Dr. Patrick Keohane, SD Psychologist 380

Dr. Patrick Keohane is a clinical psychologist with 27 years of experience working with adult clients. He practices in South Dakota and draws on a long career helping people manage depression, anxiety, stress, anger, sleep problems, addictions, and bipolar concerns. He presents a calm, supportive presence and emphasizes respect in the therapeutic relationship.

He blends cognitive behavioral methods with human-centered strategies to tailor treatment to each person. That means sessions often focus on practical skills - changing unhelpful thinking, building coping tools, and trying new behaviors between meetings. He also uses acceptance-oriented approaches and mindfulness to help people tolerate difficult feelings when change is needed.

Dr. Keohane invites feedback and collaboration throughout care. He talks with each person about goals and adjusts the plan as therapy progresses. Clients can expect straightforward discussion about what is and isn’t helping, with a focus on usable steps between sessions.

He has worked with a wide range of concerns including trauma and abuse, grief, self-esteem, relationship challenges, ADHD, and issues related to family of origin or fatherhood. He also supports people facing first responder stress, caregiver strain, and the fallout from natural or human-caused disasters.

Sessions are offered in English. He holds the credential SD Psychologist 380. To begin, follow the site process to match and schedule according to the therapist’s availability.

How therapeutic approaches shape online work

Acceptance and Commitment Therapy (ACT) focuses on accepting difficult feelings and committing to actions that match personal values. It can help when avoidance or worry gets in the way of living a meaningful life. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior that keep problems going and teaches concrete strategies to change them, which can be helpful for anxiety, depression, and sleep issues. Mindfulness Therapy builds skills in present-moment awareness and steadying attention, useful for stress, anger, and emotional regulation.

Finding the right approach is a collaborative process. The therapist will talk with each person about goals, try approaches that seem to fit, and adjust based on what helps. Clients are invited to give feedback so treatment can be tailored over time.

Confirm the available session formats before booking, as this profile does not list specific online options. Online therapy can make it easier to fit sessions into busy days, reduce travel time, and allow shorter check-ins when needed. It can also let people practice new skills in their usual routines and bring real-world situations into discussion during sessions.