Online insomnia treatment across Washington
Washington-licensed clinicians can treat patients anywhere in the state by private video. You must be in Washington during each appointment. 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 — the practice bills these plans directly.
Video care throughout Washington
Washington-licensed means a clinician is allowed to treat you while you are physically in Washington. Choose a quiet, private place at home, work or school. The treatment is the same in Seattle, Spokane, Vancouver, Yakima and smaller towns. The same clinician can stay with you throughout treatment. A limited number of in-person appointments are available at 14110 NE 21st St., Bellevue, WA 98007. Availability is confirmed when you book.
We provide online counseling for chronic insomnia. The treatment is called CBT-I and is explained below.
Clinicians who see patients statewide
3 clinicians are currently accepting patients. They are based in Olympia and Seattle. Each profile includes 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.
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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 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, verify 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 — for insomnia treatment in the metro and information about our Bellevue office.
- Spokane and eastern Washington — for 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 is trouble falling asleep, staying asleep or returning to sleep on three or more nights a week for at least three months. Cognitive Behavioral Therapy for Insomnia (CBT-I) changes sleep timing and habits during weekly appointments. It does not use medication. The first visit lasts about 50 minutes. Your clinician asks about your current sleep and what you have tried. Afterward, you spend two minutes each morning noting bedtime, sleep, waking and getting up. Those notes guide a sleep window, the set bedtime and wake time your clinician widens as sleep improves. Treatment often runs for six to eight weeks. Changes may become noticeable within the first few weeks. See how to get started.
Sleep apnea interrupts breathing during sleep and is often linked with loud snoring. 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.
Questions about online sleep care in Washington
Do you cover every part of Washington?
Yes. Washington licences 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 licence 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 an appointment would happen while you are outside Washington, contact us first.
Should I look for a sleep specialist or a therapist?
For chronic insomnia, those roles can be the same person. Our therapists 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
Choose a first visit online, or call to ask which clinician is the best fit.