Dr. Patrick Keohane
Calm, practical therapy with experience
- Credentials
- SD Psychologist 380
- Experience
- 27 years
- Licensed in
- South Dakota
- Languages
- English
- Format
- Online sessions
About Patrick
Dr. Patrick Keohane is a clinical psychologist with nearly three decades of experience helping adults manage mental health concerns. He practices in South Dakota and brings a direct, warm style to sessions.
He focuses on clear, practical steps and listens closely to each person's needs. SD Psychologist 380 is his listed credential. He uses a mix of cognitive behavioral techniques and humanistic, client-centered methods.
That means he helps people identify unhelpful thoughts and try small changes, while also keeping the conversation grounded in respect and collaboration.
Background and approach
Sessions often include skill practice and feedback to see what works. Dr. Keohane has worked with a wide range of problems, including depression, anxiety, stress, anger, sleep difficulties, addictions, trauma and grief.
He also supports people dealing with bipolar disorder and long-term mental illness. Other areas of focus include relationship and family concerns, attachment and abandonment issues, caregiver stress, communication and commitment problems, and challenges related to first responders and fatherhood. He values the interactive nature of therapy and asks for ongoing feedback so treatment can be tailored.
That approach helps make sessions relevant to daily life and personal goals. He aims to be straightforward and approachable while offering evidence-based tools. People who prefer a therapist who combines practical techniques with a respectful, human-centered stance may find his style a good fit.
He encourages anyone ready to try therapy to take that first step and explore changes at a manageable pace.
How his approaches translate to online care
Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and take steps toward those values while learning to live with difficult thoughts and feelings. It suits issues like anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy, CBT, focuses on spotting unhelpful thinking patterns and testing small behavior changes to reduce symptoms such as worry, low mood, or sleep troubles. Client-Centered Therapy emphasizes listening, empathy, and collaboration so the person feels heard while deciding what changes to try. Finding the right approach is part of the work. He will talk with each person about goals, preferences, and daily challenges to choose or blend methods that fit. That collaborative planning helps shape sessions and keeps therapy practical and relevant. Online therapy offers flexibility for people with busy lives or limited travel options. Video calls allow face-to-face conversation, phone sessions work when video isn’t possible, and live chat or text-based messaging can support short check-ins or homework between sessions. These formats make it easier to practice skills in real time and keep momentum between meetings.Acceptance and Commitment Therapy (ACT)
Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Frequently asked questions
What kinds of issues does he address?
What is his therapeutic style?
How much clinical experience does he have?
Where is his practice located and what are his credentials?
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Sleeping disorders
Also works with
- 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
Next step
Talk to Patrick
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point