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 Guinea
Public health system · Public health system - Psychiatry department, CHU Donka (Conakry)
Guinea has a single public psychiatry department, at Donka hospital in Conakry, and only about five psychiatrists; no psychologists work in the public sector. Some health centres, notably those supported by Fraternité Médicale Guinée, offer basic mental health care by trained general practitioners. Care and medicines are paid out of pocket.
How to check that a professional is licensed
- Ordre National des Médecins de Guinée. Doctors are governed by the Order and the 1996 code of medical ethics, which prohibits illegal practice of medicine. Ask for proof of registration with the Order.
Insurance and coverage
Only about 5% of the population has health insurance, and psychiatric care and medicines are not covered by any national insurance or state scheme.
Urgent help in Guinea
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 122 · Gendarmerie nationale – numéro vert d'urgence
Information reviewed in November 2026 · Sources: osar.ch, panafrican-med-journal.com, extranet.who.int, guineenews.org
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 Guinea cover psychological care?
Guinea has a single public psychiatry department, at Donka hospital in Conakry, and only about five psychiatrists; no psychologists work in the public sector. Some health centres, notably those supported by Fraternité Médicale Guinée, offer basic mental health care by trained general practitioners. Care and medicines are paid out of pocket.
How do I check that a psychotherapist is licensed in Guinea?
Ordre National des Médecins de Guinée: Doctors are governed by the Order and the 1996 code of medical ethics, which prohibits illegal practice of medicine. Ask for proof of registration with the Order.