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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

Proud Member since ‘21

From The Blog

December 15, 2022

TMS Therapy for Treatment-Resistant Depression

Introducing Accelerated TMS Therapy for Treatment-Resistant Depression.   Many of our patients come to us for treatment of depression. In some cases, their depression has been refractory, meaning resistant to…
Are you a candidate for TBSBlog
August 10, 2022

Theta Burst Stimulation (TBS)

Accelerated TMS protocols using Theta Burst Stimulation (TBS)    Introducing the accelerated, high-dose intermittent Theta Burst Stimulation (iTBS) protocol for Major Depression    Many of our patients come to us with for…
July 22, 2022

Vyepti:  Evidence-based Treatment for Migraines

DO YOU SUFFER FROM MIGRAINES?   If you have ever experienced a migraine, there’s no denying the debilitating pain one feels in their eyes, face, or head.  Migraines can last…