
Holistic Mental Health Care
Balanced Behavioral Health, PLLC
A mental health clinic offering medication management and psychotherapy for adolescents (13+) and adults throughout Washington state via televisit.
Your Partner in Mental Health
Are you struggling to deal with strong emotions or extreme mood swings? Is it difficult to feel present in your life and relationships? Do you feel stuck in unhealthy or unhelpful patterns but struggle to change them? You are not alone, and you have come to the right place. Having a supportive, experienced, and trauma-informed mental health clinician can help you break out of patterns that are no longer working for you and feel more in control of your life.
My name is Brittany Kesten (she/her). I am a queer and neurodivergent Psychiatric-Mental Health Nurse Practitioner (PMHNP) in Washington state. I founded Balanced Behavioral Health, PLLC because I am passionate about increasing access to holistic, trauma-informed mental health care. I specialize in helping individuals understand and heal from complex trauma and adverse childhood experiences, including emotional abuse and neglect. Many of my clients have been diagnosed with or relate to symptoms of PTSD, cPTSD, or borderline personality disorder. I believe that an effective therapeutic relationship is a partnership; my role is to offer my support and clinical expertise, but YOU are the expert on yourself and your treatment will be based on your goals, preferences, and needs.
When I am not working, I enjoy traveling, hiking, and spending time with my wife and (many) pets. I love live music/theater, skiing, horror movies, and women’s soccer (go Reign!). I grew up in Alabama, and moved to Washington in 2021 where I immediately fell in love with this beautiful state and everything it has to offer. I live in central Washington but frequently spend weekends traveling throughout the state.

Comprehensive Care
At Balanced Behavioral Health, PLLC, we offer a comprehensive range of services to support your mental health journey. Our approach is holistic, focusing on the whole person rather than just the symptoms. We understand that each individual’s needs are unique, and we tailor our services accordingly.


Medication Management
Medication can play a crucial role in managing mental health issues. However, particularly with trauma-related concerns, medication alone is rarely sufficient to adequately manage symptoms. When indicated, I prescribe medication as an adjunct to therapy, ensuring that it complements and enhances the other therapeutic strategies we are utilizing. As I exclusively see clients via televisit currently, I do not prescribe any controlled medications (such as stimulant medications for ADHD or benzodiazepines for anxiety). If during the course of your treatment we determine that a controlled medication is needed, I will work with you to find provider local to you to assume care.

Psychotherapy
Psychotherapy forms the backbone of my practice. I have participated in extensive continuing education on various therapy modalities, including Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Sensorimotor Psychotherapy, and parts work/Internal Family Systems (IFS). I use a flexible and person-centered approach, utilizing concepts from various trauma-informed modalities and adapting to your needs and preferences in order to provide the most effective care possible. I consult with my supervising therapist when indicated, and participate in my own weekly therapy as part of my ongoing personal and professional development.
What Sets Us Apart
Balanced Behavioral Health, PLLC is not your typical mental health clinic. We stand out for our holistic approach, specialized care, and commitment to inclusivity.

Holistic Approach
I believe in treating the whole person, not just the symptoms. This means I consider all aspects of my clients’ lives and health in our treatment plans. I use a combination of medication management, psychoeducation, and psychotherapy to ensure that my clients receive comprehensive care that addresses their mental, emotional, and physical well-being.

Specialized Care
I specialize in helping individuals understand and heal from complex trauma and adverse childhood experiences, including emotional abuse and neglect. Childhood trauma or disrupted attachment often leads to difficulties with regulating emotions, coping with stress, and forming rewarding relationships in adulthood. My expertise in this area can help my clients understand themselves more deeply, cope with their symptoms in healthier ways, and build connections that feel safe and rewarding.

Inclusive Practice
I am proud to serve a diverse client base. As a neurodivergent clinician who is part of the LGBTQ+ community, I deeply understand the unique challenges these populations face. I strive to create a safe, welcoming environment where all clients feel understood and supported.
To make care more accessible and affordable, I currently accept some insurance plans. To check your insurance eligibility, visit my Alma profile here. I also accept cash pay clients.
Let’s Connect
Asking for help is a brave step, and could be the beginning of a journey toward a life that feels more authentically and joyfully YOU. Whether you are seeking help for the first time or looking for a new approach, I am ready to support you. I offer a free 20-minute phone consultation for prospective new clients, which provides an opportunity for us to discuss your treatment goals and my practice style to determine if I would be a good fit for your care. Click on the “Contact” link below to send an inquiry through my HIPAA compliant EMR (Simple Practice), schedule your consultation directly through my Alma profile, or reach out via phone or email.
Contact
Phone: (509) 210-1250 | Fax: (509) 318-2007
Email: brittany@balancedbehavioralhealthpllc.com
To directly schedule a phone consultation or check insurance eligibility, visit my Alma profile here.
Business Hours:
I offer sessions from Monday through Wednesday, 7:00 AM – 4:30 PM. I am available to answer calls and respond to messages for existing and prospective clients Monday through Friday.
Ready to take the next step towards better mental health? Reach out today to schedule your free consultation. I look forward to hearing from you!
