Lisa OBrien , LCSW

Lisa OBrien is a Licensed Clinical Social Worker (LCSW) based in Montana with 32 years of clinical experience supporting people through a wide range of life challenges. She works with individuals, couples, and families across the lifespan, bringing practical strategies and steady empathy to issues such as stress, anxiety, addiction, trauma and abuse, grief, depression, relationship and intimacy concerns, parenting, self-esteem, and coping with major life changes. Her background also includes helping those navigating adoption and foster care, caregiver stress, chronic illness, first responder issues, and concerns related to gender identity and family systems.

Lisa emphasizes a collaborative, client-centered approach, tailoring treatment to each person’s needs and goals. She commonly integrates components of Cognitive Behavioral Therapy - a skills-based method for changing unhelpful thoughts and behaviors - along with Motivational Interviewing to support readiness for change, solution-focused strategies to set and reach concrete goals, and trauma-focused techniques when past events are affecting present functioning. Mindfulness and family systems ideas often inform her work when appropriate.

Known for a calm, practical style, Lisa aims to create a space where people can address painful experiences, build coping skills, and find clearer paths forward. As an experienced LCSW, she brings both clinical training and decades of real-world practice to each therapeutic relationship.