About Lisa
Lisa OBrien is a Licensed Clinical Social Worker (LCSW) with more than three decades of experience. She helps people who are feeling overwhelmed, anxious, depressed, grieving, or struggling with addiction and life changes. Her style is straightforward and practical, aimed at making things feel more manageable day to day.
She uses approaches that match each person's needs and goals. That often means using ideas from cognitive behavioral therapy to spot unhelpful thoughts.
How Lisa works
Motivational interviewing helps when someone is wrestling with change or substance use. Solution-focused techniques support finding small, achievable steps forward. Over 32 years in practice Lisa has worked with concerns such as trauma and abuse, relationship and intimacy-related issues, parenting stress, and compassion fatigue.
She also focuses on adoption and foster care, aging and geriatric issues, attachment and blended family dynamics, and caregiver stress. Other areas include cancer-related concerns, family of origin problems, and first responder issues. Clients may also consult about gender dysphoria, LGBT concerns, bipolar disorder, grief, guilt and shame, or communication problems.
Her experience includes helping people facing domestic violence, drug and alcohol addiction, and forgiveness work. The aim is to help people clarify priorities and make realistic plans for change. Lisa practices from Montana and conducts sessions in English.
She accepts international clients and offers multiple remote formats to fit different schedules and preferences.
Lisa lists 4 ways of working on the entry:
What Lisa works with
The areas below are the ones Lisa selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Bipolar disorder
- Blended family issues
- Cancer
- Caregiver issues and stress
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Veteran and Armed Forces Issues
- Visually impaired
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 32 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Montana |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online therapy
Lisa often uses cognitive behavioral therapy to help people identify and change patterns of thinking that make problems worse; this approach is useful for anxiety, depression, and coping with life changes. Motivational interviewing is another method she uses to help people clarify their goals and strengthen their own motivation to change, which can be helpful for substance use and behavior change.Finding the right approach is part of the work together. The therapist will discuss priorities, goals, and preferences and then suggest techniques that fit. Clients and therapist adjust methods as progress and needs evolve, keeping the plan practical and focused on achievable steps.
Online sessions can include video calls, phone sessions, live chat, or text-based messaging to fit different schedules. Video sessions allow face-to-face interaction, phone calls can be easier when bandwidth is limited, and live chat or text messaging work well for brief check-ins or people who prefer writing. These options make it easier to maintain regular contact and carry therapy forward across busy days and changing routines.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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