Brendan Twist , LCSW

Brendan Twist, LCSW, is a licensed clinical social worker who supports adults, children, and families facing depression, anxiety, trauma and PTSD, addictions, grief, anger, family discord, and workplace distress. He brings warmth and acceptance to each session while emphasizing practical, skill-based strategies clients can use to address problems and create more satisfying lives.

His primary approach is dialectical behavior therapy - DBT - which teaches emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness so people can manage intense emotions and strengthen relationships while still getting their needs met. He is also trained in cognitive behavioral therapy, narrative therapy, and play therapy, allowing him to tailor interventions to a client’s age and situation and to combine skills work with opportunities to reframe personal stories.

Brendan prioritizes building trusting therapeutic relationships and collaborating with clients to identify realistic, actionable strategies that promote greater balance and wellbeing. When someone is coping with mental health symptoms, strained relationships, or a sense of being stuck, he encourages reaching out to explore steps toward feeling more grounded and fulfilled.

DBT and CBT Informed Care Online

Dialectical Behavior Therapy - DBT - focuses on building practical skills for emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness. It helps people manage intense feelings, navigate conflict, and improve relationships through step-by-step practices. Cognitive Behavioral Therapy - CBT - centers on identifying unhelpful thoughts and testing new behaviors to reduce symptoms of anxiety, depression, and stress while improving coping skills. Mindfulness Therapy cultivates present-moment awareness and nonjudgmental attention to thoughts and feelings, which can reduce rumination and support emotional balance when combined with skills work.

Finding the right approach is part of the therapeutic process. Brendan works collaboratively with each person to assess needs, goals, and preferences and then adapts methods over time so the approach fits the individual’s life and priorities.

Online therapy offers practical flexibility - video calls, phone sessions, live chat, and text-based messaging let people choose the way they engage that best fits their schedule and comfort. These options make it easier to maintain consistent work on relationship concerns, stress and anxiety, addiction coping, or life transitions while connecting with licensed professionals from wherever the client is located.