Please ensure Javascript is enabled for purposes of website accessibility Skip to main content

If you have called the office and experienced a long wait time, please click here and a member of our team will be in touch within the next business day. Thank you and we apologize for the inconvenience.


Welcome to Acute & Chronic Pain Therapies,
we look forward to caring for you


Ask about Ketamine Infusions for Depression


We offer regenerative medicine


State-of-the-art, evidence-based treatments


Pain Management & Ketamine Clinic Serving Bellevue & Seattle, WA

TMS Treatments

Transcranial magnetic stimulation, known as TMS, is a noninvasive treatment that stimulates the brain through electromagnetic pulses.  These pulses stimulate areas of the brain that are underactive in depression.

TMS, a service offered by Dr. Zachary Fisk, can be very effective for those with treatment-resistant depression, anxious depression, and other conditions. Combining ketamine with TMS can be more effective and longer lasting than either treatment alone.

Bellevue Ketamine


Our Bellevue Ketamine division is the longest standing ketamine infusion clinic in Washington State.

We receive referrals from psychiatrists and doctors treating pain throughout the Seattle and Bellevue areas for our ketamine infusion services.

We are oftentimes able to obtain at least some insurance coverage for our infusions.

Acute Pain Therapies Gallery

Bellevue PRP, Chronic Pain Management

We offer comprehensive chronic pain management with a multi-modal approach including consultations, medication management and a wide variety of interventional pain procedures using both fluoroscopy and ultrasound techniques. Our expertise includes: regenerative medicine including PRP, thermal, pulsed radiofrequency, and cryo ablation, intramuscular and perineural botox, and neuromodulation including spinal cord stimulation.


Our mission is to offer a comprehensive range of treatments for patients with psychological and physical pain. Our hope with the pain management strategies we offer is to provide a means for a patient to overcome their pain while devising a way to achieve an improved quality of life of their own making, while trying to minimize the risks of addiction.

That said, while many of our treatments prove to be beneficial to someone with addiction, we are not a primary addiction treatment center.

Important Insurance Coverage Note:   The following state insurance companies do not cover our services: Amerigroup, Community Health Plan, Coordinated Care, Molina, And United Healthcare Community Plan.

Drs. Fisk & Julian

From The Blog

September 8, 2023

Depression:  When medication and treatment do not work

When traditional treatments for depression do not work, it can be frustrating and discouraging. However, there are still options available for those who are struggling with this condition. Depression –…
August 4, 2023

Depression and Relationships

  How Depression Impacts Relationships: Personal & Professional   What if I have Depression? Depression is a serious mental health condition that can have a significant impact on a person's…
July 7, 2023

Advancements in Arthritis Research

Regenerative medicine remains a promising field for management of osteoarthritis. The rate of publication for regenerative medicine interventions continues to grow at an exponential rate. Within the last year or…