Lisa OBrien, LCSW

Lisa OBrien is a Licensed Clinical Social Worker (LCSW) with more than three decades of hands-on experience. She works with people who are feeling overwhelmed by stress, anxiety, grief, relationship strain, addiction, or big life changes. She writes plainly and listens carefully to understand what each person needs. Her approach is practical and individualized. Lisa uses parts of Cognitive Behavioral Therapy and Motivational Interviewing along with a solution-focused outlook to help clients notice patterns and make changes that fit their daily life. She also draws on trauma-focused ideas when past events are still getting in the way of moving forward. Lisa has worked across many concerns including depression, bipolar symptoms, parenting strain, intimacy-related issues, and compassion fatigue. She also supports people facing adoption and foster care questions, caregiver stress, aging and geriatric issues, and challenges tied to family of origin or blended families. Clients who connect with her often need help with communication problems, substance use and recovery issues, or the fallout from domestic violence and trauma. She also addresses gender dysphoria, LGBT concerns, and forgiveness or guilt and shame where those issues arise. Based in Montana, Lisa tailors the pace and methods to each person she meets. She prefers working collaboratively so clients set goals and try practical steps between visits. To begin, prospective clients choose the Start Therapy button and complete a short matching questionnaire before scheduling.

How Lisa’s Approaches Can Work Online

Lisa often draws on Cognitive Behavioral Therapy and Motivational Interviewing in her work. CBT focuses on identifying unhelpful thoughts and testing different behaviors to change feelings and outcomes, which can help with anxiety, depression, and stress. Motivational Interviewing is a collaborative way of talking that helps people find their own reasons to change, often used for addictions and stages of readiness.

Finding the right approach is part of the therapy process. Lisa will work with each person to decide which methods match their goals and preferences. That means trying ideas together, checking what helps, and adjusting the plan if needed so it fits daily life.

Session formats should be confirmed before booking so you know what options she currently offers. Online sessions can make it easier to fit therapy into work, caregiving, or travel schedules. They also allow shorter check-ins when time is tight and let people meet without needing extra travel time. Ask about format details when you schedule so you can pick what works best for your routine.