Part 1 of 4
- Collaborative care
- Practical skills
- Long-term experience
About Patrick
Dr. Patrick Keohane is a clinical psychologist in South Dakota with 27 years of professional experience. He works with adults who face depression, anxiety, stress, sleep problems, anger, addictions, and similar concerns. He also supports people dealing with trauma and abuse, bipolar disorder, ADHD, and LGBT-related challenges.
Keohane combines straightforward cognitive-behavioral methods with humanistic, client-centered care. Sessions focus on practical steps people can use between meetings. He listens for each person's goals and adjusts the plan as they give feedback.
People who prefer calm, collaborative sessions may find his style a fit. He emphasizes respect, warmth, and working together to set achievable goals. The work is interactive and tailored to what each person needs right now.
His background includes long experience with chronic mental illness as well as common life stresses. That history informs how he approaches complex concerns like grief, family-of-origin issues, caregiver strain, addiction, and first responder stress. He pays attention to patterns such as abandonment and attachment problems.
In therapy he uses tools from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, mindfulness approaches, and solution-focused ideas when they match a person's needs. He invites ongoing feedback so the plan stays relevant and useful.
Keohane combines straightforward cognitive-behavioral methods with humanistic, client-centered care. Sessions focus on practical steps people can use between meetings. He listens for each person's goals and adjusts the plan as they give feedback.
People who prefer calm, collaborative sessions may find his style a fit. He emphasizes respect, warmth, and working together to set achievable goals. The work is interactive and tailored to what each person needs right now.
His background includes long experience with chronic mental illness as well as common life stresses. That history informs how he approaches complex concerns like grief, family-of-origin issues, caregiver strain, addiction, and first responder stress. He pays attention to patterns such as abandonment and attachment problems.
In therapy he uses tools from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, mindfulness approaches, and solution-focused ideas when they match a person's needs. He invites ongoing feedback so the plan stays relevant and useful.
Part 2 of 4
How therapeutic approaches guide online work
Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without being ruled by them. It encourages clarifying personal values and taking small steps toward them, which can help with anxiety, depression, and coping with life changes.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. It uses concrete exercises and homework to change unhelpful thinking patterns and behaviors, often helping with worry, sleep problems, and mood symptoms.
Finding the right approach is a shared process. The therapist will talk with the client about goals, preferences, and what feels helpful, then try methods that fit. Feedback during sessions is used to shape the plan as needs change.
If you are considering remote work, confirm available session formats before booking since options are not listed here. Online sessions can make it easier to fit appointments into a busy life, allow shorter check-ins when needed, and let people choose quieter, low-bandwidth ways to connect if that helps. Many people find that working this way still allows active skill practice and steady progress when paired with concrete CBT and ACT tools.
Part 3 of 4
Areas of expertise
Primary focus
Also works with
AddictionsLGBTFamily conflictsTrauma and abuseGriefSelf esteemBipolar disorderCoping with life changesADHD
Additional focus areas
AbandonmentAttachment issuesCaregiver issues and stressCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaTraumatic brain injuryWorkplace issuesYoung adult issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapySolution-Focused TherapyTrauma-Focused Therapy
Experience
27+ years
Credentials
South Dakota
Languages
English
Part 4 of 4
Frequently asked questions
What kinds of problems does he help with?
He works with adults on depression, anxiety, stress, sleep troubles, anger, addictions, trauma and abuse, and bipolar concerns, among other issues.
What is his general approach in sessions?
He blends cognitive-behavioral techniques with client-centered and mindfulness methods to create practical plans people can try between sessions.
How much experience does he have?
He has 27 years of 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 works in South Dakota.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the U.S. work with him?
He is not accepting international clients at this time.
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 begin the process?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.