Dr. Patrick Keohane

Dr. Patrick Keohane is a clinical psychologist with 27 years of experience helping adults manage hard moments. He works with people who struggle with anxiety, depression, anger, sleep problems, addictions, and relationship stress. He also supports those dealing with grief, trauma, bipolar disorder, and life transitions. Dr. Keohane practices in South Dakota and sees clients in English.

He describes his approach as warm and interactive. Sessions blend practical cognitive behavioral tools with humanistic, client-centered work. He listens for what matters most to each person and adapts techniques to match their goals.

Dr. Keohane values feedback during therapy. He asks clients what is and isn’t working so the plan can be adjusted. That makes sessions more tailored and focused on real-life change rather than one-size-fits-all steps.

Many clients come with problems rooted in relationships and attachment, and he often addresses communication, commitment, and family-of-origin issues. He also helps people coping with caregiver stress, first responder concerns, and challenges tied to addiction or recovery.

Therapy sessions mix practical skill-building with moments to explore feelings and meaning. Dr. Keohane uses evidence-based strategies when they fit, and mindfulness or acceptance exercises when they help. He aims to create a respectful, collaborative space where people can try different ways to feel and function better.

How his approaches translate to online work

Acceptance and Commitment Therapy, or ACT, helps people clarify their values and take small, practical steps toward them while accepting difficult emotions. It can be useful for anxiety, anger, depression, and coping with life changes. Cognitive Behavioral Therapy, or CBT, focuses on identifying and changing unhelpful thoughts and behaviors through concrete exercises and homework. It often helps with anxiety, sleep problems, mood, and addiction. Mindfulness Therapy brings attention to the present moment through simple awareness practices that reduce reactivity and build calm.

Finding the right approach is a collaborative process. The therapist will listen to your goals and try different methods to see what fits. Clients and therapist adjust the plan together based on what helps most in real life.

The biography does not specify which online session formats are offered, so please confirm current options before booking. Online work can make it easier to fit sessions into a busy week, shorten check-ins when needed, and use tools like worksheets or brief exercises between meetings. Many people find these practical benefits help therapy fit into everyday life without adding extra travel time.