Lisa OBrien, LCSW - Therapist in Montana

About Lisa

Lisa OBrien is a Licensed Clinical Social Worker (LCSW) with more than three decades of experience. She focuses on practical help for parents and families navigating stress, relationship struggles, parenting challenges, grief, addiction, trauma, and mood concerns. She writes plainly and listens closely to what matters most to each person.

Her style is direct and caring, aimed at making hard problems feel more manageable. She uses methods that make sense in day-to-day life.

Background and approach

Cognitive Behavioral Therapy, Motivational Interviewing, and Solution-Focused techniques are often part of sessions. Trauma-Focused Therapy is used when past hurts are getting in the way of current functioning. Sessions tend to focus on clear goals and small, doable steps.

Her long experience includes work with adoption and foster care issues, blended families, caregiver stress, aging and geriatric concerns, and substance-related problems. She has also helped people facing communication breakdowns, family of origin conflicts, and intimacy worries. Lisa brings practical tools along with steady support during transitions and crises.

Lisa practices from Montana and offers services in English. She works with individuals, couples, and families and adapts her approach to each situation. The focus is on helping families find clearer communication, better routines, and healthier ways to cope.

Her approach is collaborative. Clients set goals and she helps map steps to reach them. The work emphasizes real changes that fit family life and daily routines.

Approaches that fit family life and online care

Lisa commonly uses Cognitive Behavioral Therapy (CBT) to help people spot unhelpful thoughts and change everyday behaviors. CBT is practical and works well for anxiety, depression, stress, and mood shifts that affect family routines.

Motivational Interviewing is another approach she uses to support change when substance use or resistance to change is involved. It centers on the client’s own goals and helps build motivation without pressure.

Finding the right approach is part of the work together. Lisa will talk with each person or family about goals, priorities, and preferences, and then recommend which methods to try. The plan can shift as needs change, and decisions are made collaboratively.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. These formats make it easier to fit sessions into busy family schedules, follow up between meetings, and keep momentum during transitions. For many families, the flexibility of remote sessions supports consistent progress while balancing daily responsibilities.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Motivational Interviewing

A way of working through mixed feelings about change without being pushed. The therapist helps you weigh things up and find your own reasons, which often makes a difficult decision feel less stuck.

Solution-Focused Therapy

Rather than examining the problem at length, this looks at what is already working and builds on it. Sessions tend to be practical and forward-looking, with small achievable steps, which translates readily to shorter online conversations.

Frequently asked questions

What kinds of family or parenting concerns are addressed?

Lisa addresses parenting challenges, blended family issues, communication problems, attachment concerns, caregiver stress, and related family problems. She also works with issues such as addiction, trauma, grief, and relationship strain.

What is her overall therapy style like?

Sessions focus on straightforward, practical steps. Lisa combines goal-setting, skills practice, and problem-solving to help families make changes that fit everyday life.

How long has she been practicing?

She brings 32 years of clinical experience working with individuals, couples, and families across a wide range of issues.

What are her credentials and where is she based?

She is a Licensed Clinical Social Worker - LCSW - with license MT LCSW BBH-LCSW-LIC-712 and practices from Montana.

Which languages are available for sessions?

Sessions are offered in English. International clients are accepted.

What session formats are offered for online work?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different needs and schedules.

How are fees and payment structured?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

What is the first step to begin therapy?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience: 32 years
Licensed: Montana
Languages: English

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