Washington Better Sleep provides CBT-I for adults whose insomnia needs more than general sleep advice.
Use your standard referral note to share these five details with our Washington intake team.
Relevant clinical history is welcome, but not required.
Our team contacts your patient to arrange an assessment.
Why refer for CBT-I?
CBT-I addresses the patterns of behavior and worry that can prolong insomnia.
The course teaches patients how to maintain their sleep routine and manage future disruptions.
Every treating clinician is licensed in Washington and trained in CBT-I.
We check the patient’s benefits before treatment and bill participating plans.
With patient authorization, sleep measures and treatment updates can inform the work you continue in your practice.
An adult patient may be a good candidate when they have:
CBT-I can be provided while a patient continues other therapy. It gives insomnia dedicated attention within a defined course of treatment.
The clinician uses a sleep diary to guide a personalized bedtime and wake time.
Insomnia frequently occurs with sleep apnea. We treat insomnia and work with partners for apnea treatment, with referrals coordinated by our clinician.
Answer all seven questions about the past two weeks. The Insomnia Severity Index adds your answers into a score between 0 and 28. This calculator does not submit a referral or add results to a medical record at Washington Better Sleep.
For the first three questions, please rate the current (last 2 weeks) severity of your insomnia problem(s):
A score is not a diagnosis. Discuss the result and your sleep history with a licensed clinician. A referral to Washington Better Sleep does not require a particular score.
Insomnia Severity Index © Charles M. Morin, 1993. Bastien, Vallières & Morin, Sleep Medicine, 2001. Scoring reference ↗
Patients who prefer to contact us themselves can book without a provider referral. Book an appointment.
Once we receive your referral, our Washington team contacts the patient to discuss coverage and set up the assessment.
We begin with an assessment lasting about 50 minutes, followed by weekly visits over a typical six-to-eight-week course. Patients keep a brief daily sleep diary. Their clinician reviews it to adjust the sleep schedule, address difficulties and prepare a plan for maintaining progress.
With patient authorization, sleep measures and treatment updates can inform the work you continue in your practice.
Most visits are by video with clinicians licensed in Washington. A limited number of clinicians also offer appointments in person at our Bellevue office; we confirm availability during booking. The patient must be physically in Washington for each visit.
Washington clinicians: Ashlie Unruh, LMHC, CBT-I · Michelle Crowell, LICSW, CBT-I · Kathryn Williams, LICSW, CBT-I · Marguerite Donaldson, LCSW & LICSW. Our clinicians ↗
Bring your referral questions to a 30-minute peer consultation. Discuss Washington insomnia care and how to coordinate it with the treatment your patient already receives.
Schedule a peer consultationPrefer to call? (509) 761-4133 · Clinic main line
Your Washington practice can request printed brochures and business cards for conversations about insomnia care.
Request brochures & business cardsWashington Better Sleep reviews coverage before treatment and bills participating insurance plans.
Accepted plans: Aetna · Cigna / Evernorth · Medicare · Premera Blue Cross · UnitedHealthcare / Optum