About Lisa
Lisa OBrien helps people who are feeling overwhelmed, stuck, or unsure where to start. She introduces practical steps and steady support so a worried parent can find clearer ways forward. Lisa is a Licensed Clinical Social Worker, which she uses to guide care in simple, direct language.
She has been doing clinical work for more than 32 years in Montana and beyond. That long experience means she has worked with a wide range of issues, including stress, anxiety, depression, addiction, trauma and grief.
Background and approach
She also supports concerns around relationships, intimacy, parenting, self-esteem and coping with life changes. Her approach mixes well-known methods so the work fits each person. Cognitive Behavioral Therapy helps people notice and change unhelpful thoughts and behaviors.
Motivational Interviewing is used to build readiness for change. Solution-Focused Therapy keeps sessions goal-oriented and practical. Sessions can include focused skill practice, short-term planning, and honest conversation about hard experiences.
She has additional experience with adoption and foster care, aging and geriatric issues, caregiver stress, first responder issues, and gender-related concerns among others. Lisa adapts strategies to what each person needs in the moment. People who choose her can expect straightforward, experience-based guidance and an emphasis on small, workable steps.
She offers online formats that make it possible to fit therapy into a busy life. To begin, clients follow an intake and matching process and then schedule sessions that suit them.
How therapeutic methods translate to online care
Lisa commonly uses Cognitive Behavioral Therapy and Motivational Interviewing in online sessions. CBT involves identifying unhelpful thoughts and testing small behavior changes to reduce symptoms like anxiety and low mood. Motivational Interviewing helps people clarify their goals and strengthen motivation for change, which can be useful for addiction, health choices and major life transitions.Finding the best approach is part of the work. The therapist will review goals, preferences and what has or hasn’t helped before. Together they decide which methods to try and adjust the plan as progress is made, keeping the focus on practical steps and measurable goals.
Online formats include video calls, phone sessions, live chat and text-based messaging. Video allows face-to-face conversation for skills practice and deeper discussion. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging work well for brief updates, journaling support and ongoing reminders between longer sessions. These options make it simpler to fit therapy into school, work or caregiving schedules while keeping the focus on progress.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- 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
Therapeutic approaches
- Experience
- 32 years
- Licensed
- Montana
- Languages
- English