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Lisa OBrien, LCSW

Experienced LCSW for trauma and addictions

  • CBT and Motivational Interviewing
  • Individuals couples families
  • Accepting international clients

About Lisa OBrien

Lisa OBrien is a Licensed Clinical Social Worker (LCSW) and a Licensed Addictions Counselor with 32 years of experience supporting people across the lifespan who are facing trauma, chemical dependency, relationship and communication difficulties, depression, anxiety, low self-esteem, and other life challenges. She works with individuals, couples, and families and adapts treatment to each person's needs, blending evidence-informed methods to address both immediate concerns and longer-term patterns.

Her clinical toolbox includes Cognitive Behavioral Therapy (CBT), Family Systems Theory, mindfulness strategies, and Motivational Interviewing, applied in a practical, goal-oriented manner. OBrien emphasizes collaborative planning and concrete skills clients can use between sessions to manage symptoms, improve relationships, and support recovery from addiction or trauma.

Based in Montana, she has worked with people from diverse backgrounds and ages, tailoring interventions to the situation at hand while drawing on decades of practice. Her approach balances compassion with structured techniques to help clients move toward clearer communication, healthier coping, and meaningful change.

Areas of Expertise

Primary Focus

Stress, AnxietyAddictionsTrauma and abuseGriefDepression

Also Specializes In

LGBTRelationship issuesFamily conflictsIntimacy-related issuesParenting issuesSelf esteemBipolar disorderCoping with life changesCompassion fatigue

Additional Focus Areas

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

Therapeutic Approach

Cognitive Behavioral Therapy (CBT) Motivational Interviewing Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Lisa OBrien have?

Lisa OBrien has 32 years of professional experience.

Is Lisa OBrien a licensed therapist?

Yes. She holds the credential LCSW - Licensed Clinical Social Worker. License details are MT LCSW BBH-LCSW-LIC-712.

In which languages does Lisa OBrien provide therapy?

Lisa OBrien provides therapy in English.

Where is Lisa OBrien located?

Lisa OBrien is located in Montana.

How can I work with Lisa OBrien as my therapist?

You can work with Lisa OBrien through video calls, phone sessions, live chat, or text-based messaging.

Does Lisa OBrien work with international clients?

Yes. Lisa OBrien works with international clients.

How much does therapy with Lisa OBrien cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Could Remote Therapy Work Well For You?

Many people ask whether online therapy can deliver real benefits. For a range of common concerns - including stress, anxiety, depression, relationship struggles, and navigating significant life changes - remote therapy is often a practical and effective option and can match the outcomes of traditional in-person sessions for these issues.

One major advantage is flexibility. Clients can meet with licensed professionals in the format that best fits their daily life - video calls, phone sessions, live chat, or messaging - making it easier to maintain consistency and follow through on treatment plans.

Licensed professionals offer a variety of therapeutic approaches adapted to remote work, and clients may choose a different therapist at any time if they want a different fit. For many people, online therapy makes access to skilled therapists simpler to arrange while supporting ongoing progress toward personal goals.

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