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.
Psychotherapists are professionals trained in one or more models of psychotherapy (psychodynamic, systemic, humanistic, cognitive-behavioural…). The protected title and requirements vary by country; profiles show each professional’s training and registration.
Getting mental health care in Burkina Faso
Public health system · Public health system - psychiatry services at CHU Yalgado Ouédraogo (Ouagadougou) and CHU Souro Sanou (Bobo-Dioulasso)
Specialist psychiatric care is concentrated in the university hospitals of Ouagadougou and Bobo-Dioulasso; about 42 public facilities, mostly district medical centres staffed by psychiatric nurses, offer some mental health care. The public sector has only around nine to eleven psychiatrists and a handful of psychologists. Care is not free: the official public tariff for a consultation with a psychiatrist or clinical psychologist is 2,000 FCFA, and patients also pay for medicines and hospital stays.
How to check that a professional is licensed
- Ordre National des Médecins du Burkina Faso. Under Law No. 028-2012/AN the Order groups all doctors authorised to practise in Burkina Faso, and health facilities require registration on its roll. Ask for the doctor's registration number.
Insurance and coverage
Universal health insurance (RAMU) began operating in 2023 but covers only a small share of the population; outpatient and inpatient mental health care is generally paid by the patient or family.
Urgent help in Burkina Faso
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 17 · Police secours
Information reviewed in November 2026 · Sources: fluechtlingshilfe.ch, apps.who.int, ordremedecinsburkina.bf, extranet.who.int
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 psychotherapist do?
A psychotherapist helps people understand and change emotional, relational and behavioural patterns through a structured therapeutic relationship. Their work is shaped by one or more models, such as cognitive-behavioural, psychodynamic, systemic, humanistic or integrative therapy. They meet individuals, couples, families or groups, usually in regular sessions, and spend time outside sessions on notes, preparation and their own supervision.
When to see a psychotherapist
Psychotherapy suits people who want to work in depth on recurring difficulties: anxiety, low mood, relationship patterns, self-esteem, the effects of past experiences or major life transitions. It can also help when you feel stuck without a clear diagnosis. If you need a formal diagnosis, a specific psychological assessment or medication, a clinical psychologist or psychiatrist may need to be involved.
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 Burkina Faso cover psychological care?
Specialist psychiatric care is concentrated in the university hospitals of Ouagadougou and Bobo-Dioulasso; about 42 public facilities, mostly district medical centres staffed by psychiatric nurses, offer some mental health care. The public sector has only around nine to eleven psychiatrists and a handful of psychologists. Care is not free: the official public tariff for a consultation with a psychiatrist or clinical psychologist is 2,000 FCFA, and patients also pay for medicines and hospital stays.
How do I check that a psychotherapist is licensed in Burkina Faso?
Ordre National des Médecins du Burkina Faso: Under Law No. 028-2012/AN the Order groups all doctors authorised to practise in Burkina Faso, and health facilities require registration on its roll. Ask for the doctor's registration number.