Lisa OBrien, LCSW

Lisa OBrien is a Licensed Clinical Social Worker (LCSW) with more than three decades of experience helping people cope with hard moments. She works with individuals who are dealing with depression, anxiety, stress, grief, addiction, and relationship concerns. Her style is direct and practical, focused on what a person can do day to day to feel steadier. She adapts methods to fit each person's needs rather than using a single rigid plan. Lisa commonly draws on Cognitive Behavioral Therapy and Motivational Interviewing to help people change unhelpful thoughts and build motivation for new habits. She also uses elements of Solution-Focused and trauma-informed approaches when they match the situation. Lisa has worked across many settings with a wide range of concerns, including parenting challenges, family of origin issues, caregiver stress, first responder issues, and complicated grief. Her experience includes addressing substance use, domestic violence, attachment issues, gender dysphoria, and the strain of chronic illness or cancer on families. Sessions focus on clear goals, practical skills, and realistic next steps. She helps people break problems into manageable parts and practices new responses between meetings. When needed, she brings in family patterns and communication work to support lasting change. Based in Montana, Lisa offers a steady, experienced presence for people who want hands-on strategies for coping and recovery. She aims to meet clients where they are and help them move forward at a workable pace.