Lisa OBrien

Lisa OBrien is an LCSW - Licensed Clinical Social Worker practicing in Montana with 32 years of experience. She works with people who are feeling stuck, overwhelmed, or unsure what comes next, addressing stress, anxiety, addictions, trauma and abuse, grief, depression, relationship and intimacy concerns, parenting strain, self-esteem, and coping with life changes. Sessions focus on practical steps and clearer thinking rather than abstract promises of transformation.

Her approach combines several evidence-informed methods. Lisa often uses Cognitive Behavioral Therapy to help people notice and shift unhelpful thoughts and behaviors. She also draws on Motivational Interviewing to explore ambivalence around change and to support the small steps someone is ready to take. Solution-Focused Therapy is used to find concrete, short-term goals and build on existing strengths.

She has worked across many settings and with a wide range of concerns over three decades. That background includes helping people facing addiction, trauma, family-of-origin issues, blended family challenges, caregiver stress, aging and geriatric concerns, cancer-related issues, and first responder stress. Lisa also addresses topics such as gender dysphoria, adoption and foster care, and forgiveness work.

Sessions are aimed at practical problem solving and clearer decision making. Conversations will include skill-building, goal-setting, and examining patterns that get in the way of next steps. Lisa accepts clients who prefer English language sessions and also accepts international clients; confirm current session formats before booking.

To begin, readers are encouraged to use the site’s matching process and schedule an initial appointment. The subscription-based scheduling system can be canceled at any time and pricing varies by location.

Remote sessions and practical approaches

Lisa often uses Cognitive Behavioral Therapy to help people notice and change thought and behavior patterns that contribute to stress or low mood. CBT focuses on concrete skills like tracking thoughts, testing assumptions, and trying small behavioral experiments to see what shifts.

She also draws on Motivational Interviewing to help people who are unsure about change. That method is conversational and helps sort out ambivalence, identify personal reasons for change, and plan manageable next steps. Both approaches are useful for issues such as addiction, anxiety, low motivation, and coping with life transitions.

Finding the right approach is part of the work. Lisa will discuss what feels most useful and will collaborate with each person to choose methods that match goals and preferences. She aims to balance short-term problem solving with building sustainable skills.

Please confirm which session formats are currently offered before booking, as the biography does not list specific formats. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when schedules require, and reduce travel time so therapy can be balanced alongside family and work commitments.