Michael Gramlich,PhD

Michael Gramlich,PhD

Telehealth Available
Professions: Clinical Psychologist
License Status: I'm a licensed professional.
Primary Credential: Psychologist - PY61106398
Billing and Insurance:
I am an in-network provider for:
  • Aetna
  • Out of Network Provider
  • Regence Blue Shield of Washington
Fees: Intake Assessment: $200 per session | 75 minutes.

Individual Therapy Session: $175 per session | 50 minutes and $200 per session | 75 minutes.

The initial 15-minute phone consultation is free of charge.

I’m happy to provide you with a detailed invoice (i.e., superbill) for out-of-network or private pay therapy on a monthly basis that you may take directly to your insurance company and they will determine reimbursement based on your plan.
Free Initial Consultation


Spokane, Washington 99201

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My Approach to Helping

I have openings for new clients via telehealth. Struggling with painful memories of trauma (PTSD)? Exhausted from chronic insomnia or nightmares? Feeling defeated by panic attacks, excessive worrying, or avoidance of feared situations (anxiety)? Difficulties with feeling down, little enjoyment, or low motivation (depression)? Bothered by intense feelings, challenging life transitions, or stress? Looking to connect with others, healthy behaviors, or purpose? I am passionate to offer you evidence-based counseling to help you achieve your goals using the convenient access provided by online therapy.

I primarily offer cognitive behavioral therapy (CBT), which is a gold-standard psychotherapy in psychology. Our beliefs, behaviors, and feelings are interconnected. Together, we will explore science-backed techniques using CBT to manage your thoughts, actions, and emotions. You may build relationships, excel at work, boost vitality, and achieve a renewed sense of meaning or peace.

What can you expect from our first session? After the first appointment, my clients report having a better self-understanding and feeling more hopeful. When you engage in counseling, I would normally recommend attending 8 to 15 therapy sessions weekly or once every other week, actively participating in therapy sessions, and practicing outside of therapy sessions to promote learning and growth. Meaningful symptoms reduction is often found after 6 sessions and treatment goals are typically reached by 12 sessions.

More Info About My Practice

Since I started my journey in psychology, I believed technology would enhance mental health services through mobile applications. I sought specialized training in the delivery of telehealth at the VA Puget Sound Health Care System (i.e., online therapy using a secure video connection). This firsthand experience later inspired me to launch Evergreen Cognitive Behavioral Therapy PLLC after seeing the effectiveness of online counseling to help address the scarcity of mental health specialists available for individuals living in remote or rural areas of Washington. Also, I’ve worked with clients juggling multiple life responsibilities that required time efficient and convenient access to evidence-based care. You no longer have to endure the added stress of commute times. I am passionate to provide online therapy to support your resilience and emotional well-being. You may access sessions from your home or a private setting (e.g., parked vehicle) using a computer, tablet, or video capable phone.

My Role as a Therapist

Together, we will build a non-judgmental therapeutic relationship and collaborative therapy plan that supports your strengths and preferences to foster growth.

I am a white, cisgender, heterosexual, non-disabled man who aims to engage in culturally sensitive care. I always aim to understand your perspectives and respect your cultural identities and history. It is essential for any effective therapist to engage in self-reflection and I continually strive to sustain this practice of cultural humility.

I value transparency and believe a healthy therapeutic relationship requires me to cultivate a space that honors authenticity and self-autonomy. You are truly the expert on yourself and always in charge of what the focus of therapy entails. My goal is to serve as a guide to bridge your goals with techniques backed by science to promote your well-being.

You will receive care in a therapeutic setting that invites vulnerability and helps you connect with meaning or vitality for recovery. One-on-one, we will break the cycle of your negative feelings, thoughts, and behaviors that you're experiencing by weaving practical skills with open communication and self-compassion.

My Therapy Focus

Cognitive behavioral therapy or "CBT" is an evidence-based psychotherapy. CBT is an umbrella term that describes a family of goal-oriented, client-directed, psychotherapeutic interventions for mental health incorporating cognitive, behavioral, interpersonal, and psychoeducational techniques.

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Services I Provide

Ages I Work With

  • Adults
  • Elders


  • English

Groups I Work With

    Adult men and women; Adult LGBTQ+ individuals

Industries & Communities Served

  • First Responder/Medical Professionals

Client Concerns I Treat

  • Agoraphobia
  • Anxiety
  • Depression
  • Emotional Overwhelm
  • Emptiness
  • First Responders
  • Habits
  • Life Purpose / Meaning / Inner-Guidance
  • Panic
  • Phobias
  • Physical Abuse
  • Posttraumatic Stress / Trauma
  • Self-Compassion
  • Self-Criticism
  • Shame
  • Sleep Disorders
  • Social Anxiety / Phobia
  • Stress
  • Trust Issues
  • Values Clarification
  • Worry
  • Worthlessness

Types of Therapy

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