About David
Dr. David Engstrom is a licensed psychologist in Arizona with over 22 years of experience. He brings long-term clinical practice to people coping with stress, anxiety, depression, addiction concerns, and ADHD.
He writes plainly and aims to make therapy straightforward and useful for everyday life. He focuses on problems tied to chronic illness, sleep trouble, and ongoing pain. He also addresses relationship strain, grief, eating and intimacy-related concerns, and patterns of avoidance or compulsive behavior.
Background and approach
Clients who worry about motivation often work on small, practical steps together. In sessions he blends cognitive behavioral tools with acceptance-based and mindfulness practices. That means people learn skills to change unhelpful thoughts and build routines, while also practicing acceptance for hard feelings that won’t just disappear.
He uses client-centered methods to keep conversations focused on each person’s priorities. Dr. Engstrom also draws from dialectical behavior strategies and motivational interviewing to help with emotion regulation and readiness for change.
These approaches are used to address addictions, anger, and processes that keep people stuck. The work is paced to match what each person can handle. He offers help by video, phone, live chat, or text-based messaging, and works with international clients in English.
People interested in starting complete a brief questionnaire and schedule sessions according to availability.
How therapy approaches translate to online work
Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and take small actions toward those values even when tough feelings show up. It is often used for anxiety, depression, and stress that gets in the way of daily life. Cognitive Behavioral Therapy, CBT, focuses on identifying unhelpful thoughts and trying practical experiments and small behavior changes to reduce symptoms like insomnia, panic, or low mood. Client-Centered Therapy centers sessions around the person’s own goals, with the therapist offering empathy and reflecting what is most important to the client.Choosing the right approach is part of the work together. The therapist will talk about goals, preferences, and what has or has not helped in the past. That collaborative process shapes whether more ACT, CBT, or supportive client-centered work is the best fit, and the plan is adjusted as needs change.
Online formats available include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full sessions that involve teaching skills or reviewing materials. Phone can be a good option when bandwidth is limited or a hands-free check-in is needed. Messaging and live chat work well for brief check-ins, homework support, or when people want flexible ways to stay connected between longer sessions. These options make it easier to fit therapy into work, caregiving, or travel schedules.
Questions people ask
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What this therapist works with
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- Chronic pain, illness, and disability
- Compassion fatigue
- Depression
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Grief
- Hearing impaired
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Men's issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Parenting issues
- Phobias
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Self esteem
- Sleeping disorders
- Social anxiety and phobia
- Somatization
Therapeutic approaches
- Experience
- 22 years
- Licensed
- Arizona
- Languages
- English
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