociación de Psicología de Puerto Rico (APPR) · @appr_pr

Applications: Check back in Sept. 2026 for more details

This TF-CBT training will be exclusively for clinicians who live in Puerto Rico and are (or become) members of APPR.

Application deadline: [Date TBD]

Trauma-Informed Care

Transform your organization's culture into one that recognizes and responds to trauma at every level. Trauma in childhood and adolescence is more prevalent than many imagine — and its effects are reflected in the behavior, learning, health, and relationships of the children and youth your organization serves every day.

Based on the NCTSN curriculum, this training teaches what trauma is, how it affects the development and functioning of children and adolescents, and why so many behaviors that seem "difficult" are actually trauma responses. Participants learn to see young people through a different lens — asking not "what's wrong with this child?" but "what happened to this child?"

Most importantly, participants learn how to transform their systems, processes, and environments to be safe, compassionate, and healing for children and families.

Useful for: Schools · Community mental health centers · Child welfare agencies · Health systems · Nonprofit and faith-based organizations

Formats: Keynote lecture · Half-day workshop · Full-day workshop · Multi-session consultation series · Spanish and English · Virtual or in-person

Disaster Response

In the immediate aftermath of a disaster, survivors experience a wide range of reactions — physical, psychological, and behavioral — that can disrupt their ability to cope and recover. Psychological First Aid (PFA) and Skills for Psychological Recovery (SPR) are two evidence-informed approaches specifically designed for the weeks and months following a disaster or act of terrorism. Dr. Orengo-Aguayo is a nationally certified trainer in both, with direct experience leading disaster response work with Puerto Rican communities — especially following Hurricane María (2017) and the Puerto Rico earthquakes (2020).

Useful for: First responders · Emergency personnel · Mental health professionals · Community organizations · Faith communities · Schools and health systems in disaster-prone areas

Formats: Introductory half-day workshop · Full two-day workshop · Train-the-Trainer program · Virtual or in-person · Spanish and English

"What I highlight most is the combination of clinical rigor, human warmth, and commitment to training professionals in Puerto Rico."

"Participating in TF-CBT training with Dr. Rosaura Orengo-Aguayo has been one of the most meaningful experiences of my professional development. She doesn't just teach a model — she transforms the way you practice."

"Dr. Orengo-Aguayo combines exceptional knowledge with outstanding human quality. Her teaching style fosters an environment of trust, engagement, and meaningful learning."

"My experience in the TF-CBT training with Dr. Orengo-Aguayo was truly spectacular. Her mastery of the model, combined with a teaching style that is clear, approachable, and culturally sensitive, made the content — however complex — feel accessible and applicable from day one. The impact on my clinical work with children, adolescents, and families has been significant: I now have more structured, evidence-based tools for addressing trauma, which has strengthened both the quality of my interventions and families' confidence in the therapeutic process. Dr. Orengo-Aguayo stands out not only for her deep knowledge, but for the genuine support she provides throughout the entire training — always available to answer questions and enrich clinical practice with real-world examples. I would absolutely recommend this training to other clinicians and agencies. What I highlight most is the combination of clinical rigor, human warmth, and commitment to training professionals in Puerto Rico."

"Dr. Orengo-Aguayo exceeds any expectation. Her human, empathetic, and committed way of sharing her knowledge makes this training a truly special experience. She does not limit herself to teaching a treatment model — she also accompanies, guides, and strengthens each therapist throughout their learning process. This training has had a very positive impact on my work as a school psychologist and in preparing for the start of my private practice. I leave with enormously valuable tools, greater professional confidence, and more trust in my ability to provide sensitive, responsible, and high-quality service to children, adolescents, and their families. I would absolutely recommend it to other professionals and agencies who want to build skills for working with children and families in an effective, empathetic, and evidence-based way."

"Participating in TF-CBT training with Dr. Rosaura Orengo-Aguayo has been one of the most meaningful experiences of my professional development. Her academic excellence, combined with exceptional human quality, creates an environment where every professional feels accompanied, validated, and empowered to integrate a complex model with fidelity, sensitivity, and clinical confidence. The way she contextualizes the scientific evidence into daily practice not only transforms how we intervene with children, adolescents, and families, but also broadens our vision of mental health care that is more accessible, ethical, and evidence-based. I recommend this training with absolute conviction — it represents the kind of training that does not just teach a model, but transforms the way you practice."

Organization Testimonial

"Our experience was extraordinary. From the very first contact, Dr. Orengo-Aguayo demonstrated a high level of professionalism, organization, and commitment to excellence. Her ability to convey highly specialized content in a clear, accessible, and dynamic way made the training process enriching for participants and for our organizing team alike. This training strengthened our continuing education offerings and contributed to the professional development of our psychological community. Dr. Orengo-Aguayo combines exceptional knowledge with outstanding human quality — organized, approachable, empathetic, and always available to guide. We recommend both the training and Dr. Orengo-Aguayo to any professional or organization interested in strengthening their trauma-focused competencies."

"TF-CBT has been a high-caliber professional experience in which your questions are answered and learning never stops. The impact has been enormously helpful to children, adolescents, and their families. I describe Dr. Orengo as a cornerstone in the training and knowledge of trauma-focused cognitive behavioral therapy — she has reached many children and adolescents on our beautiful island. She is a warm, humble, responsible, and passionate human being. I recommend TF-CBT training to all human behavior professionals who are willing and committed to being a link in the chain of support for children and adolescents in need."

"My experience in the TF-CBT training with Dr. Orengo-Aguayo was excellent, valuable, and very enriching. She stands out for her dynamic, evidence-based teaching style, the clarity with which she explains concepts, and the ongoing support she provides throughout the entire training process. Thanks to this training, I have significantly strengthened my skills for intervening with children, adolescents, and families who have experienced trauma. I have observed reductions in symptoms of post-traumatic stress, anxiety, depression, feelings of guilt, and behavioral difficulties, while patients strengthen their self-esteem, recover a sense of safety, and improve their functioning at home, school, and in interpersonal relationships. I recommend this training to other professionals and agencies for its excellence, usefulness, quality of content, and the impact it has had on my clinical performance."

"TF-CBT with children and families alongside Dr. Orengo-Aguayo allows the parent, guardian, and/or caregiver to build an affectionate and empathetic relationship, and to take ownership of the tools needed to support their children's intellectual and emotional growth and development — and above all, to learn to resolve other conflicts of daily life. As a psychologist, it allows me to identify the level of trauma or post-trauma that people are experiencing and to help them resolve a crisis in less time. I affirm and recommend Dr. Orengo-Aguayo for the knowledge and skills that characterize her."

Graduate Students

I walk alongside you as you navigate your clinical and academic training as a multilingual and multicultural trainee. I help you find your voice and purpose as you build your career in the mental health field.

Early-Career Professionals

I walk with you as you deepen your clinical skills, build confidence with trauma-focused models, and learn to navigate the complexity of serving diverse populations in real-world settings.

Researchers and Academics

I walk with you as you integrate your values into your academic and community work, serving Spanish-speaking communities with integrity. I help you become the mentor or supervisor you wish you would have had.

Mentorship Details

50 min sessions · Virtual · Available in Spanish and English · One session or multiple