Dr. Patrick Keohane, SD Psychologist 380

Dr. Patrick Keohane is a clinical psychologist with 27 years of experience working with adult clients. He has supported people facing a broad range of concerns, including depression, anxiety, stress, anger, insomnia, bipolar disorder, addictions, trauma and abuse, relationship and family issues, grief, and challenges with self-esteem and life transitions. He also works with issues such as attachment and abandonment, caregiver stress, communication and commitment problems, first responder stress, and substance use concerns.

He approaches therapy with warmth and respect, valuing the creative, interactive nature of psychotherapy. His style blends evidence-based cognitive behavioral strategies with humanistic, client-centered methods, and he integrates approaches such as Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and mindfulness practices as appropriate to each person's needs. Dr. Keohane emphasizes an individualized treatment plan that is shaped by ongoing client feedback, using that input to guide and adapt the process in order to optimize outcomes.

He holds the credential SD Psychologist 380, indicating licensure as a psychologist in South Dakota. Dr. Keohane welcomes adults who are ready to work collaboratively to improve their mental health and daily functioning, and he aims to offer a supportive space to explore practical strategies and personal growth.

Therapeutic approaches and online care

Dr. Patrick Keohane draws on a mix of methods to meet different needs. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thought and behavior patterns and learning practical skills to change them; it is often useful for anxiety, depression, and stress-related problems. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship where the therapist offers empathy and support so clients can explore their values and make meaningful changes. Acceptance and Commitment Therapy, or ACT, combines mindfulness and values-based action to help people live in ways that matter to them even when difficult thoughts or feelings are present.

Finding the right approach is part of the collaborative work. Dr. Keohane and each client discuss goals, preferences, and how different methods fit the situation, then adapt the plan over time based on what is most helpful.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for scheduling and allow clients to engage from home or other convenient locations. These formats make it easier to maintain consistency in care and to use therapeutic strategies between sessions while working with licensed professionals and therapists to support progress.