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 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 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 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 therapist 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.