Lisa OBrien, LCSW

Lisa OBrien is a Licensed Clinical Social Worker with more than three decades of experience supporting people through hard times. She helps clients who are dealing with stress, anxiety, addiction, grief, depression, and the strain of life changes. Lisa writes plainly and meets people where they are to talk through what feels stuck and develop clear next steps.

Her background includes long-term work with trauma and substance use concerns alongside relationship and parenting challenges. She combines practical strategies with patient listening, so sessions focus on what to do this week and how to build on small successes. Lisa often draws on Cognitive Behavioral Therapy and Motivational Interviewing to shape concrete goals and actions.

Clients may also notice elements of solution-focused approaches and trauma-focused work when those fit the issue. Her work addresses both immediate coping skills and longer term patterns, like family of origin problems or communication difficulties. She pays attention to how caregiving, aging, or medical challenges affect day-to-day life.

Lisa has experience across a wide range of concerns including LGBT issues, attachment and intimacy-related difficulties, caregiver stress, first responder issues, and adjustment to illness such as cancer. Her style is collaborative and straightforward; she helps people set realistic steps and track progress.

She practices in Montana and offers services in English. Prospective clients are encouraged to confirm current session options before booking and to use the site Start Therapy flow to begin the process.

How therapeutic approaches shape online care

Lisa commonly uses Cognitive Behavioral Therapy and Motivational Interviewing in her work. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and changing behaviors; it is often used for anxiety, depression, and stress by teaching practical skills and homework between sessions. Motivational Interviewing centers on building a person’s own motivation to change, and it can be useful for addictions, lifestyle shifts, and when someone feels stuck about taking action.

Finding the right approach is part of the process. The therapist will work with each person to decide which methods fit their goals, preferences, and current needs. That decision is collaborative and can change over time as progress is tracked and new concerns appear.

The main practical benefit of online work is fitting therapy into everyday life. Confirm the specific session options before booking since formats are not listed in the biography. Online sessions can make it easier to schedule appointments around work, caregiving, or treatments, and they reduce the time spent traveling. Some people also prefer sessions that are shorter or that do not require video to manage energy and focus. Discussing these preferences at the start helps tailor the sessions to daily routines and realistic goals.