Sleep & Insomnia Therapy Online

Frequently Asked Questions About Sleep Therapy

How do I know if I need sleep therapy?

If you regularly struggle to fall asleep, stay asleep, or wake feeling unrefreshed – and these issues affect your daytime functioning, mood, or quality of life – you could benefit from sleep therapy. Research indicates that persistent sleep problems affect approximately 31% of UK adults, yet many wait years before seeking help. Early intervention typically leads to faster, more complete recovery.

What is sleep counselling and how does it differ from other approaches?

Sleep counselling is a therapeutic approach that helps you understand and address the psychological aspects of sleep problems. While often incorporating CBT-I techniques, sleep counselling may also explore how past experiences, relationships, and emotional patterns impact your sleep. This approach can be particularly helpful if your sleep issues are connected to stress, anxiety, or unresolved emotional concerns.

What happens in a sleep therapy session?

Initial sessions focus on assessment – understanding your sleep patterns, habits, and concerns through discussion and sleep diary review. Your therapist will explain the cognitive behavioural model of insomnia and work with you to develop a personalised treatment plan. Subsequent sessions involve learning specific techniques, reviewing your progress, and adjusting strategies as needed. Sessions are typically weekly, lasting 50 minutes, over a 6-8 week period.

Is CBT for insomnia covered by the NHS?

Yes, though access varies significantly by location. Some NHS trusts offer in-person CBT-I, while others provide digital options like Sleepstation or Sleepio. However, waiting lists can be long, and many areas have limited specialist provision. Private therapy through UK Therapy Guide offers quicker access and more flexibility in therapist selection.

Will I have to complete a sleep diary?

Yes, most sleep therapy approaches include keeping a daily sleep diary, typically recording bedtimes, wake times, sleep quality, and related factors. This crucial tool helps identify patterns and measure progress. Your therapist will provide a simple format and guidance on completing it effectively.

How long does it take to see results from sleep therapy?

Many people notice initial improvements within 2-4 weeks of starting treatment, though some techniques (particularly sleep restriction) can temporarily increase daytime tiredness before sleep quality improves. A complete course of therapy typically spans 6-8 sessions, with most patients achieving significant improvements by the end of treatment.

Will sleep therapy work if I have another mental health condition?

Yes, CBT for insomnia has proven effective even for people with comorbid conditions like anxiety and depression. In fact, improving sleep often leads to improvements in other mental health symptoms. Your therapist will consider any co-existing conditions when planning your treatment approach.

Is medication better than therapy for sleep problems?

While sleep medication provides temporary relief, research consistently shows CBT-I produces more sustainable long-term results without the risks of dependency or side effects. A Harvard Medical School study demonstrated CBT's superiority over prescription sleep medication for chronic insomnia, with benefits persisting for at least one year post-treatment—unlike medication effects that typically diminish after discontinuation.

Can sleep therapy help with sleep apnoea or other physical sleep disorders?

Sleep therapy primarily targets insomnia and sleep-related anxiety. If you have symptoms of sleep apnoea (loud snoring, breathing pauses during sleep, excessive daytime sleepiness), restless leg syndrome, or other physical sleep disorders, speak to your GP first about appropriate medical assessment. However, many people with these conditions also develop insomnia or poor sleep habits that can benefit from therapy alongside medical treatment.

How much does sleep therapy cost in the UK?

Private sleep therapy typically costs £60-90 per session, with a full course of treatment usually involving 6-8 sessions. Some therapists offer concession rates or therapy packages. Compare this to the hidden costs of untreated insomnia – reduced work productivity, increased healthcare usage, and impaired quality of life often far exceed therapy costs.

Can I do sleep therapy without video sessions?

While video sessions are most common and effective for online therapy, some therapists offer telephone sessions if video isn't feasible. Text-based therapy is generally not recommended for sleep therapy, as many techniques require demonstration and real-time discussion. Let us know your needs when we match you with a therapist.

How do I prepare for online sleep therapy?

Before your first session, keep a simple sleep diary for at least a week, noting when you go to bed, approximately how long it takes to fall asleep, any night-time awakenings, and your morning wake time. Think about when your sleep problems started and any factors that might contribute. For sessions themselves, find a private, comfortable space with a reliable internet connection and minimal distractions.

How do I find a sleep specialist near me who offers online therapy?

UK Therapy Guide makes finding a qualified sleep specialist simple. We personally vet all our therapists and understand their specific areas of expertise, allowing us to match you with someone experienced in treating sleep disorders. Whether you're looking for someone who understands shift work sleep problems, pregnancy-related insomnia, or sleep issues related to anxiety, we'll help you find the right match.