Insomnia treatment for Spokane and eastern Washington
Call (509) 761-4133 to ask about insomnia treatment or schedule a first visit. Most Spokane patients meet a Washington-licensed clinician by video. A limited number of clinicians also offer in-person care, with availability confirmed when booking.
In network with Aetna, Cigna / Evernorth, Medicare, Premera Blue Cross, UnitedHealthcare / Optum. Your plan is billed directly.
Clinicians who see Spokane patients
Our Washington clinicians see Spokane and eastern Washington patients by video. Each profile lists that clinician's training and treatment areas.
Michelle Crowell, LICSW, CBT-I
Michelle Crowell is a therapist with 31 years of experience supporting individuals through eating disorders, past trauma, relationship conflict, depression, and anxiety. Her areas of focus include PTSD, mood disorders, and matters of spirituality, and she also brings expertise in approaches such as CBT, EMDR, and a family systems perspective. She has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I). Michelle is known for bringing compassion, warmth, empathy, and humor to her work, and she integrates her strong faith into her practice. Her goal is for every client to feel supported rather than alone in their journey toward healing.
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Ashlie Unruh, LMHC, CBT-I
Ashlie Unruh is a Licensed Mental Health Counselor in Washington with a Master of Arts in Counseling from the Seattle School of Theology and Psychology and over two decades of private practice experience. She specializes in working with adults navigating trauma, anxiety, and depression, drawing on a warm, collaborative approach to help clients create meaningful and lasting change. Ashlie has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I), equipping her with evidence-based tools to address the thoughts, behaviors, and patterns that interfere with restorative sleep.
Book an AppointmentSpokane insurance, checked before care starts
We accept these plans throughout Washington and check benefits before your first appointment. If you are not using insurance, ask about self-pay rates.
- Aetna
- Cigna / Evernorth
- Medicare
- Premera Blue Cross
- UnitedHealthcare / Optum
When insomnia lasts for months
Chronic insomnia involves trouble falling asleep, staying asleep or returning to sleep at least three nights weekly for three months or longer. Cognitive Behavioral Therapy for Insomnia (CBT-I) combines weekly appointments with changes you practice at home. It addresses sleep schedules and habits without adding medication, and your clinician takes your daily routine into account.
With sleep apnea, breathing stops and starts over and over during sleep, and loud snoring can be a warning sign. It is a separate problem from insomnia, though the two often appear together. We treat insomnia and coordinate referrals to partners who treat sleep apnea.
What happens at the first appointment
The first appointment lasts about 50 minutes and covers your sleep history and previous treatments. Your clinician also considers other possible causes of sleep difficulties. Afterward, you keep a short sleep diary that takes about two minutes each morning.
Together, you use the diary to plan and adjust your bedtime and wake time. A course typically lasts six to eight weeks. Some patients begin noticing changes in the first few weeks. Our getting-started page explains how to begin.
Care in Spokane Valley and nearby cities
Patients in Cheney, Pullman, the Tri-Cities, Yakima and all other Washington communities can use our video appointments. You must remain in Washington during each visit. Our office is at 14110 NE 21st St., Bellevue, WA 98007. See the Seattle and Bellevue page for office details or learn about online sleep care across Washington.
Four questions Spokane patients ask
Does CBT-I work by video for Spokane patients?
Yes. CBT-I is built on conversation, a sleep diary and changes to your sleep schedule, and those parts of treatment work well by video. You need a private space and a reliable internet connection.
I live in Idaho but work in Spokane. When can you see me?
Your clinician can meet you while you are physically in Washington. A private room at work in Spokane is fine. A session from home across the state line is not. Tell us where you will be when you book.
What if I snore or think I may need a sleep study?
A sleep study is an overnight test for breathing problems such as sleep apnea. You do not need one to be diagnosed with insomnia. Sleep apnea and insomnia often show up together. We treat insomnia and coordinate referrals to partners who treat sleep apnea.
Is there a Washington Better Sleep office in Spokane?
No. The Washington office is at 14110 NE 21st St. in Bellevue. Nearly everyone we treat is seen by video. A limited number of clinicians also see patients in person, and those visits are in Bellevue. Ask about them when you book.
Book a Spokane appointment
Book from anywhere in eastern Washington, or call with questions about treatment.