Clinical

Our Approach to Therapy

An innovative and collaborative clinical team is at the core of Pacific Quest’s therapeutic approach. With deep, varied experience, the team creates individualized, client-focused treatment plans supported by the entire clinical team’s expertise. With a minimum of four therapy days each week, students receive support from primary therapists, support therapists, group therapy, and program therapists.

pacific quest's therapeutic approach

Individual Therapy

Every resident and family is assigned a primary individual therapist to lead each journey from beginning to end. The admissions team, referring professionals, application review, and the Clinical Director assign therapists through a collaborative process.

Primary therapists meet with their residents three times per week, including a weekly family therapy call. Therapists work with an average caseload of just five students. This allows the primary therapist to collaborate with the wellness, psychiatric, program guide, and home teams to ensure an individualized, meaningful experience beyond regular sessions.

pacific quest's therapeutic approach

Support Therapy

Individualized treatment plans often draw from the experience and expertise of our entire team. As a result, we often add support therapists to a student’s experience to augment their journey with a particular therapeutic lens or intervention. These support therapy sessions are in addition to a resident’s regular therapy sessions and include EMDR, Sandplay Therapy, and a range of evidence-based practices.

pacific quest's therapeutic approach

Group Therapy

Pacific Quest’s therapeutic approach holds that a safe, supportive community is the cornerstone of a successful treatment experience. Our team facilitates group therapy sessions each week, creating space for students to engage with diverse perspectives, insights, and skills. Groups can be topic- or process-driven and provide a platform for a supportive, safe community experience. PQ holds these group and peer group discussions daily to help our residents address goals, explore issues, and receive constructive feedback.

pacific quest's therapeutic approach

Program Therapists

PQ maintains a team of program therapists who are credentialed clinicians that facilitate extra individual and group work an additional four days a week.

pacific quest's therapeutic approach

Psychological Testing

Pacific Quest coordinates independent psychological and psycho-educational testing with a number of licensed psychologists. These experts specialize in evaluating students within our unique context and environment.

Cognitive and academic testing — provides valuable insight into your learning profile, including cognitive strengths and weaknesses. It can also help rule out learning differences, which (when undetected) can contribute to emotional distress.

Personality testing — gives us insight into your coping style, self-appraisal, and interpersonal relationships, while also clarifying diagnostic issues.

Pacific Quest can also offer several testing options based on your individual needs. For example, testing can be tailored to issues of learning differences, traumatic brain injury, and autism spectrum disorders.

Example Evidence Based Approaches Used at Pacific Quest:

  • Acceptance and Commitment Therapy (ACT)
  • Attachment Based Therapy
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Exposure and Response Prevention (ERP) Therapy
  • Expressive Arts Therapies
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Family Systems
  • Mindfulness-Based Practices
  • Motivational Interviewing
  • Recovery Management
  • Somatic/Body-Based Therapies
  • Trauma-Focused CBT
  • * Trauma Based Therapy

Google Reviews

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L Loucks profile picture
L Loucks
April 13, 2026
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After 3 years of school avoidance, residential and hospital stays, screen addiction and risky behavior, we didn't know how to help or talk to our 16 year old daughter. Pacific Quest seemed different from other programs we had considered for her, so we were hopeful for some positive change when we sent her 5 thousand miles away. After the first few weeks it was clear that the program and clinical staff were even better than we had hoped. Their holistic approach to health, emphasizing healthy diet, sleep, exercise and time in nature, balancing meds and supplements had an immediate positive impact. The care, kindness and respect that the highly qualified clinical team showed our daughter, allowed her to trust and be vulnerable in her individual therapy as well as our family sessions. She learned so much about herself, her emotions and how to manage them, while we learned about better ways to communicate with her, within our family and how to repair broken trust. She is now attending an alternative boarding school, and for the first time in a long time, we are optimistic for her future. Hawaii is a magical place, and all the staff at PQ, the therapists, medical team and program team make Pacific Quest a truly magical healing place. I highly recommend it.
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N Dalton profile picture
N Dalton
February 26, 2026
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Our teen is currently in his 8th week at Pacific Quest and we have been very happy with the care and support he has received so far. We have seen significant progress since he first started the program. His therapist is a good fit and we receive feedback each week about our son's progress. I am glad that we chose this program with the help of an educational consultant.
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D Custin profile picture
D Custin
February 2, 2026
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Pacific Quest is a blessing, a God-send. At first I was against an RTC placement & the long distance from mainland USA. However, PQ has a team of exceptional, experienced, well-trained, & loving personnel. In about 90 days, they achieved clear & immense progress for my child & me. Where once I had little to no hope for a positive relationship with my child, now hope is clear for our short-term & long-term relationship. PQ is a blessing & well-worth the costs, aka investment.
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Marg profile picture
Marg
January 15, 2026
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Highly reccomend Pacific Quest for families with kids with behavioral issues. I dont believe in miracles, but how they ve helped us with my child and whole family dynamics is close to a miracle.
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K Patruznick profile picture
K Patruznick
December 18, 2025
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Overall, we were satisfied with the level and type of treatment our daughter received at PQ. This was a necessary step after we had tried many other avenues to help her stabilize. We appreciated the holistic approach to medicine, food and supplements to help support a healthier way of living. The therapy and group interaction was also very helpful. Aside from our daughter's treatment, we, as parents were also following a parallel process to rethink the family dynamic. It was almost as much about our daughter as it was about us. Lots of parent groups, calls and family therapy to change our approach and learn how to handle situations in a better way. About 2/3 of the way thru the 90 day program, we attend the Family Program (Fam Pro) 3 day intensive. It turned out to be a very valuable use of time and allowed our family to connect and understand each other much differently. We really connected with Dr. Rob Gent and this provided a path to deeper understanding of our daughter and her mindset. There were a few bumps in the road and not everything PQ did was perfect. Nobody is, I suppose. But we provided feedback to them and hopefully they can learn new ways as well. We all can...