Pacific Behavioral Healthcare

• In‑person therapy in Bellevue and Seattle, Washington
• Online telehealth for clients in Washington State and other PSYPACT‑participating states (including, but not limited to, Oregon, Arizona, Colorado, and Texas, when the individual therapist is licensed or authorized there)
• Services for adults as individuals and couples

The practice emphasizes evidence‑based treatments and trauma‑informed care to help clients address relationship difficulties, intimacy concerns, complex trauma, problematic sexual behavior, and general mental health needs.

Core Therapy and Counseling Services

Pacific Behavioral Healthcare highlights the following areas of focus:

• Couples therapy and marriage counseling – to improve communication, rebuild trust, and strengthen emotional and physical connection.
• Individual therapy – for personal growth, anxiety, depression, trauma, relationship concerns, and other mental health difficulties.
• Sex therapy – to address sexual concerns, intimacy difficulties, loss of desire, sexual pain, and mismatched desire.
• Betrayal trauma therapy – for partners affected by infidelity, affairs, or other sexual betrayal, offered individually and in groups.
• Sex addiction / problematic sexual behavior treatment – for people struggling with compulsive sexual or pornography use and related consequences.
• Pregnancy and fertility‑related support – to help individuals and couples cope with the stress and emotional impact of fertility challenges and pregnancy‑related concerns.

Client Experience

• The practice matches clients with a therapist who fits their needs and goals.
• Therapists are described as using empirically supported methods and trauma‑informed, compassionate approaches.
• Therapy is available for people at many stages of their relationships, from early concerns to significant crisis (such as affairs or ongoing conflict).

How to Get Started

Clients can start by:

• Submitting a contact form on the website to be matched with a therapist, or
• Calling the main office during admin support hours to discuss options and next steps.

Specific appointment availability, fees, and therapist credentials are not listed here and should be confirmed directly with the clinic.

In‑Person Clinics

Bellevue Clinic Parkwood Office Building 2370 130th Ave NE, Suite 104 Bellevue, WA 98005 United States

Seattle Clinic 1900 N Northlake Way, Suite 127 Seattle, WA 98103 United States

Online and Telehealth Services

Pacific Behavioral Healthcare provides secure online telehealth services for:

• Clients located anywhere in Washington State, and
• Clients in other PSYPACT‑participating states where the individual clinician is licensed or authorized to practice (examples mentioned on the website include Oregon, Arizona, Colorado, and Texas).

Telehealth availability, and whether a specific therapist can see a client in a particular state, should be confirmed directly with the clinic.

How to Contact Pacific Behavioral Healthcare

Main Contact Details

• Phone (office): (425) 628‑2820
• Fax: (425) 615‑6845
• Email (admin): admin@pacificbehavioralhealth.com

Admin Support Hours

Administrative support is available:

• Monday – Friday: 8:00am to 5:30pm (Pacific Time)

These hours apply to administrative support (such as intake questions and scheduling help). Individual therapist schedules may differ and are not listed here.

Contact Form and Matching with a Therapist

Prospective clients can submit a contact form on the website to get started. The form typically asks about:

• Contact information
• City and state
• Desired location (online telehealth, Bellevue office, Seattle office)
• Desired gender of therapist (male, female, or no preference)
• How they heard about the practice
• A brief message about their needs

The administrative team uses this information to help match clients with an appropriate therapist and to follow up about next steps.

Appointment Scheduling

• Clients can request appointments or ask to be matched with a therapist via the online contact form or by phone.
• The website includes "Schedule Now," "Make an Appointment," and similar buttons that direct people toward starting the intake process.

Specific appointment times, waitlists, and emergency availability are not listed and should be confirmed directly with the clinic.

Lists Pacifica, Elko, Bellevue, and Seattle as a location. Names Arizona, Colorado, Oregon, Texas, Washington, and United States as a service area. Areas beyond these are not published.

• Pacific Behavioral Healthcare does not work directly with insurance companies and is considered an out‑of‑network provider.
• Clients pay the therapist's fee directly to the practice.

Superbills for Out‑of‑Network Reimbursement

• The practice provides a monthly Superbill through the client portal.
• Clients can submit this Superbill to their insurance company to request possible out‑of‑network reimbursement.
• Reimbursement, if any, is determined entirely by the client's insurance plan.

Questions to Ask Your Insurance Company

The website suggests contacting your insurance provider before scheduling to ask:

• What are my mental health benefits?
• What is the reimbursement rate to work with an out‑of‑network provider?
• What is my out‑of‑network deductible, and has it been met?

Accessing Superbills

• Superbills are typically sent to your patient portal at the end of each month.
• If you have difficulty accessing them, the clinic can assist you.

Cancellation Policy

Pacific Behavioral Healthcare's cancellation policy is designed to protect reserved therapy time and allow other clients to use open appointments.

• Each client has a specific day and time reserved for their session.
• If you need to cancel or reschedule, the practice asks for at least 24 hours' notice before your scheduled appointment time.
• Cancellations made within 24 hours of the appointment time, or no‑show appointments, may be charged at the full session fee, because that time was reserved for you and could not be offered to another client.

Exact session fees and any exceptions to this policy are not listed on the website and should be confirmed directly with the clinic or your individual therapist.

Betrayal trauma can include discovering:

• An affair (emotional or sexual)
• Secret online sexual behavior
• Payment for sexual services
• Hidden pornography or sexual acting‑out

The practice recognizes betrayal trauma as a form of trauma that can deeply affect a person's sense of safety, self‑worth, and ability to trust.

Common Symptoms of Betrayal Trauma

The website describes many betrayal trauma symptoms, grouped into emotional, cognitive, physical, and behavioral categories, such as:

• Intense or rapidly shifting emotions, anxiety or panic, shame, self‑blame, grief, anger, or numbness
• Intrusive thoughts or images, hypervigilance, difficulty concentrating, flashbacks, and nightmares
• Fatigue, sleep problems, body tension, nausea, and other somatic symptoms (such as headaches or body aches)
• Avoidance, isolation, loss of interest in activities, reassurance‑seeking, difficulty working or parenting, and sexual aversion

These reactions are framed as understandable responses to intimate betrayal rather than personal weakness.

Focus of Betrayal Trauma Therapy

Betrayal trauma therapy aims to help clients:

• Understand what happened and why the betrayal occurred
• Have their pain, questions, and experiences heard and validated
• Reduce trauma‑related symptoms and triggers
• Rebuild a sense of emotional and physical safety
• Restore connection with themselves and, when appropriate, with their partner
• Make empowered choices about the future of the relationship

Clients are encouraged to begin therapy as soon as they are ready after discovery of betrayal so they can receive support and stabilize sooner.

Betrayal Trauma Therapy Group for Women

Pacific Behavioral Healthcare also offers an online Betrayal Trauma Therapy Group for women, serving clients in Washington and PSYPACT‑participating states where the group leader is authorized to practice.

Who the Group Is For

The group is designed for women who:

• Have experienced betrayal, infidelity, affairs, or adultery
• Feel isolated, misunderstood, or stuck in their recovery
• Want support from others who truly understand betrayal trauma

Goals and Benefits of the Group

The group offers:

• A safe, validating environment to process pain and emotions
• Education about betrayal trauma and healing
• Strategies to calm the mind and body and manage triggers
• Tools to reduce shame and self‑blame and build self‑compassion
• Supportive connection with other women who share similar experiences
• Guidance on mind–body healing practices

Group participation is often described as a powerful addition to individual therapy, not a replacement for it.

Group Format (as described on the website)

• Approximately 12 weekly sessions, each about 2 hours long
• Meets online, so members can attend from home in eligible states
• Includes a Betrayal Trauma Therapy Workbook created by Pacific Behavioral Healthcare to support learning and reflection between sessions

Exact group start dates, pricing, and enrollment details are not listed and should be confirmed directly with the clinic.

Leadership and Clinical Approach

• The betrayal trauma group program was created by Dr. Shira Olsen, who is described as a betrayal trauma expert with extensive experience helping women recover from intimate betrayal.
• The program emphasizes trauma‑informed, mind–body–focused interventions and provides both support and structured learning.

Getting Started with Betrayal Trauma Services

Women interested in betrayal trauma therapy or the betrayal trauma group can:

• Use the website forms (such as "Join Now" or "Join Waitlist" for group), or
• Contact the office by phone or email and request betrayal trauma support.

The practice can then provide current information about available individual therapists, upcoming groups, eligibility (including location and licensure requirements), and fees.

Couples therapy is available:

• In person at the Bellevue and Seattle, WA clinics, and
• Online for clients located in Washington and in additional states where the couples therapist is licensed or PSYPACT‑authorized.

Common Reasons Couples Seek Therapy

The website highlights many reasons couples come to therapy, including:

• Feeling disconnected or distant from each other
• Repeated arguments about the same topics
• Conversations that turn into conflict or withdrawal
• Feeling criticized more than appreciated
• Loss of emotional or physical intimacy
• Infidelity, affairs, or other betrayals that have damaged trust
• Sex addiction or compulsive pornography use affecting the relationship
• Parenting differences and related conflict
• Infertility‑related stress
• Financial stress and unresolved conflicts
• Cultural or value differences

Goals and Benefits of Couples Counseling

Couples therapy and marriage counseling at Pacific Behavioral Healthcare focuses on helping partners:

• Improve communication and learn to listen actively
• Feel heard, understood, and supported
• Repair ruptures after conflict or betrayal
• Rebuild trust over time through honesty and consistent behaviors
• Rekindle emotional and physical intimacy
• Understand each other's needs, perspectives, and attachment patterns
• Develop healthier ways to handle conflict and find "win–win" solutions
• Create a more balanced, connected, and resilient partnership

Approach to Couples Therapy

• Therapy provides a safe, non‑judgmental space for both partners.
• The focus is on the relationship dynamic, not assigning blame to one person.
• Sessions emphasize working with each other as a team rather than against each other.
• Therapists use research‑supported strategies from couples and sex therapy to guide change.

Couples Therapy After Affairs, Infidelity, or Sex Addiction

Pacific Behavioral Healthcare offers specialized support for couples recovering from:

• Affairs and infidelity
• Compulsive sexual behavior or sex addiction
• Problematic pornography use

Treatment focuses on:

• Acknowledging the trauma of betrayal and its impact on the injured partner
• Supporting accountability, transparency, and empathy from the partner who acted out
• Rebuilding safety and trust over time
• Exploring whether and how the relationship can move toward reconciliation

Getting Started

Couples interested in therapy can:

• Review therapist bios on the website and choose someone who feels like a good fit, or
• Ask the practice to match them with a couples therapist by submitting the contact form or calling the office.

Session length and format:

• Standard sessions are typically 50 minutes.
• Some couples may choose extended sessions (e.g., 80 minutes or longer) when clinically appropriate, arranged directly with their therapist.

Exact fees, availability, and how frequently sessions are scheduled are not listed on the website and should be confirmed directly with the clinic or the specific therapist.

Ask anyway — the agent will say plainly that it is not published rather than guess.