About Patrick
Dr. Patrick Keohane is a clinical psychologist with nearly three decades of experience providing care to adults in South Dakota. He holds the SD Psychologist 380 credential and brings a steady, compassionate approach to common and complex problems.
He writes in a straightforward way and aims to make therapy practical and understandable for people under stress. He works with issues such as anxiety, depression, anger, sleep problems, and addictions. He also supports people coping with trauma and abuse, grief, bipolar disorder, ADHD, and identity concerns including LGBT matters.
How Patrick works
Other areas he addresses include relationship and communication problems, family of origin concerns, caregiver stress, and recovery after natural or human-caused disaster. His clinical approach blends cognitive behavioral methods with client-centered and mindfulness-based work. That means sessions often include clear skills to change unhelpful thinking and behavior, alongside space to talk and be heard.
He also uses acceptance and commitment ideas and dialectical behavior techniques when they fit the problem at hand. Dr. Keohane aims to tailor treatment to each person.
He invites feedback throughout therapy and adjusts the plan based on what is or is not working. This makes sessions collaborative and focused on practical change. He offers several online session formats including video calls, phone sessions, live chat, and text-based messaging.
People who want a steady, experienced clinician for a wide range of concerns may find his direct yet warm style a good match.
Patrick lists 7 ways of working on the entry:
What Patrick works with
The areas below are the ones Patrick selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Sleeping disorders
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Caregiver issues and stress
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Training and background
| Register | SD Psychologist |
|---|---|
| Years in practice | 27 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | South Dakota |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Online approaches that focus on skills and acceptance
Acceptance and Commitment Therapy (ACT) helps people notice their thoughts and choose actions that match their values instead of being driven by unhelpful thoughts. It can be useful for anxiety, stress, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and learning practical strategies to change behavior and mood. It is often used for depression, anxiety, sleep problems, and anger. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and improve emotional balance; it pairs well with skills-based work for stress and trauma.Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and day-to-day needs. Clients give feedback during the process so sessions can be adjusted over time to stay relevant and effective.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video lets people meet face to face when schedules allow, phone calls can be a good option when bandwidth is limited, live chat works for quick check-ins, and messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into work, caregiving, or busy days while keeping focus on practical skills and steady progress.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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