Dr. Patrick Keohane, SD Psychologist 380

Dr. Patrick Keohane is a clinical psychologist practicing in South Dakota. He has 27 years of experience working with adult clients and draws on both problem-solving techniques and a warm, human approach. He aims to build respectful relationships and listens for feedback so treatment can be adjusted to each person's needs.

He commonly helps people facing stress, anxiety, relationship concerns, sleep problems, anger, depression, and addictions. He also supports those dealing with trauma and abuse, grief, low self-esteem, bipolar concerns, and life changes such as separation or caregiving strain. Jealousy is included among the relationship-related concerns he lists.

Dr. Keohane uses practical methods from cognitive behavioral approaches together with client-centered and mindfulness ideas. Sessions often include learning new ways to notice thoughts, testing small behavior changes, and practicing skills to manage strong emotions. The pace is set by the person in therapy and adjusted over time.

He describes his role as collaborative and interactive. People who prefer a straightforward, respectful style and who want to try concrete strategies alongside open conversation may find this approach helpful. Feedback from the client guides each step of the work.

To begin, a person follows the provider's matching process, completes a short matching questionnaire, and schedules sessions according to the therapist's availability. Fees vary by location and the subscription used can be canceled at any time.

How these approaches shape online work

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values, then taking small actions that match what matters most. It can help with anxiety, depression, and coping with difficult feelings. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches practical skills to change unhelpful patterns. It is often used for anxiety, insomnia, and mood concerns. Mindfulness Therapy teaches ways to pay attention on purpose and respond less reactively to stress, which can reduce rumination and improve emotional regulation.

Finding the right approach is part of the work. The therapist will collaborate with each person to identify goals and try methods that fit their needs and preferences. Sessions can be adjusted over time based on what is helping and what the person wants to focus on.

This profile does not list specific session formats, so confirm current options before booking. Online therapy can make it easier to fit sessions into busy days, shorten commute time, and offer alternatives when a quieter setting or less visual bandwidth is preferable. Many people find virtual sessions useful for working through relationship concerns, stress, and habit change while keeping treatment practical and goal-focused.