About Lisa
Lisa OBrien is a Licensed Clinical Social Worker with 32 years of experience helping people manage stress and anxiety. She works with adults facing addiction, grief, depression, trauma, and other life challenges. Her style is straightforward and practical, aimed at people who want clear steps they can use between sessions.
In sessions she focuses on skills that make day-to-day life easier. Lisa uses techniques from cognitive behavioral therapy to spot unhelpful thinking and try new behaviors.
Background and approach
She also brings motivational interviewing to conversations about change and relapse prevention. Her background includes long experience in addiction and trauma work, and she has supported people dealing with caregiving stress, cancer, first responder strain, and identity concerns related to LGBT and gender dysphoria.
She also helps with relationship and communication problems, blended family and adoption-related adjustments, and issues tied to family of origin. Lisa practices from Montana and conducts online work as well. Sessions may include talking through coping skills, planning small goals, and practicing new ways to respond to triggers.
She aims to make therapy useful and relatable, so people leave with tools they can try between visits. Clients can expect a collaborative approach that blends practical problem solving with attention to past trauma when needed. The work is paced to fit what each person says they can manage, and adjustments are made as goals change.
How Lisa uses practical approaches online
Lisa commonly uses cognitive behavioral therapy and motivational interviewing in online sessions. Cognitive behavioral therapy helps identify unhelpful thoughts and teaches small behavior changes that reduce anxiety and depression symptoms. Motivational interviewing focuses on the person's own reasons for change and helps build commitment to goals like reducing substance use or improving routines.Finding the right approach is part of the work together. The therapist will talk with the client about goals, preferences, and what has helped before, then choose techniques that fit. This is a collaborative process and plans get adjusted as progress is made.
Online options include video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for face-to-face conversation and skill practice, phone sessions can be easier when bandwidth is limited, live chat works for quick check-ins, and messaging supports short updates or ongoing coaching between sessions. These formats make scheduling more flexible and help people fit care into busy lives.
Questions people ask
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What this therapist works with
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
Therapeutic approaches
- Experience
- 32 years
- Licensed
- Montana
- Languages
- English
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