Dr. Patrick Keohane, SD Psychologist 380

Dr. Patrick Keohane is a clinical psychologist with 27 years of experience based in South Dakota. He focuses on helping adults facing depression, anxiety, stress, anger, sleep problems, addictions, and midlife changes. He approaches therapy with warmth and a clear, respectful manner that aims to make hard conversations easier to begin.

He combines practical cognitive-behavioral techniques with human-centered, client-centered methods. Sessions are collaborative - the client’s feedback guides what happens next. The goal is to tailor strategies to fit a person’s life and daily routines, not force a one-size-fits-all plan.

In the room, he uses methods such as Acceptance and Commitment Therapy, Dialectical Behavior Therapy, and mindfulness practices when helpful. That can mean learning simple skills to manage strong emotions, building routines to improve sleep, or practicing new ways to respond in stressful moments. Dr. Keohane also addresses relationship stress, family-of-origin issues, and concerns tied to caregiving or first responder work.

He has worked with people coping with major life transitions, grief, trauma, and long-term mood conditions including bipolar disorder. His approach emphasizes steady support while helping people build practical habits for better daily functioning.

To begin, prospective clients complete a short matching questionnaire and then schedule sessions based on therapist availability. He offers services in English and is licensed as SD Psychologist 380 in South Dakota.

How different approaches shape online work

Acceptance and Commitment Therapy (ACT) focuses on noticing difficult thoughts and feelings without getting stuck in them, then choosing actions that match personal values. It can help when someone is feeling stuck during life transitions or coping with ongoing mood challenges.

Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior that keep problems going and teaches practical skills to change them. It often helps with anxiety, depression, sleep trouble, and building routines that improve daily functioning.

Finding the right approach is a collaborative process. The therapist will work with the person to decide which methods fit their goals, needs, and preferences, and adjust the plan as progress is monitored.

Session formats are not specified in the biography, so confirm the specific online options before booking. Online sessions can make it easier to fit therapy into a busy life, allow shorter check-ins when needed, and remove travel time. They also let people practice skills in the settings where they live and work, and can support follow-up between in-person visits when that is useful. Licensed professionals, including this psychologist, use these methods to help people translate therapeutic skills into everyday routines.