Lisa OBrien is a Licensed Clinical Social Worker (LCSW) with more than three decades of practice. She offers straightforward, practical support for people feeling overwhelmed by stress, anxiety, grief, addiction, or low self-esteem. Her tone is direct and compassionate, aimed at helping people take the next step when life feels hard.
She uses a mix of approaches that fit the person in front of her rather than a single rigid method. Cognitive Behavioral Therapy and Motivational Interviewing commonly appear in her work, along with solution-focused and trauma-informed ideas when appropriate. Sessions focus on clear goals, small changes, and real-world coping skills.
Her background includes long-term work with people who face substance use, trauma and relationship struggles. Lisa adapts her methods to each person’s needs, looking for practical actions that reduce distress and build confidence. She draws on experience with caregiving stress, identity concerns, parenting challenges, and life transitions.
Clients can expect conversations that balance listening with active skill-building. She aims to make therapy useful and understandable, with steps people can try between sessions. Over time the work centers on problem-solving, improving communication, and strengthening self-esteem.
Lisa practices in Montana and communicates in English. Her approach emphasizes collaboration and realistic goals, helping people find clearer ways forward when they feel stuck.
Therapeutic approaches and online care
Lisa commonly uses Cognitive Behavioral Therapy and Motivational Interviewing. CBT helps people identify unhelpful thoughts and test new behaviors to reduce anxiety, depression, and self-doubt. Motivational Interviewing focuses on building a person’s own reasons for change, which can be useful for addictions, slipping motivation, or life transitions.
Finding the right approach is part of the work. The therapist will discuss goals, needs, and preferences and then suggest methods to try. That plan is adjusted over time based on what helps most, so clients take an active role in choosing the best path.
Practical benefits of online therapy include fitting sessions into a busy week and reducing travel time. If you prefer a shorter check-in or need to schedule around work or caregiving, these considerations can shape how you set sessions up. The profile does not list specific session formats, so confirm the available options before booking to make sure they fit your routine.
Adoption and foster careAging and geriatric issuesAttachment issuesBlended family issuesCancerCaregiver issues and stressCommunication problemsDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameHospice and end-of-life counselingIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMood disordersPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Visually impaired
She works with a wide range of issues listed in her profile, including stress, anxiety, addictions, trauma and abuse, grief, depression, relationship and self esteem concerns.
How would you describe her therapeutic style?
The approach is practical and collaborative, focusing on goal-setting, concrete coping skills, and problem-solving tailored to each person.
How much clinical experience does she have?
Lisa has 32 years of experience providing care in behavioral health settings and working with people facing addiction, trauma, and relationship challenges.
What are her credentials and where is she based?
She holds an LCSW, which is listed as MT LCSW, and she practices in Montana.
Which languages are supported in sessions?
Sessions are offered in English and international clients are accepted.
What session formats are available?
Session formats are not specified in the profile; please confirm current session options before scheduling.
How much do sessions cost?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the continue button on this profile, complete a short matching questionnaire, and schedule a time based on the therapist's availability.