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 Chad
Public health system · Public health system - mental illness unit, Hôpital Général de Référence Nationale (N'Djamena)
The only public psychiatric unit is a small ward at the national general reference hospital in N'Djamena, run by non-specialist staff since the death of the country's only registered psychiatrist in 2020. Outside the capital services are almost non-existent, apart from a faith-run psychiatry and detox service in Sarh and humanitarian psychosocial programmes.
How to check that a professional is licensed
- Ordre National des Médecins du Tchad (ONMT). Doctors may practise legally only after their diplomas are authenticated and they are registered with the ONMT. Ask for proof of registration.
Urgent help in Chad
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 2020 · Police secours
Information reviewed in November 2026 · Sources: pmc.ncbi.nlm.nih.gov, allodocteurs.fr, alwihdainfo.com, tchadinfos.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 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 Chad cover psychological care?
The only public psychiatric unit is a small ward at the national general reference hospital in N'Djamena, run by non-specialist staff since the death of the country's only registered psychiatrist in 2020. Outside the capital services are almost non-existent, apart from a faith-run psychiatry and detox service in Sarh and humanitarian psychosocial programmes.
How do I check that a therapist is licensed in Chad?
Ordre National des Médecins du Tchad (ONMT): Doctors may practise legally only after their diplomas are authenticated and they are registered with the ONMT. Ask for proof of registration.