Patrick attended DeMatha Catholic High School, where he played under coach Morgan Wootten, before moving to Sidwell Friends School in Washington, DC. He started his college career at Stanford University in 1987. Playing point guard for coach Mike Montgomery, he won the 1991 NIT Championship as a senior. Patrick led Stanford in assists per game in 1989-90 and 1990–91, while making the Pac-10 All-Academic Team his junior and senior year. Upon graduation, Patrick had a 13-year career as a professional basketball player, mostly representing clubs in Japan and Germany. He had a number of tryouts with NBA teamGolden State Warriors, but never made the roster. While sitting out the 1994-95 season with a knee injury, he served as an assistant coach of his team, but later returned to the court and split time between playing and coaching in Japan in the following years. In 2003, Patrick was appointed head coach of BG Göttingen, a second-division team from Germany. He coached the Violets until 2005 and then spent the 2005-06 season as head coach for Toyota Alvark in Japan. After one year, he returned to Göttingen and guided the team to promotion to Germany's top-flight Basketball Bundesliga in 2007. Counting on a fast-paced style of play, Patrick led the team to three Bundesliga playoff appearances in four years and to the 2010 EuroChallenge title, while earning Bundesliga Coach of the Year honors in 2009 and 2010. He parted company with BG Göttingen at the conclusion of the 2010-11 season to take the reins as head coach at fellow Bundesliga team s.Oliver Würzburg. Patrick led Würzburg to the playoff semifinals in 2011-12, but parted ways with the club at the end of the season. In January 2013, Patrick was hired as head coach by struggling MHP Riesen Ludwigsburg, but couldn't prevent them from being relegated from the Bundesliga. However, the Ludwigsburg organization was granted a wildcard to remain in the league. Patrick guided the team to playoff berths in 2014, 2015, 2016, 2017 and 2018. In the 2017-18 season, Patrick's Ludwigsburg team reached the semi-final stage of the Champions League, where they fell short to Monaco. He was presented with the Best Coach award for the 2017-18 Champions League season. In Bundesliga play, Patrick guided Ludwigsburg to a semifinal appearance, where his team lost to Alba Berlin in May 2018. In the 2019-20 season, his Ludwigsburg team had a record of 17 wins and 4 losses, while sitting in second place in the second place in the German Bundesliga standings, when play was stopped due to the COVID-19 pandemic in March 2020. At the Bundesliga finals tournament which was organized in June 2020, he guided Ludwigsburg to its first ever appearance in the Bundesliga finals, where his team took on Alba Berlin, but lost both games. In these two games, Patrick had to replace Marcos Knight due to injury. Knight was later named Bundesliga finals tournament MVP. During the tournament, Patrick's sons Johannes and Jacob were both players on his Ludwigsburg team.