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Dr. Patrick Keohane

Profile / United States

Dr. Patrick Keohane, SD Psychologist 380

South Dakota

SD Psychologist - Stress and Anxiety

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About Patrick

Dr. Patrick Keohane is a clinical psychologist licensed in South Dakota with 27 years of experience. He works with adults who are facing stress, anxiety, depression, sleep problems, anger, addiction, trauma, grief, bipolar disorder, ADHD, relationship strain, and related concerns.

He uses practical, evidence-informed methods and a conversational style. Sessions focus on noticing unhelpful thoughts and habits, testing new ways of responding, and tracking what changes. He describes his approach as blending cognitive behavioral strategies with humanistic ideas.

Clients can expect direct feedback and a collaborative planning process. Dr. Keohane uses client input to adjust goals and exercises as therapy proceeds. He emphasizes clear, manageable steps rather than long, abstract explanations.

Typical work includes identifying patterns that maintain distress, practicing concrete skills between sessions, and checking how well those skills are working. He helps people break problems into smaller parts so solutions are easier to try.

He has long experience with chronic mental illness alongside more common problems such as insomnia and life stress. That background informs a steady, problem-solving focus when addressing complex or long-standing difficulties. To begin, people complete a short matching questionnaire and schedule a first session to discuss goals and practical next steps.

Practical approaches and working online

Dr. Keohane uses Cognitive Behavioral Therapy to help people identify and change unhelpful thoughts and behaviors. CBT focuses on specific patterns that keep problems going and on testing small changes to see what helps. Acceptance and Commitment Therapy (ACT) shows how values and committed actions can guide choices, helping people tolerate difficult feelings while moving toward meaningful goals. Client-Centered Therapy emphasizes an open, respectful conversation where the person’s views guide the pace and focus of work.

Finding the right mix of approaches is part of the work. The therapist will discuss goals, preferences, and what has or hasn’t worked before. Together they decide which methods to try and adjust them based on feedback and results.

Session formats are not listed in the original biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a workday, reduce travel time, and allow for shorter check-ins when helpful. Some approaches lend themselves to homework and brief between-session practice that fit well with remote work. Ask about available session formats when you complete the matching questionnaire so you can pick the option that matches your schedule and needs.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSleeping disordersAnger managementDepression

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 shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersPanic 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

Listed in

South Dakota

Languages

English

Frequently asked questions

What kinds of problems does he help with most often?

He works with stress, anxiety, depression, sleep problems, anger, addictions, trauma, grief, bipolar disorder, ADHD, relationship concerns, and related issues.

How does he use cognitive behavioral methods in sessions?

He uses cognitive behavioral strategies to identify unhelpful thoughts and behaviors, then tries practical experiments to change them and measure what helps.

What is his professional background?

He is a clinical psychologist with 27 years of experience working with adult clients, including those with chronic mental illness and common mood or anxiety concerns.

What credential does he hold and where is he based?

He is listed as SD Psychologist 380 and practices in South Dakota.

Which languages are supported for sessions?

Sessions are offered in English.

Can people from other countries work with him?

International clients are not accepted at this time.

How does pricing work for sessions?

Cost varies with location and sessions use a subscription model that can be canceled at any time.

What are the first steps to begin working together?

Select the See online therapy options button, fill out a short matching questionnaire, and schedule a first session to discuss goals and next steps.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Dr. Patrick Keohane

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