- CBT strategies
- Mindfulness tools
- Emotion regulation skills
About Patrick
Dr. Patrick Keohane is a clinical psychologist licensed in South Dakota (SD Psychologist 380) with 27 years of experience working with adults. He sees people for a wide range of concerns including stress, anxiety, anger, depression, sleep problems, addictions, trauma, and relationship issues.
He combines cognitive behavioral techniques with client-centered and mindfulness approaches. Sessions focus on practical steps people can take to manage strong feelings, improve sleep, reduce substance use, and cope with life changes. He pays close attention to how patterns of thinking and behavior keep problems going and looks for things that can be changed right away.
Dr. Keohane aims to build a straightforward working relationship where feedback from the person in therapy guides the work. He uses goal-focused strategies alongside skills training drawn from approaches such as dialectical behavior therapy when emotion regulation or distress tolerance are needed. Mindfulness practices are included when people want tools to notice thoughts and urges without acting on them.
He also addresses attachment and abandonment concerns, communication and control issues, caregiver stress, and challenges that come from first responder work or parenting roles. Work with grief, bipolar disorder, and family of origin problems is part of his practice.
Sessions are conducted in English and are offered to people located in South Dakota. The cost of sessions varies with location and uses a subscription that can be canceled at any time. To begin, the next step is to use the See online therapy options button and complete a short matching questionnaire before scheduling a first session.
How his approaches translate to online work
Acceptance and Commitment Therapy helps people notice unhelpful thoughts and choose actions that match their values. It can be useful for anger, anxiety, and coping with life changes by focusing on practical next steps. Cognitive Behavioral Therapy breaks problems into thoughts, feelings, and behaviors and teaches concrete skills to change patterns that fuel anger and depression. Mindfulness Therapy offers simple attention exercises people can use to reduce reactivity and improve sleep and focus.Choosing the right approach is a collaborative process. The therapist will review your goals, preferences, and what has or hasn’t worked before. From there he adapts strategies - for example prioritizing skills practice, problem-solving, or values-based steps - so the plan fits what you want to achieve.
The profile does not list specific online session formats, so confirm current options before booking. Online work can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when needed. It can also support practicing skills between meetings, such as brief mindfulness exercises or behavioral experiments that are reviewed during sessions. Licensed professionals can use these approaches to keep the work practical and focused on managing anger and related concerns.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
27+ years
Listed in
South Dakota
Languages
English
Frequently asked questions
What kinds of anger issues does he address?
He works with people who lose their temper, carry resentment, or struggle with anger that affects relationships and work.
What is his general approach in sessions?
He blends cognitive behavioral methods with client-centered and mindfulness work to teach practical skills and change unhelpful patterns.
How much clinical experience does he have?
He has 27 years of experience working with adult clients across a wide range of mental health concerns.
What credential does he hold and where is he based?
He is listed as SD Psychologist 380 and practices in South Dakota.
Can sessions be done in other languages or internationally?
Sessions are offered in English and international clients are not currently accepted.
Which session formats are available?
The original profile does not specify session formats; confirm the current session options before booking.
How much do sessions cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the first steps to get started?
Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session.