I've been out of the area for the past couple of years, and I'm sorry to report after three visits over the last year that Brisam's has gone downhill. It's hard to pinpoint exactly where they lost their way, but somehow the blah interior and mediocre food now seem sub-par instead of "just right" for a neighborhood hole-in-the-wall. There is little else in the immediate vicinity, so if you can't tolerate driving even a few minutes away, it's a reasonable choice. Otherwise if you're looking for a small local restaurant I'd head east on Lone Mountain Road to Uncle Louie's (SE corner of LM & Scottsdale Rd). Or, there's always Cave Creek proper (north) or Desert Ridge (south). In the Desert Ridge area I'd suggest Humble Pie if you're looking for a local place with a similar vibe as the Brisam's of yore.
Original review:
Brisam's is an unpretentious neighborhood restaurant that delivers consistently on all the things that matter. The food is very good, the service is friendly and prompt, and the atmosphere is comfortable. This is the kind of place where you will find locals returning every week. If you're looking for something healthy and not too heavy, the fish special is always a good bet. The accompanying rice is very tasty, and the vegetables (often asparagus) are well prepared. Other good choices include the Philly Cheesesteak sandwich (surely the best in town) and the Greek salad (which features huge chunks of feta cheese).