CBT Therapist Directory

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Lisa OBrien, LCSW

Experienced LCSW specializing in trauma and addictions
  • 32 years experience
  • Trauma and addiction care
  • Individuals couples and families

About Lisa OBrien

Lisa OBrien is a Licensed Clinical Social Worker (LCSW) and a Licensed Addictions Counselor with 32 years of clinical experience supporting people across the lifespan. She has worked with individuals, couples, and families facing a wide range of concerns including trauma, chemical dependency, depression, anxiety, grief, relationship and intimacy issues, parenting challenges, and compassion fatigue. Her practice also addresses specialized areas such as adoption and foster care, caregiver stress, first responder issues, and gender dysphoria.

She adapts treatment to the needs of each person, drawing on evidence-based methods to create a practical, goal-oriented plan. Typical components of her approach include Cognitive Behavioral Therapy - a structured method that helps people identify and change unhelpful thoughts and behaviors - Family Systems Theory, mindfulness practices, and Motivational Interviewing, which supports readiness for change. Over the course of her career she has blended these tools to help clients manage stress, addictions, trauma, and shifting life circumstances.

Lisa brings decades of experience to complex clinical situations while maintaining a collaborative, respectful stance. She has supported clients through bereavement, chronic illness, substance use recovery, attachment and family-of-origin concerns, and issues related to aging. Her background offers a broad base for tailoring care to individual goals and family dynamics.

Areas of Expertise

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 experience in clinical social work and addiction treatment.

Is Lisa OBrien a licensed therapist?

Yes. She holds the LCSW credential. License details: 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 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.

Evidence-Based Therapies Delivered Online

Cognitive Behavioral Therapy (CBT) helps people identify patterns of thinking and behavior that contribute to stress, anxiety, or depression, and teaches practical strategies to change those patterns. It is often used for mood disorders, anxiety, and coping with life changes. Motivational Interviewing is a collaborative, goal-focused style of conversation designed to increase a person’s own motivation to change behaviors such as substance use or other habits that interfere with well-being. It is supportive and nonjudgmental, helping people move toward their goals at their own pace. Solution-Focused Therapy centers on identifying strengths and practical steps to reach specific goals rather than focusing extensively on past causes. It is useful for clients seeking clear, short-term progress on issues like relationship challenges, parenting concerns, or coping with transitions.

Finding the right approach is part of the therapeutic process. Lisa OBrien works collaboratively with each person to determine which methods fit their needs, goals, and preferences, and adjusts the plan as progress is made. Licensed professionals tailor interventions so therapy stays relevant and effective for the individual.

Online therapy offers flexibility to meet people where they are through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to schedule sessions around work, family, or caregiving responsibilities and support ongoing access to care when in-person visits are difficult. Many clients find that remote sessions provide a practical way to maintain continuity of support while working toward meaningful change.

Ready to start therapy with Lisa OBrien?

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