About Patrick
Dr. Patrick Keohane is a clinical psychologist with 27 years of experience helping adults manage stress and anxiety. He works with people facing depression, sleep problems, anger, addictions, and the fallout from trauma and grief.
He practices in South Dakota and conducts sessions in English. He combines practical cognitive-behavioral techniques with a person-centered, human approach. Sessions are focused on clear goals and small steps that can fit into a busy life.
Background and approach
He listens for what matters most to each person and adapts plans based on ongoing feedback. Clients often bring relationship concerns, issues with self-esteem, or the challenge of coping with big life changes. He also supports people dealing with ADHD, bipolar disorder, and the stress that comes with caregiving or first responder work.
Addictions, family of origin issues, and attachment or abandonment concerns are part of his regular caseload. Dr. Keohane uses a mix of approaches including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and mindfulness practices.
These methods are used to build coping skills, reduce distress, and improve daily functioning. He works with each person to find what fits best. His style is warm and interactive.
He values honest feedback and adjusts treatment when something isn’t helping. Starting therapy begins with a short matching questionnaire and scheduling a session that suits the client’s needs.
Therapeutic approaches and online delivery
Dr. Keohane uses Acceptance and Commitment Therapy to help people clarify their values and take small, meaningful actions even when worry or mood gets in the way. ACT focuses on noticing thoughts and feelings without getting stuck in them, which can be useful for anxiety and life transitions.He also draws on Cognitive Behavioral Therapy, which looks at the links between thoughts, feelings, and behavior. CBT breaks big problems into manageable steps and teaches practical skills for changing unhelpful patterns, useful for anxiety, sleep problems, and mood concerns.
Finding the right approach is part of the work. The therapist will collaborate with each person to test methods and adjust plans based on what helps most. Goals, preferences, and day-to-day realities guide how therapies are combined and applied.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video is helpful for richer conversation and skills practice, phone can be simpler when bandwidth is limited, and chat or messaging can work for quick check-ins or short-term support. These options help fit therapy into work breaks, caregiving schedules, or long-distance situations.
Questions people ask
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What this therapist works with
Most often
- 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
Therapeutic approaches
- Experience
- 27 years
- Licensed
- South Dakota
- Languages
- English
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