About insomnia
Chronic insomnia means difficulty falling or staying asleep several nights a week for months. Cognitive-behavioural therapy for insomnia (CBT-I) is the recommended first treatment and works on habits, schedules and the thoughts that keep sleeplessness going.
Therapist is the everyday word for a professional who offers talking therapy: depending on the country it can be a psychologist, a psychotherapist, a licensed counsellor, a marriage and family therapist or a clinical social worker. Profiles show each therapist’s actual title, training and registration.
Getting mental health care in Austria
Public health system · Soziale Krankenversicherung (ÖGK, BVAEB, SVS)
Psychotherapy is covered either fully through contracted places (Psychotherapie auf Krankenschein) or via a partial reimbursement when you see a non-contracted therapist; fully funded places are scarce. Since 2026 the ÖGK also covers clinical-psychological treatment as a benefit in kind, organised through the psyhelp service point. More information
How to check that a professional is licensed
- Federal Ministry of Health, Psychotherapeutenliste (Psychotherapiegesetz 2024). Practising psychotherapy in Austria requires entry in the ministry's public list of psychotherapists. Check that the person appears in the list and note their registered method. Search the official register
- Federal Ministry of Health, lists of clinical psychologists and health psychologists (Psychologengesetz 2013). Clinical psychologists and health psychologists must be entered in the ministry's professional lists; working without registration is an administrative offence. Insurance reimbursement requires the psychologist to be on the ministry list.
Insurance and coverage
Statutory health insurance pays for psychotherapy through contracted providers or a partial reimbursement for non-contracted ones, and for clinical-psychological treatment if the psychologist is on the ministry list.
Urgent help in Austria
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 112 · Emergencias
- 142 · TelefonSeelsorge – Notruf 142
Information reviewed in November 2026 · Sources: oesterreich.gv.at, psychotherapie.ehealth.gv.at, usp.gv.at, usp.gv.at
Signs to look out for
Everyone sleeps badly sometimes, especially during stress. Insomnia may need attention when you regularly struggle to fall asleep, wake up often or very early and cannot get back to sleep, or wake unrefreshed, for several weeks, and it affects your mood, concentration, energy or safety during the day. Worrying about sleep itself often becomes part of the problem.
What helps: treatments and professionals
Cognitive-behavioural therapy for insomnia (CBT-I) is recommended as a first-line treatment for chronic insomnia. It includes sleep scheduling, stimulus control, work on unhelpful beliefs about sleep and relaxation techniques. Psychologists and clinical psychologists trained in CBT-I usually provide it, individually, in groups or through guided digital programmes. A doctor should rule out physical causes and other sleep disorders.
When to seek urgent help
Seek prompt medical attention if you stop breathing or gasp during sleep, fall asleep while driving or in dangerous situations, or go several nights with almost no sleep alongside unusual energy, racing thoughts or confusion. If lack of sleep comes with hopelessness or thoughts of harming yourself, contact your local emergency services or go to the nearest emergency department.
What you can do in the meantime
Keep a regular wake-up time every day, including weekends, and only go to bed when you feel sleepy. If you cannot sleep after a while, get up and do something calm in dim light until you feel drowsy. Limit caffeine after midday, alcohol and heavy meals at night. Reduce screens before bed and get daylight and movement during the day.
What does a therapist do?
A therapist helps you talk through what is worrying you and find practical ways to feel and cope better. In sessions they listen, ask questions, help you notice patterns in your thoughts, emotions and relationships, and agree goals with you. Depending on their training they may use cognitive-behavioural, humanistic, systemic, psychodynamic or other evidence-based approaches, with individuals, couples, families or groups.
When to see a therapist
It makes sense to look for a therapist when stress, anxiety, low mood, grief, relationship problems, a difficult change or the effects of past experiences start to weigh on your daily life, or when you simply want space to understand yourself better. If symptoms are severe, you may need medication or there are signs of a medical cause, involve your doctor or a psychiatrist as well.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in Austria cover psychological care?
Psychotherapy is covered either fully through contracted places (Psychotherapie auf Krankenschein) or via a partial reimbursement when you see a non-contracted therapist; fully funded places are scarce. Since 2026 the ÖGK also covers clinical-psychological treatment as a benefit in kind, organised through the psyhelp service point.
How do I check that a therapist is licensed in Austria?
Federal Ministry of Health, Psychotherapeutenliste (Psychotherapiegesetz 2024): Practising psychotherapy in Austria requires entry in the ministry's public list of psychotherapists. Check that the person appears in the list and note their registered method.