Before starting CBT-I, it is essential to have a comprehensive sleep assessment to confirm a diagnosis of chronic insomnia and rule out other sleep disorders such as sleep apnoea, restless legs syndrome, or circadian rhythm disturbance.

If you already have a confirmed diagnosis of insomnia, you may proceed directly to CBT-I.
If not, our clinicians can arrange your sleep assessment before therapy begins.

What is Chronic Insomnia?

Chronic insomnia is more than just the occasional bad night’s sleep. It is defined as difficulty falling asleep, staying asleep, or waking up too early, occurring at least three nights per week for three months or longer, and affecting daytime functioning.

It often leads to fatigue, low mood, poor concentration, and frustration about sleep, which can significantly impact quality of life.

How is Insomnia Treated?

The first-line treatment for chronic insomnia is Cognitive Behavioural Therapy for Insomnia (CBT-I), as recommended by NICE and international sleep medicine authorities.

While sleeping tablets may provide short-term relief, CBT-I offers lasting improvement without side effects or dependency.
It targets the underlying behavioural and cognitive causes of insomnia to restore natural, healthy sleep.

How Effective is Cognitive Behavioural Therapy for Insomnia (CBT-I)?

  • 70–80% of patients experience significant improvement in sleep
  • Benefits often continue long after therapy finishes
  • CBT-I is safe, non-medicated, and sustainable
  • Effective even when insomnia occurs alongside anxiety, depression, chronic pain, or medical conditions

CBT-I is recognised internationally as the gold-standard treatment for persistent insomnia.

Is CBT-I the Same as Sleep Hygiene?

No – CBT-I is much more than sleep hygiene.

Sleep HygieneCBT-I
General advice about healthy sleep habitsStructured, evidence-based therapy
May help mild sleep issuesTreats chronic insomnia effectively
Focuses on routinesAddresses thoughts, emotions, and behaviours that perpetuate insomnia

Sleep hygiene (such as avoiding caffeine or screens before bed) can support good sleep, but CBT-I is a scientifically proven treatment for insomnia.

What Cognitive Behavioural Therapy for Insomnia (CBT-I) Involves

CBT-I retrains your mind and body to associate bed with sleep rather than wakefulness or worry.

It combines:

  • Behavioural strategies – such as stimulus control and sleep scheduling to stabilise your sleep–wake rhythm
  • Cognitive strategies – to reduce unhelpful and anxious thoughts about sleep

The goal is to help you sleep naturally again, without relying on medication.

Our Cognitive Behavioural Therapy for Insomnia (CBT-I) Package

At Private Psychiatry, CBT-I is delivered by clinicians with extensive experience in insomnia and behavioural sleep medicine.
We provide a structured, evidence-based programme designed for long-term results.

Your CBT-I package includes:

  • Four sessions (60–90 minutes each)
  • One follow-up session one month later (included)
  • A personalised treatment plan based on your sleep diary, history, and individual needs

This ensures therapy is tailored specifically to you, not a generic online course.

What to Expect

Step 1

Sleep Assessment

Before starting CBT-I, all patients undergo a comprehensive sleep assessment with one of our clinicians.
This allows us to:

  • Confirm a diagnosis of chronic insomnia
  • Rule out other sleep disorders such as sleep apnoea or restless legs
  • Understand your sleep patterns and contributing factors
  • Develop a tailored treatment plan for CBT-I

If you already have a confirmed diagnosis of insomnia, you can proceed directly to Step 2.

Step 2

Four CBT-I Sessions

You will attend four structured CBT-I sessions, each lasting 60–90 minutes, conducted live with one of our insomnia specialists.
These sessions focus on:

  • Applying behavioural and cognitive techniques to improve sleep
  • Implementing sleep scheduling to stabilise your sleep–wake cycle
  • Reviewing your progress and adjusting strategies as needed
  • Supporting you in building long-term, healthy sleep habits

Step 3

Follow-Up Session

One month after completing the four sessions, you will have a 30 minute follow-up appointment (included) to:

  • Review your progress
  • Reinforce key CBT-I techniques
  • Address any remaining challenges and support long-term improvement

Next Steps

CBT-I is a structured and collaborative process that requires commitment – but the results can be transformative.

If you would like to book a sleep assessment or start CBT-I treatment, please contact our clinic.

Key Takeaways

  • A sleep assessment is required before starting CBT-I (unless you already have a diagnosis).
  • CBT-I is the most effective long-term treatment for chronic insomnia.
  • Delivered by specialist clinicians experienced in behavioural sleep medicine.
  • Includes four 60–90 minute sessions plus one follow-up.
  • Designed to help you sleep naturally again – without medication.

Other Services

Cognitive Behavioural Therapy for Insomnia (CBT-I) FAQ

Do I need a diagnosis before starting CBT-I?

Yes. You will need a sleep assessment to confirm that your sleep difficulties are due to insomnia and not another disorder such as sleep apnoea. If you already have a diagnosis, you can begin CBT-I directly.

How long does Cognitive Behavioural Therapy for Insomnia (CBT-I) take to work?

Many people start noticing improvements within a few weeks, although it can take up to about two months for the full benefits to become clear.

Is CBT-I suitable if I have anxiety or depression?

Yes. CBT-I is highly effective even when insomnia occurs alongside anxiety, depression, chronic pain, or other health issues.

Will I have to change my bedtime?

Possibly. As part of sleep scheduling, your clinician may adjust your bedtime and wake time to help stabilise your natural sleep rhythm.

What happens after I finish the therapy?

You will have a follow-up session one month later to review progress and reinforce techniques. Many patients maintain improved sleep long after therapy ends.