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.
Clinical psychologists are psychologists with specialist training in assessing, diagnosing and treating mental health problems, from anxiety and depression to more complex conditions. In some countries it is a regulated health specialty; Therapy247 checks the registration.
Getting mental health care in Brazil
Public health system · Sistema Único de Saúde (SUS)
Mental health care in the SUS is free and organised through primary care units (UBS) and Psychosocial Care Centres (CAPS), which can be reached directly or by referral.
How to check that a professional is licensed
- Conselho Federal de Psicologia (CFP) and Regional Councils (CRP). Practising as a psychologist requires active registration with a CRP; check the CRP number in the national register. Search the official register
- Conselho Federal de Medicina (CFM) and Regional Councils (CRM). Psychiatrists are doctors registered with a CRM; the CFM search shows registration and any registered specialty (RQE). Search the official register
Insurance and coverage
Private health plans regulated by ANS must cover psychotherapy and psychiatric consultations within the plan network.
Online therapy in Brazil
Psychologists offering online services must have active CRP registration and be registered on the CFP's e-Psi platform (Resolution CFP 11/2018).
Urgent help in Brazil
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 193 · Corpo de Bombeiros
- 188 · CVV – Centro de Valorização da Vida
Information reviewed in November 2026 · Sources: site.cfp.org.br, sites.usp.br
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 clinical psychologist do?
A clinical psychologist assesses, diagnoses and treats mental health problems in children, adults or older people. Day to day they conduct clinical interviews, use validated questionnaires and tests, formulate what keeps the problem going, and deliver evidence-based therapies. They often work in hospitals, community mental health teams or private practice, and coordinate with psychiatrists, family doctors and social services.
When to see a clinical psychologist
A clinical psychologist is a good choice for moderate to severe or persistent difficulties: anxiety disorders, depression, obsessive-compulsive problems, trauma, eating disorders, personality difficulties, or when a formal diagnosis or report is needed. If medication may be needed or there is a risk to safety, a psychiatrist should also be involved. For coaching or personal growth, other professionals may fit better.
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 Brazil cover psychological care?
Mental health care in the SUS is free and organised through primary care units (UBS) and Psychosocial Care Centres (CAPS), which can be reached directly or by referral.
How do I check that a clinical psychologist is licensed in Brazil?
Conselho Federal de Psicologia (CFP) and Regional Councils (CRP): Practising as a psychologist requires active registration with a CRP; check the CRP number in the national register.
Can I have online therapy in Brazil?
Psychologists offering online services must have active CRP registration and be registered on the CFP's e-Psi platform (Resolution CFP 11/2018).