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 Nepal
Public health system · Public health system (Ministry of Health and Population)
Since 2018, treatment of depression, psychosis, alcohol use disorder and epilepsy is part of the Basic Health Service Package and free at primary level, delivered by health workers trained with the WHO mhGAP programme in health posts and municipal primary care centres. Complex cases are referred to psychiatry units in provincial and medical college hospitals; the only dedicated mental hospital has about 50 beds. Medicines and trained staff are still scarce in rural areas. More information
How to check that a professional is licensed
- Nepal Health Professional Council (NHPC). Clinical psychologists must be registered with the NHPC, which requires an MPhil in clinical psychology and a licensing exam. Counselling and other non-clinical psychology roles have no licensing body, so ask for the NHPC registration number.
- Nepal Medical Council (NMC). Psychiatrists, like all doctors, must be licensed by the Nepal Medical Council. Ask for the NMC registration number.
Urgent help in Nepal
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
Information reviewed in November 2026 · Sources: who.int, pmc.ncbi.nlm.nih.gov, gavi.org, kathmandupost.com
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 Nepal cover psychological care?
Since 2018, treatment of depression, psychosis, alcohol use disorder and epilepsy is part of the Basic Health Service Package and free at primary level, delivered by health workers trained with the WHO mhGAP programme in health posts and municipal primary care centres. Complex cases are referred to psychiatry units in provincial and medical college hospitals; the only dedicated mental hospital has about 50 beds. Medicines and trained staff are still scarce in rural areas.
How do I check that a psychotherapist is licensed in Nepal?
Nepal Health Professional Council (NHPC): Clinical psychologists must be registered with the NHPC, which requires an MPhil in clinical psychology and a licensing exam. Counselling and other non-clinical psychology roles have no licensing body, so ask for the NHPC registration number.