Dr. David Engstrom, AZ Psychologist PSY-002048

Dr. David Engstrom is an Arizona-based psychologist with more than two decades of experience. He practices in Arizona and holds the credential AZ Psychologist PSY-002048. He speaks English and accepts international clients. He focuses on problems like anxiety, stress, depression, sleep difficulties, addictions, grief, and relationship or intimacy-related concerns. He also helps people facing chronic illness, chronic pain, aging and geriatric issues, and caregiving or hospice-related stress. His work often includes mood disorders, obsessive-compulsive concerns, phobias, and process or substance addictions. Dr. Engstrom uses Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), client-centered techniques, mindfulness approaches, and motivational interviewing. In sessions he helps people identify unhelpful thinking and behaviors and then practices new skills to change how those patterns affect daily life. He emphasizes practical steps that can be tried between meetings. His style is straightforward and focused on what a person wants to change. He pays attention to medical and sleep issues when they affect mental health. He also supports people who are hearing impaired and those facing isolation or end-of-life concerns. People connect with him for short-term skill building and longer-term work when needed. Sessions can address immediate problems like insomnia or cravings and deeper issues such as grief, life purpose, or compassion fatigue. The goal is to find usable tools that fit each person’s life and situation.

How CBT, ACT, and Mindfulness Work Online

CBT focuses on spotting thoughts and behaviors that keep problems going and then practicing small changes to shift how a person feels and acts. It is often used for anxiety, depression, insomnia, and obsessive or compulsive patterns.

Acceptance and Commitment Therapy, or ACT, teaches people to notice difficult thoughts and feelings without letting them drive actions, while clarifying what matters most and taking committed steps toward those values. Mindfulness Therapy trains attention and calm through simple present-moment skills that can reduce stress and improve sleep.

Choosing an approach is a team process. The therapist will talk with the client about goals, try techniques, and adapt methods so they fit daily routines. That collaborative planning helps decide whether CBT, ACT, mindfulness, or a blend is most useful.

Online sessions include video calls, phone appointments, live chat, or text-based messaging to suit different needs. Video is useful for face-to-face work and guided exercises, phone sessions work when bandwidth is limited, live chat can be good for quick check-ins, and messaging supports brief reflections or homework between meetings. These options make it easier to fit therapy into work, caregiving, or mobility needs and to practice skills in real life.