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David Keith Nylund profile image

David Keith Nylund


I am a Narrative Therapist, but my goal with any individual(s) I work with is always focused on what works for them; I consider my job to be assisting others in finding their way to a more preferred version of themselves. I truly enjoy the privilege of working with people of all walks of life, and consider each client and their positioning in our world so that I can tailor my understanding to the specific client(s), who will always be the expert of their own story. I have extensive experience with polyamorous relationships, kink/BDSM, and wide variety of LGBQTIA+ individuals of all ages/concerns. I also have experience with a wide variety of more traditional treatment modalities. My primary specialty is gender exploring/gender non-conforming/transgender youth, their families, as well as individual adults. I am supervised by Dr. David Nylund, PhD, LCSW 14463

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What do you love most about your job?

I consider it an absolute privilege to be invited into the course of someone's journey through life. I consider my job to be primarily helping walk beside individuals, families, romantic and/or sexual partners, and others in order to help point out some paths that had perhaps not been seen, explore well-tread paths that now lead nowhere, and above all else - to help the person(s) in front of me to find their preferred self, and supporting them through it.

What inspired you to start your own business?

As an AMFT and APCC, it has been vitally important to me that I not compromise my ethics and values in the pursuit of my license. I have been extremely fortunate in that, finding Narrative Therapy early on in my career, and resonating with the ways in which the values match my own. Depathologization - I only diagnose at request of my client(s), I do my best to increase access by offering free advocacy for folks who have insurance about how to be reimbursed, I hold my duty as a confidant and the connections that are built through therapy very close to my heart. To accommodate all these things, and so many more, private practice was the most effective way to start branching out into the world beyond just the non-profit complex.

Why should our clients choose you?

Some times that I might be a good choice to explore:
1) If they are looking for a transgender identified therapist, or if they/someone close to them, or their child is exploring gender and they would like support from someone both trans and professionally trained.
2) If they are tired of having to explain polyamoury, kink/BDSM, or radical political beliefs to their therapists, and end sessions feeling like they were the ones teaching their therapist.
3) If they are looking for a Narrative-focused therapist who utilizes a variety of methods to suit the individual(s) as people in a whole-life, contextually-based therapeutic experience.
4) If they do not want official diagnoses "on record"
5) If they are interested in exploring historical trauma experienced in the mental health field, and/or would like help understanding/navigating the process for filing a grievance against a mental health professional or agency which caused them harm.

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Counselling FAQs

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Your expert Counsellor will be able to advise you on the full range of services available and will be able to advise on what is most suitable. Use Bark to get free quotes and schedule an appointment today.

At your appointment, you will be encouraged to talk about your feelings and emotions with a trained Counsellor who will listen and support you without judging or criticising.
The therapist can help you gain a better understanding of your feelings and thought processes and find your own solutions to problems. However, they will not usually give advice or tell you what to do. The Counsellor might sum up what they understand you have been saying so that they can help you to form a plan of action.

Counselling can take place in a number of ways. These include:

  • Face to face session

  • Group session

  • Phone session

  • Email session

  • Online through live chat services or video conferencing software

You may be offered a single session of Counselling, a short course of sessions over a few weeks or months or a longer course that lasts for several months or years.

It can take a number of sessions before you start to see progress but you should gradually start to feel better with the help and support of your Counsellor.

You can be confident that any of the Bark local Counsellors listed will give you a reliable and efficient service to help you feel better.

You could look for Counsellors that are accredited by the Professional Standards Authority (PSA) which means that they have met the PSA’s required professional standards to practise.

Before you choose a Counsellor, you could read testimonials and read details of the issues they can help with on their website.

You could also look at their profile page on Bark and check out reviews from past customers too.

Counselling can help with many issues. These include the following:

  • Mental health conditions such as depression, anxiety or eating disorders.

  • Physical health conditions such as infertility.

  • Difficult life events such as a bereavement, a relationship breakdown or work-related stress.

  • Dealing with difficult emotions such as low self-esteem or anger.

  • Sexual identity issues.

  • Divorce.

  • Redundancy and work issues.

  • Phobias and fears.

Absolutely! Many Counsellors provide their services remotely via an online video call or the telephone. Not only is it more convenient, but it's also the preferable option for many people who would feel more comfortable holding the session from the comfort of their own home.



based on 103 reviews

The average rating for Bark Counselors in Sacramento is 4.89, based on 103 reviews.

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