Brendan Twist, LCSW

Brendan Twist is a Licensed Clinical Social Worker (LCSW) who brings a calm, skill-focused approach to working with adults, children, and families facing depression, anxiety, trauma or PTSD, addictions, grief, anger, family discord, and workplace distress. He emphasizes a balance of warmth and practical tools, helping people build concrete skills that address immediate problems while supporting longer term growth and more fulfilling daily living.

His primary training is in dialectical behavior therapy or DBT, which centers on emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness so that people can manage intense emotions while maintaining healthy relationships. He is also trained in cognitive behavioral therapy, narrative therapy, and play therapy, allowing him to tailor interventions to each client and each situation. Brendan prioritizes building trusting therapeutic relationships and works collaboratively to identify strategies that promote greater balance and satisfaction.

Whether someone is navigating a mental health concern, struggling in one or more relationships, or feeling stuck, Brendan encourages reaching out to explore options and begin developing skills that support clearer thinking, stronger connections, and improved coping.

Evidence-Informed Approaches for Online Support

Brendan uses dialectical behavior therapy, commonly called DBT, as a core approach. DBT teaches specific skills for regulating emotions, tolerating distress, practicing mindfulness, and improving interpersonal effectiveness - tools that are helpful for managing intense feelings, relationship challenges, and emotional reactivity. He also draws on cognitive behavioral therapy or CBT, which helps people identify and shift unhelpful thoughts and behaviors through practical exercises and skill building. CBT is often useful for anxiety, depression, and stress-related concerns. Brendan incorporates a client-centered stance that prioritizes each person’s goals and perspectives, creating space for collaborative planning and adjustments as progress unfolds.

Finding the right approach is part of therapy itself. Brendan works with clients to explore which methods fit their needs, goals, and preferences, and adapts strategies over time in partnership with the client. This collaborative process helps ensure the work feels relevant and effective.

Online sessions offer flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit therapy into a busy life and to maintain continuity across changing schedules. For many people, these options increase access to consistent support while preserving the same therapeutic focus that licensed professionals bring to in-person care.