Dr. Patrick Keohane

Compassionate psychologist blending CBT and humanistic care

SD Psychologist 380 South Dakota

Experience: 27 years in practice
Focus areas: Stress, Anxiety, Relationship, Sleeping
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Patrick

Dr. Patrick Keohane is a clinical psychologist licensed in South Dakota (SD Psychologist 380) with 27 years of professional experience helping adults navigate a wide array of mental health challenges.

Background and approach

He brings together evidence-informed cognitive behavioral techniques and humanistic, client-centered care to address issues such as depression, anxiety, stress, anger, insomnia, bipolar disorder, addictions, trauma, grief, self-esteem, and relationship concerns. His practice also attends to specific problems like attachment and abandonment issues, caregiver stress, communication and commitment difficulties, and substance-related concerns.

Keohane emphasizes a collaborative, individualized approach that values the client’s feedback throughout treatment. He describes therapy as an interactive, creative process and aims to tailor strategies to each person’s needs and goals.

Clients can expect a respectful therapeutic relationship in which practical skills and mindful awareness are blended with acceptance-based and dialectical methods when appropriate. He invites those ready to seek change to begin the process of improving their mental health and daily functioning.

Practical Therapy Approaches and Online Access

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms and improve functioning; it is often used for anxiety, depression, insomnia, and coping with life changes. Acceptance and Commitment Therapy (ACT) encourages acceptance of difficult feelings while clarifying personal values and taking committed action toward meaningful goals, which can help with stress, avoidance, and persistent mood difficulties. Client-Centered Therapy centers the therapeutic relationship itself, offering empathy and nonjudgmental support to help people explore concerns and build self-directed solutions.

Choosing the right approach is a collaborative process. The therapist will work with each client to assess needs, goals, and preferences and may integrate elements from different methods to create a tailored plan that fits the person’s circumstances. Your input helps shape which strategies are emphasized as therapy progresses.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit sessions into busy schedules and to maintain continuity of care when in-person meetings are not possible. These formats allow licensed professionals to deliver structured interventions, skills practice, and ongoing support while adapting to each client’s logistical needs.

Frequently asked questions

What kinds of concerns does Dr. Keohane address?

He works with adults on a broad range of issues including stress, anxiety, depression, relationship difficulties, insomnia, anger, addictions, trauma, grief, bipolar disorder, ADHD, and related concerns such as attachment and caregiver stress.

How would you describe his therapeutic style?

The approach blends cognitive behavioral methods with humanistic and acceptance-based strategies, emphasizing collaboration, client feedback, and individualized treatment planning.

What is his professional background?

He is a clinical psychologist with 27 years of experience working with adult clients across a range of mental health conditions.

Where is Dr. Keohane licensed and based?

He is licensed in South Dakota under the credential SD Psychologist 380 and practices with that licensure in the state.

Does he offer services in other languages or to international clients?

Sessions are offered in English and he is not currently accepting international clients.

What session formats are available with him?

He provides video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and needs.

How are fees and payment handled?

Costs vary with location and therapist availability, and sessions use a subscription model that can be canceled at any time.

How do I begin working with this clinician?

To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSleeping disordersAnger managementDepression

Also works with

AddictionsLGBTFamily conflictsTrauma and abuse Grief Self esteemBipolar disorderCoping with life changes ADHD

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 shame ImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disorders Panic 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

Licensed

South Dakota

Languages

English