Lisa OBrien, LCSW

Lisa OBrien is a Montana LCSW (Licensed Clinical Social Worker) with 32 years of clinical experience. She works with adults facing stress, anxiety, addictions, grief, depression, relationship and family concerns, and challenges tied to identity and intimacy. She also helps with parenting strain and coping with life changes.

Her approach blends practical, skills-based work with attention to how earlier family roles affect present life. Sessions often include elements of Cognitive Behavioral Therapy to change unhelpful thinking and Motivational Interviewing to support change. Solution-focused techniques are used to set small, achievable goals.

Lisa pays close attention to patterns that come from the family someone grew up in, and how those patterns show up now in relationships and parenting. She uses clear, straightforward talk to identify recurring roles, expectations, and communication traps. The aim is to help people recognize repeating patterns and try different responses.

She has long experience addressing substance use issues alongside mental health concerns, and she integrates approaches that support both recovery and emotional processing. When trauma or painful memories are present, she uses trauma-focused strategies alongside other methods rather than relying on a single technique.

Sessions are conducted in English and international clients are accepted. Because she adapts methods to each person, new clients start with a conversation about immediate needs and practical goals. This helps set a manageable plan for moving forward.

How therapeutic approaches guide online sessions