About Patrick
Dr. Patrick Keohane is a clinical psychologist with 27 years of experience helping adults manage difficult emotions and life changes. He works with people who are struggling with anxiety, depression, sleep problems, anger, addictions, and stress.
Dr. Keohane also supports those coping with trauma, grief, bipolar disorder, ADHD, and concerns related to LGBT identity and family issues. He combines practical cognitive-behavioral strategies with a person-centered, human approach.
Sessions focus on clear goals and steps you can try between meetings.
Background and approach
He values honest feedback so treatment is adjusted to what actually helps a person in daily life. Dr. Keohane listens for patterns that keep problems going, such as avoidance, harsh self-judgment, or communication breakdowns.
He helps people build skills for emotion regulation, better sleep, and managing cravings or impulses. He also works on relationship and attachment concerns, parenting stress, and issues common to first responders. Therapy usually includes short-term techniques and longer-term work when needed.
Expect a mix of learning new coping skills, trying small changes, and reviewing what worked. Dr. Keohane aims to make sessions straightforward and usable between appointments.
He holds the credential SD Psychologist 380 and practices in South Dakota. Sessions are offered in English and use formats like video calls, phone, live chat, or text messaging. To begin, a person completes a short matching questionnaire and schedules according to the therapist's availability.
Therapeutic approaches and online care
Dr. Keohane uses cognitive-behavioral therapy to help people identify unhelpful thoughts and try new behaviors. CBT is practical and problem-focused, and it often helps with anxiety, depression, sleep problems, and addiction-related patterns. He also draws on Acceptance and Commitment Therapy, which encourages noticing difficult thoughts and values-based action rather than getting stuck trying to eliminate every unwanted feeling.Finding the right approach is part of the work together. The therapist will listen to your goals and preferences, explain different methods, and collaborate on a plan. That teamwork helps pick techniques that fit your situation and that you are willing to practice between sessions.
Online therapy is offered through video calls, phone sessions, live chat, and text-based messaging to match how you live your life. Video is good when visual cues and face-to-face conversation help progress. Phone sessions work well when bandwidth is limited or when a shorter check-in fits a break at work. Live chat and messaging let people send shorter updates or get support without scheduling a full live session. These options make it easier to stick with therapy and practice skills consistently.
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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