Online insomnia treatment across Washington
Most patients receive insomnia care by video from Washington-licensed clinicians. A limited number of clinicians also see patients in person; availability is confirmed at booking. You must be in Washington throughout each appointment.
In network with Aetna, Cigna / Evernorth, Medicare, Premera Blue Cross, UnitedHealthcare / Optum. The practice bills these plans directly.
Video care throughout Washington
Join your video appointment from a quiet, private location within Washington. Patients in Seattle, Spokane, Vancouver, Yakima and smaller communities receive the same care, and the same clinician can work with you throughout treatment. A limited number of clinicians also offer in-person visits at 14110 NE 21st St., Bellevue, WA 98007; availability is confirmed when scheduling.
Our insomnia treatment is Cognitive Behavioral Therapy for Insomnia (CBT-I). Read below to learn what the course involves.
Clinicians who see patients statewide
2 clinicians are currently accepting patients. They are based in Olympia and Seattle. Each profile lists qualifications, location and the conditions treated.

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 AppointmentYou may choose a clinician from their profile or ask us to help with the match. We will consider appointment times, insurance and any concerns you want to treat alongside insomnia. Your clinician can stay with you for the full course of treatment.
Insurance for Washington patients
The same plan list applies in every county. We bill in-network plans directly, check your benefits before the first session and offer self-pay when needed.
- Aetna
- Cigna / Evernorth
- Medicare
- Premera Blue Cross
- UnitedHealthcare / Optum
Seattle and Spokane care
- Seattle and the Eastside: insomnia treatment in the metro and information about our Bellevue office.
- Spokane and eastern Washington: care east of the mountains and the rule for patients near the Idaho border.
Bellingham, the Peninsula, the islands, Tacoma, Olympia, Vancouver, the Tri-Cities and smaller communities are covered too. You do not need to choose a city before booking.
Your first six to eight weeks
Chronic insomnia involves difficulty falling asleep, staying asleep or returning to sleep at least three nights weekly for three months or more. CBT-I uses weekly appointments and changes to sleep habits without adding medication.
The initial assessment takes about 50 minutes. You discuss your sleep history and treatments you have tried, then begin a daily sleep diary. This takes around two minutes each morning and helps your clinician recommend a sleep window, or scheduled time in bed.
The clinician adjusts your sleep window as treatment progresses. Most courses last six to eight weeks, and you may notice changes within the first few weeks. See how to get started.
Sleep apnea interrupts breathing during sleep and is often linked with loud snoring. It often occurs alongside insomnia. We treat insomnia and coordinate referrals to partners who treat sleep apnea.
Questions about online sleep care in Washington
Do you cover every part of Washington?
Yes. Washington licenses cover all 39 counties. You can have a video appointment from Bellingham, Aberdeen, Vancouver, Wenatchee, Walla Walla or Colville. Distance only matters if you want an in-person appointment in Bellevue.
Do I need to be physically in Washington for each session?
Yes. The license applies to your location during the appointment, not the address on your insurance card. You can take the call at home, at work or at school if you have privacy. If you will be outside Washington at the time of an appointment, contact us first.
Should I look for a sleep specialist or a therapist?
For chronic insomnia, those roles can be the same person. Our clinicians are licensed in Washington and trained in Cognitive Behavioral Therapy for Insomnia. CBT-I improves sleep timing, daily habits and how you respond to sleeplessness. If you may have sleep apnea, your clinician coordinates care with a partner who treats it.
Book a Washington appointment
Book a first visit online, or call to ask which clinician is the best fit.
