- 27 years experience
- Evidence based methods
- Warm collaborative style
About Patrick
Dr. Patrick Keohane is a clinical psychologist with 27 years of experience in South Dakota. He works with adults experiencing a wide range of concerns including anxiety, depression, stress, sleep problems, anger, addiction, and ADHD. He combines evidence-based techniques with a warm, human-centered manner to help people move forward.
He describes therapy as a collaborative, creative process. He listens, offers practical tools, and adapts his approach based on feedback from the person in therapy. Sessions focus on clear goals and steps that fit everyday life.
His background includes long-term work with chronic mental illness as well as common problems like grief and relationship strain. He uses approaches such as cognitive behavioral methods and mindfulness alongside acceptance-oriented work to address thoughts, behaviors, and values. He also brings elements of dialectical behavior strategies and client-centered care when helpful.
People can expect a respectful space where progress is tracked and treatment is adjusted as needed. He pays attention to patterns rooted in attachment, abandonment, and family of origin issues when these come up. First responder concerns, fatherhood challenges, and caregiver stress are also among the focus areas he addresses.
Sessions are offered in English and he does not work with international clients at this time. His credential is listed as SD Psychologist 380 and he practices in South Dakota. To begin, visitors use the site Start Therapy button to complete a short matching questionnaire and schedule according to availability.
How his approaches guide online therapy
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and choose actions that align with their values rather than getting stuck in unhelpful thinking. It can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thinking and behavior that maintain problems and teaching practical skills to change them; it often helps with mood, sleep, and anger. Mindfulness Therapy teaches simple attention and grounding practices to reduce reactivity and improve focus, which can support stress reduction and emotional regulation.Finding the right mix of approaches is part of the work together. The therapist will discuss goals, preferences, and what has or hasn't worked in the past. Clients and therapist make adjustments as they go so the plan fits each person's needs.
Confirm the current session options before booking since formats were not specified in the biography. Online therapy can make it easier to fit sessions into a busy life, whether a shorter check-in during a break or a regular weekly meeting that avoids travel time. It can also allow use of worksheets, brief behavioral experiments, and mindfulness practice between meetings to keep momentum between sessions.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
27+ years
Credentials
South Dakota
Languages
English
Frequently asked questions
What kinds of issues does he help with?
He works with adults on concerns such as stress, anxiety, depression, sleep problems, anger, addictions, ADHD, and relationship strain. Additional focuses include grief, trauma and family of origin issues.
What is his therapy style like?
He uses a warm, collaborative style that combines practical cognitive behavioral tools with humanistic and acceptance-oriented methods. Feedback from the person in therapy is used to shape the work.
How much experience does he have?
He has 27 years of experience working with adult clients across a range of mental health concerns, including both common and long-term conditions.
Where is he licensed and practicing?
His credential is listed as SD Psychologist 380 and he practices in South Dakota.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with him?
He is not currently accepting international clients.
How are sessions paid for and what about cost?
Session cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I start a therapy process with him?
Use the Start Therapy button on the site, complete a short matching questionnaire, and then schedule according to the therapist's availability.