About Patrick
Dr. Patrick Keohane is a clinical psychologist with 27 years of experience helping adults manage stress, anxiety, depression, ADHD, and related concerns. He practices from South Dakota and brings a calm, straightforward manner to sessions.
He aims to make therapy understandable and focused on real life needs. He combines practical cognitive behavioral tools with human-centered listening to tailor an approach to each person. Sessions often include clear skills to manage worry, mood, sleep, anger, and addictive behaviors.
Background and approach
He also supports people facing grief, trauma, relationship strain, and major life changes. Dr. Keohane values the working relationship and asks for regular feedback so therapy stays on track.
That means he checks in about what is helpful and adjusts the plan when needed. His style is patient and respectful, prioritizing collaboration over one-size-fits-all answers. People who prefer direct, concrete strategies alongside an accepting therapeutic stance tend to fit well with his approach.
He uses mindfulness practices, behavioral experiments, and problem-solving to build coping skills that can be used between sessions. The aim is practical improvement in daily life. He has experience addressing complex and long-term conditions as well as short-term concerns.
Dr. Keohane focuses on clear goals and steady progress, helping people regain routine, improve sleep, reduce impulsive reactions, and handle the stressors that come with family and work roles.
How his approaches translate to online therapy
Acceptance and Commitment Therapy helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, depression, and life transitions because it focuses on practical steps toward a meaningful life.Cognitive Behavioral Therapy focuses on identifying unhelpful thinking and changing behaviors that maintain distress. It offers concrete exercises for sleep, mood, attention, and managing impulses, which work well in remote sessions through homework and brief behavioral experiments.
Finding the right approach is a collaborative process. Dr. Keohane will discuss goals and preferences, try strategies together, and adjust methods based on what helps the client most. That means therapy is shaped by each person's needs rather than a fixed plan.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and guided skills practice. Phone sessions are useful when bandwidth or camera use is limited. Live chat and messaging let people check in, do brief skills work, or hold a focused session without scheduling a full video call. These options add flexibility so therapy can fit around work, caregiving, or other daily demands.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Sleeping disorders
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Caregiver issues and stress
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 27 years
- Licensed
- South Dakota
- Languages
- English
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