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Dr. Patrick Keohane

Dr. Patrick Keohane

SD Psychologist 380

Compassionate psychologist focused on practical change

Continue with Patrick Review online therapy options and next steps on BetterHelp.
  • Trauma-informed care
  • Evidence-based tools
  • Collaborative process

About Patrick

Dr. Patrick Keohane is a clinical psychologist based in South Dakota. He has 27 years of experience helping adults who are facing depression, anxiety, stress, sleep problems, anger, addiction, and trauma. He brings a warm, direct approach to sessions and emphasizes working together to meet practical goals.

Dr. Keohane blends Trauma-Focused Therapy with cognitive and humanistic methods to shape each person's care. He uses clear, evidence-informed CBT techniques alongside Acceptance and Commitment Therapy and client-centered listening. Sessions focus on real-life changes such as coping with grief, managing mood swings, improving sleep, and reducing substance use.

He pays attention to attachment and relationship patterns, and helps people unpack issues like abandonment, communication struggles, and family of origin concerns. First responder stress, caregiver strain, and fatherhood problems are among the specific challenges he addresses. He also works with people navigating bipolar disorder and ADHD-related struggles.

Dr. Keohane values client feedback and adjusts the plan as progress is made. He aims to create a practical, interactive experience where tools and skills are practiced between sessions. This approach helps people test what works in daily life and refine their strategies.

To begin, he asks people to describe what matters most to them and sets small, achievable steps. The goal is steady improvement in functioning, mood, and relationships rather than quick fixes.

How his approaches can work online

Dr. Keohane uses Trauma-Focused Therapy and Acceptance and Commitment Therapy alongside client-centered techniques to guide online work. Trauma-Focused Therapy concentrates on understanding and reducing the impact of past traumatic events so daily life feels safer and more manageable. Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings while committing to actions that match their values.

Client-centered therapy emphasizes listening, respect, and collaboration so the person feels heard and involved in decisions about care. The therapist and client decide together which methods to try and how to apply them to current problems like anxiety, sleep issues, addiction, or relationship concerns.

Online therapy can make it easier to fit sessions into a busy life by removing travel time and allowing appointments in short blocks when needed. It can also allow quieter check-ins that do not require being on camera or that use less bandwidth if technology is limited. Because session formats are not specified here, confirm current session options before booking to know what will be available and what best fits daily routines and goals.

These summaries are based on the profile information listed on BetterHelp. Listing trauma-focused therapy does not mean a therapist holds a specific certification such as TF-CBT, EMDR or CPT.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSleeping disordersAnger managementDepression

Also works with

AddictionsLGBTFamily conflictsTrauma and abuseGriefSelf esteemBipolar disorderCoping with life changesADHD

Additional focus areas

AbandonmentAttachment issuesCaregiver issues and stressCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaTraumatic brain injuryWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

27+ years

Credentials

South Dakota

Languages

English

Licenses listed

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

Frequently asked questions

What kinds of problems does he help with?

He works with stress, anxiety, depression, sleeping problems, anger, addictions, trauma and abuse, grief, self-esteem, bipolar disorder, and ADHD among other concerns.

What is his therapeutic style like?

He combines Trauma-Focused Therapy, CBT, ACT, DBT ideas, and client-centered listening to build a plan that fits each person. The style is warm, interactive, and focused on practical skills.

How much experience does he have?

He has 27 years of experience working with adult clients across a wide range of mental health issues.

Where is he located and how is he credentialed?

He practices in South Dakota and is listed as SD Psychologist 380.

Which languages are supported in sessions?

Sessions are offered in English.

Can people outside the United States work with him?

He does not accept international clients at this time.

How are fees and payment handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with him?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Therapists on BetterHelp do not prescribe medication; a doctor can talk with you about medical options. This directory is not a crisis service. If you are in immediate danger, call 911. If you are thinking about suicide, call or text 988.

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