- 27 years experience
- Values-driven work
- Mindfulness and CBT
About Patrick
Dr. Patrick Keohane is a clinical psychologist with 27 years of experience working with adult clients. He practices in South Dakota and brings a calm, supportive presence to sessions. He aims to make therapy practical and understandable for people dealing with stress, anxiety, depression, sleep trouble, anger, addictions, and relationship concerns.
He uses straightforward methods drawn from cognitive behavioral approaches and humanistic, client-centered work. That means he helps people notice unhelpful thinking patterns, try small experiments, and focus on values that matter to them. Sessions are conversational and tailored to each person's needs.
Dr. Keohane emphasizes collaboration and regular feedback. He listens for what is working and adjusts the plan based on what people report. This keeps therapy focused on concrete changes rather than abstract ideas.
He also draws on Acceptance and Commitment Therapy, Dialectical Behavior Therapy, and mindfulness techniques when they fit the situation. These tools are used to build emotion regulation, tolerance for difficult moments, and clearer life direction.
People often seek him out for a mix of problems - trauma, grief, ADHD, bipolar mood issues, family-of-origin concerns, caregiver stress, and first responder issues are among the areas he addresses. The goal is to help people cope better day to day and make decisions that reflect their values.
How his approaches translate to online work
Acceptance and Commitment Therapy, or ACT, focuses on helping people notice thoughts and feelings without getting stuck in them, then take actions that match their values. It can be useful for anxiety, depression, and coping with life changes.Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behavior. It involves practical exercises and small experiments to change patterns that keep problems going, and it often helps with sleep troubles, anxiety, and depression.
Finding the right approach is a team effort. The therapist will talk with the client about goals and preferences and pick or blend methods that fit. Feedback from the client guides adjustments so the work stays relevant and practical.
The biography does not list specific session formats, so confirm which online options are offered before booking. Online work can make it easier to fit appointments into a busy week, allow shorter check-ins when schedules demand it, and reduce travel time. Licensed professionals, including this clinician, can use ACT and CBT techniques effectively in online sessions when those formats are available.
Areas of focus
Frequently asked questions
What kinds of problems does he help with?
He works with adults facing stress, anxiety, depression, sleep problems, anger, addictions, relationship struggles, trauma and abuse, grief, self-esteem issues, bipolar disorder, ADHD, and related concerns.
What is his therapy style like?
Sessions are conversational and collaborative with a mix of cognitive behavioral techniques and client-centered, humanistic approaches. He focuses on practical strategies and regular feedback to keep therapy on track.
How much experience does he have?
He has 27 years of clinical experience working with adult clients across a wide range of mental health concerns.
What are his credentials and where is he located?
He is listed as SD Psychologist 380 and practices in South Dakota.
Can I work with him if I live outside the United States?
Sessions are offered in English and he is not currently accepting international clients.
Which session formats are available?
The original biography does not specify session formats; please confirm current session options before booking.
How much do sessions cost?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I get started with therapy?
Use the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.