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I would tell him that what he did was not cool and that it was a violation of your trust and friendship. I would say "this is not what friends (or best friends) do to each other". I would tell him that you are upset about what he did. I would say that if he was up front about things that it wouldn't be as bad. He should have told you how he felt about her and how she felt about him. He should have asked you how you felt about it - or something, at least showed you some respect. It is hard to define a person that does this to yo as a "friend".
As for the girl, well, if it wasn't him it would have been someone else - so better sooner than later maybe... If she were more mature then she would have handled things better and made sure your friend talked to you - or something at least.
You should talk to your good friends and be sure that you all agree on basic codes of ethics, etc. and what it "means" to be friends. Maybe you friend didn't know that this wasn't what friends do...
Let him know how you feel. Be honest. Don't worry about his therapy, etc. You won't score any points trying to be his mother. Don't let a girl come between you and a good friend. It isn't worth it. Good riddance to the girl and let her go. Your friend is more important - perhaps for a lifetime. DOn't let this wreck that. Tell your friend this too - that no girl should ever come between you.
It could be (always a chance of this) that he is showing his true colors and he doesn't have it in him to be a "true friend". If this is true then that is tough, but better to know for sure. This isn't all that likely though - I would guess.
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