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.
Psychologists assess and treat emotional, behavioural and relationship difficulties through psychological therapy. They do not prescribe medication. In many countries clinical practice requires a specific qualification and registration with a licensing body, which Therapy247 checks.
Getting mental health care in Uzbekistan
Public health system · State health system (Ministry of Health)
Mental health care is delivered mainly through state psychiatric hospitals, psychiatric dispensaries and outpatient clinics overseen by the Ministry of Health, concentrated in cities. A 2023 decree created a unified management system for psychiatric care and set out to integrate mental health into primary care using the WHO mhGAP programme. GPs can refer patients to a psychiatrist. More information
How to check that a professional is licensed
- Law No. 989 on Providing Psychological Assistance to the Population (standards approved by the Ministry of Health). Since February 2025 only people with a higher education degree in psychology may provide psychological services, and unqualified practice carries administrative penalties. Private practice requires a qualification certificate from the professional association; ask to see the psychologist's diploma and certificate.
Urgent help in Uzbekistan
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 103 · Ambulance
Information reviewed in November 2026 · Sources: ncbi.nlm.nih.gov, gazeta.uz, kun.uz, tashkenttimes.uz
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 psychologist do?
A psychologist spends most of the working day talking with people about what worries them and helping them change it. That includes assessing the difficulty, agreeing goals, and using structured psychological techniques in sessions with adults, teenagers, children, couples or families. Between sessions they prepare materials, write notes, and sometimes coordinate with doctors, schools or other professionals, always with your consent.
When to see a psychologist
It makes sense to see a psychologist when anxiety, low mood, stress, relationship problems, a loss or a difficult change start to affect your sleep, work or relationships, or when you simply want to understand yourself better. If symptoms are very severe, you may need medication, or there are signs of a medical cause, a psychiatrist or your doctor should be involved too.
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 Uzbekistan cover psychological care?
Mental health care is delivered mainly through state psychiatric hospitals, psychiatric dispensaries and outpatient clinics overseen by the Ministry of Health, concentrated in cities. A 2023 decree created a unified management system for psychiatric care and set out to integrate mental health into primary care using the WHO mhGAP programme. GPs can refer patients to a psychiatrist.
How do I check that a psychologist is licensed in Uzbekistan?
Law No. 989 on Providing Psychological Assistance to the Population (standards approved by the Ministry of Health): Since February 2025 only people with a higher education degree in psychology may provide psychological services, and unqualified practice carries administrative penalties. Private practice requires a qualification certificate from the professional association; ask to see the psychologist's diploma and certificate.