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Sleep Disorders

Insomnia disorder

Clinically reviewed by Dr. Barkha ChikaraChief Medical Officer, MD (Psychiatry) from NIMHANS · Last reviewed October 2026

Insomnia disorder means trouble falling asleep, staying asleep or waking too early, three nights a week or more for three months or longer, with tiredness and poor concentration by day. The first-line treatment is cognitive behavioural therapy for insomnia (CBT-I). A psychiatrist can also check for anxiety or depression behind it.

About 1 in 10 adults in India lives with a mental disorder (National Mental Health Survey, 2015-16). You are not alone.

Care in the language you think in

At a glance

Common signs

  • Difficulty falling asleep
  • Waking in the night
  • Early morning waking
  • Unrefreshing sleep
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How it is usually treated

  • CBT for Insomnia
  • Sleep hygiene education
  • Stimulus control therapy
  • Sleep restriction therapy
See more

Where to start

A free pre-consultation call, then a video assessment with a psychiatrist. In danger? Call 112, or Tele-MANAS on 14416.

Book your free pre-consultation call

Registered clinicians: psychiatrists with their State Medical Council, psychologists with the Rehabilitation Council of India.

Signs

Tick any that feel familiar. This is not a diagnosis, only a clinician can assess you.

How people often describe it

  • “I cannot fall asleep at night”
  • “I wake up at 3 am and cannot sleep again”
  • “I lie awake worrying”
  • “I feel exhausted but my sleep is poor”

People who live with insomnia disorder may also notice depression, generalised anxiety or bipolar disorder. If any of these sound familiar, mention them to your clinician so your plan can cover them.

When to get help soon

Seek help soon if poor sleep comes with low mood, panic or thoughts of harming yourself. Call Tele-MANAS on 14416 or 112.

How it is diagnosed

A psychiatrist asks about your sleep pattern, caffeine, alcohol, screens, shift work and mood, and checks for anxiety, depression, sleep apnoea and pain.

Treatment and support

  • CBT-I (stimulus control, sleep restriction, relaxation, sleep education) is first-line, and its benefits last after treatment ends
  • Regular sleep and wake times, and a wind-down routine
  • Care for anxiety or low mood if they are driving the sleeplessness

How Mindly helps

Your first video consultation is with a psychiatrist, who looks at your sleep and what sits behind it. All care is online, by video.

You can talk to a psychiatrist online, read what a first online consultation involves and see how pricing works before you book. Related reading: trouble sleeping: when does it need help.

This page is also available in 10 Indian languages: हिन्दी (Hindi), தமிழ் (Tamil), ಕನ್ನಡ (Kannada), తెలుగు (Telugu), മലയാളം (Malayalam), मराठी (Marathi), বাংলা (Bengali), ଓଡ଼ିଆ (Odia), অসমীয়া (Assamese), ತುಳು (Tulu).

Your first appointment

A psychiatrist asks about your sleep pattern, routines, mood, stress, medicines, caffeine and screen use, and looks for other conditions behind poor sleep.

Who is involved

Your psychiatrist can guide sleep routines and treat related conditions, and may suggest CBT for sleep problems.

Between sessions

A simple sleep diary helps reviews show what is working.

What to expect

  1. Free pre-consultation callWe take your history and details, and match you with the right clinician.
  2. First consultationA video call in your language, with a clinician who already has your report.
  3. Your planYour clinician agrees a plan with you: therapy, medicine or both, as suits you.
  4. Follow-up reviewsRegular check-ins, and your plan is adjusted as you recover.
  5. Staying wellSupport to keep you well and catch early signs of a setback.

Every Mindly plan includes a second opinion from our Chief Medical Officer, a diagnosis-first approach and regular tracking of your recovery. How Mindly care works

Book your free pre-consultation call

Your privacy and confidentiality. What you share with Mindly Health stays between you and your care team. Your conversations, reports and messages are treated as confidential and shared only with the team members involved in your care, apart from the limited cases where the law requires it or someone's safety is at serious risk. Read our Privacy Policy and your rights under the Mental Healthcare Act.

Common questions

Is CBT-I better than just waiting it out?

Insomnia that lasts months rarely clears by itself. CBT-I targets the habits and worries that keep it going, and its benefits last after treatment ends.

When should I see a doctor about sleep?

If poor sleep has lasted several weeks, affects your day, or comes with low mood or anxiety.

If you or someone near you is in danger, call 112. For free support at any hour, call Tele-MANAS on 14416. Mindly Health is not an emergency service.

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Sources

Related conditions

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