Dr. Patrick Keohane, SD Psychologist 380

Dr. Patrick Keohane is a clinical psychologist in South Dakota with 27 years of experience helping adults address common and complex problems. He combines practical strategies with a warm, respectful approach so people feel heard while they work on change. Sessions focus on real goals like better sleep, less anxiety, improved mood, and more reliable coping skills.

He uses Cognitive Behavioral Therapy and other evidence-based methods alongside humanistic, client-centered listening. That means he teaches skills to change unhelpful thoughts and behaviors while also paying attention to each person's values and experience. He often blends mindfulness and acceptance practices to help people tolerate difficult emotions without getting overwhelmed.

Dr. Keohane has worked with people facing depression, anxiety, anger, addiction, trauma, grief, bipolar disorder, ADHD, and stress from life changes. He also helps with relationship struggles, communication and attachment issues, caregiver stress, and problems that follow natural or human-caused disasters. First responder issues and fatherhood concerns are among his additional focuses.

Therapy sessions are collaborative. He asks for ongoing feedback and adjusts plans to match each person's needs and goals. Treatment is practical and paced to what the person can manage between sessions.

Sessions are offered in English and delivered remotely using video calls, phone sessions, live chat, or text-based messaging. Dr. Keohane practices in South Dakota as SD Psychologist 380.

How his approaches translate to online therapy

Dr. Keohane uses Cognitive Behavioral Therapy to help people identify and change unhelpful thoughts and behaviors, which is useful for anxiety, depression, sleep problems, and addictive patterns. He also draws on Acceptance and Commitment Therapy to help people clarify what matters to them and take meaningful action even when difficult feelings are present.

Finding the right approach is part of the work. He will collaborate with each person to decide which methods fit their goals, needs, and comfort level, and adjust the plan as progress is made. Feedback from clients guides how techniques are combined and practiced between sessions.

Online sessions are offered by video call, phone, live chat, or text-based messaging to increase flexibility. Video calls let therapists observe nonverbal cues and practice skills together. Phone sessions can be a good shorter check-in or when bandwidth is limited. Live chat and text messaging support shorter exchanges, tracking progress, and brief coaching between longer appointments. These options help fit therapy into busy or changing schedules.