Lisa OBrien , LCSW

Lisa OBrien is a Licensed Clinical Social Worker (LCSW) based in Montana with 32 years of clinical experience supporting people through stress, anxiety, addiction, trauma, grief and relationship challenges. She draws on long-term practice with individuals, couples and families to address depression, self-esteem, communication problems, parenting concerns and intimacy-related issues while helping clients navigate life changes and complex family dynamics.

As an LCSW, she holds advanced training in clinical social work and applies evidence-informed tools to help clients build coping skills and reach practical goals. Her treatment style is individualized - she adapts techniques to each person and often weaves Cognitive Behavioral Therapy and Motivational Interviewing with family systems perspectives and mindfulness practices to reduce symptoms and strengthen functioning.

Her scope of work includes addictions and substance use, trauma and abuse, bipolar disorder, compassion fatigue, caregiver stress and issues related to adoption, foster care and aging. She also addresses attachment and blended family concerns, first responder stress, domestic violence, gender dysphoria, and a range of relationship and family-of-origin issues. Lisa combines clinical experience and pragmatic strategies to help clients move forward at their own pace.

Evidence-Informed Approaches for Online Care

Lisa OBrien commonly draws on Cognitive Behavioral Therapy and Motivational Interviewing to help clients make measurable changes. Cognitive Behavioral Therapy focuses on identifying and modifying unhelpful thoughts and behaviors to reduce symptoms and improve daily functioning, and it is often used for anxiety, depression and stress-related problems. Motivational Interviewing is a collaborative, goal-oriented method that helps people resolve ambivalence and strengthen motivation for change, which can be especially useful for addictions and stages of readiness.

Finding the best approach is part of the therapeutic process. Lisa works collaboratively with each person to assess needs, goals and preferences, and she adjusts techniques over time so the plan fits the individual rather than forcing a single method.

Online therapy offers practical flexibility - clients can meet by video call, speak by phone, or use live chat and text-based messaging as needed. These options make it easier to maintain continuity of care around work, family and geographic constraints, and they allow licensed professionals to deliver consistent therapeutic support in ways that fit a client’s schedule and comfort.