Insomnia treatment for Spokane and eastern Washington
Call (509) 761-4133 to ask about treatment or schedule a visit. Most Spokane patients meet with their clinician by private video from home. We see most patients via telehealth with Washington-licensed clinicians, and a limited number of clinicians also see patients in person.
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. Profiles show each 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.
Book an Appointment
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 Appointment
Kathryn Williams, LICSW, CBT-I
Kate Williams brings a warm and attentive approach to her work with clients, grounded in honesty and a genuine focus on each person's best interest. She is trained in Cognitive Behavioral Therapy for Insomnia (CBT-I), a specialized, evidence-based approach to addressing sleep difficulties. Kate works at each client's own pace, offering structure while gently encouraging growth beyond one's comfort zone, always delivering honest feedback with compassion and without judgment. She understands that clients don't need to arrive with a clear sense of their goals, and she helps them identify what has been helpful so far and what they'd like to change. Before beginning treatment, she has clients complete assessments that establish a starting point and help guide the course of care together.
Book an AppointmentSpokane insurance, checked before care starts
These plans are billed statewide, so an eastern Washington address is handled the same way as one on the west side. We verify benefits before the first appointment, and self-pay is available.
- Aetna
- Cigna / Evernorth
- Medicare
- Premera Blue Cross
- UnitedHealthcare / Optum
When insomnia lasts for months
Chronic insomnia means trouble falling asleep, staying asleep or returning to sleep on three or more nights a week for at least three months. Around Spokane it may be held in place by rotating shifts, seasonal work or early winter darkness. Cognitive Behavioral Therapy for Insomnia (CBT-I) uses weekly conversations and changes at home. It improves sleep timing and habits without medication. Your plan is based on your actual schedule.
With sleep apnea, breathing repeatedly stops and starts during sleep. Loud snoring can be a warning sign. It is separate from insomnia, though the two often appear together. We treat the insomnia, we have partners who treat the apnea, and our clinician coordinates any referral that is needed.
What happens at the first appointment
The first visit is about 50 minutes. Your clinician listens to how your nights work now, what has already been tried and whether insomnia is the cause. You then keep a two-minute morning sleep diary recording bedtime, sleep, waking and getting up. From it, you build a sleep window: set times for bed and waking that widen as sleep improves. Sessions usually continue for six to eight weeks. Some patients notice improvement during the first few weeks. Our getting-started page explains the next step.
Care in Spokane Valley and nearby cities
Video appointments are available in Cheney, Pullman, the Tri-Cities, Yakima and every Washington county. You must be in the state during the appointment. There is no Spokane office. The nearest office is at 14110 NE 21st St., Bellevue, WA 98007, and most patients are seen by video. For office details, use the Seattle and Bellevue page. Other regions are covered by online sleep care across Washington.
Four Spokane questions, answered
Does CBT-I work by video for Spokane patients?
Yes. Cognitive Behavioral Therapy for Insomnia uses conversation, a sleep diary and changes to your sleep schedule. These 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?
You can meet 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. It is not needed to diagnose insomnia. Sleep apnea and insomnia often occur together. We treat the insomnia, we have partners who treat the apnea, and our clinician coordinates any referral that is needed.
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. Only a limited number of clinicians offer in-person appointments, and those visits are in Bellevue. Ask about them when you book.
Book a Spokane appointment
Book from Spokane or anywhere in eastern Washington, or call to ask about fit.