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Are you struggling to fall asleep, waking up in the middle of the night, or waking early in the morning? Insomnia is a common issue, but there is help available. Here, we will explain sleep disorders and their treatments.

What is insomnia?

Sleep problems are common. They can mean trouble falling asleep or waking up at night or early in the morning. They may be due to worry; sleep problems are usually linked to other mental health problems. Sleeping badly occasionally is normal, but if you regularly have trouble sleeping, it may be a good idea to seek help.

We spend about a third of our lives asleep and must get good quality sleep to feel good. Many people with sleep problems worry about their sleep and fall into a destructive sleeping pattern. They may feel tired, have difficulty concentrating and become easily irritated.

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Why do people have insomnia?

The reasons for sleep problems can vary. During crises, people often experience sleep problems for a short period, but it can also be triggered by general stress in everyday life. Sleep problems are also common if you have neuropsychiatric issues such as ADHD, have young children or are going through menopause. There are also other mental health conditions, such as bipolar disorder or dementia, where sleep problems are common.

If you sleep poorly at least three days a week and have done so for at least three months, you may develop insomnia, which is the diagnosis for more severe sleep problems. It can be treated. Below is more about how you can get help.

How much sleep do you need?

For people with sleep problems, how much they have slept is often fundamental. You may be counting hours, worrying, and watching the clock, becoming preoccupied with sleep. The amount of sleep each person needs varies between 6 and 9 hours per night.

We all have an internal clock that regulates our sleep rhythm, and when you have sleep problems, you are often not in your natural rhythm. Part of the treatment for sleep problems is about finding this rhythm again, but it is also important to remember that the body can adjust its sleep. If you sleep badly one night, your body can regulate it so that you sleep more deeply the next night, so there is no need to worry too much.

Insomnia in children

Difficulty sleeping is quite common among children, and these difficulties can have different causes. They can vary in form and intensity depending on the child’s age and stage of development. Other factors include changes in the environment, stress and anxiety, medical conditions or overstimulation before bedtime. This can include difficulty falling asleep, night-time awakenings, nightmares and night terrors. Young children may also have trouble falling asleep at bedtime. It is less common but does occur with sleepwalking and sleep apnea. If the problems are regular and affect everyday life, it may be a good idea to seek professional help.

Insomnia in parents

For most people, having a baby is a significant change and a period during which sleep can often be affected. A period of poor sleep is not dangerous, although it can be distressing, but around 20% of all parents experience chronic sleep problems. Sleep problems are expected during the final stages of pregnancy. Once the baby arrives, they may sleep restlessly, affecting their sleep. They may also have difficulty adjusting to the change.

Some tips are to try to rest when the baby is sleeping during the day, share the responsibility if you are two parents, seek support from others close to you, try to accept the situation as it is and find other opportunities for recovery, such as a walk, coffee with a friend or yoga. If you feel that sleep is affected a lot during the toddler years, you can seek help to get more support. If you are very worried, you can also seek treatment from a psychologist or a child health care provider.


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Symptoms of insomnia

Sleep problems are common, but you may find it very difficult if you always sleep poorly. Often, the body can regulate how much sleep you need; if you sleep little one night, you can sleep more deeply the next night. The body is amazing that way. So you shouldn’t worry too much if you have sleep problems. But if you have symptoms of sleep deprivation, it can manifest itself like this:

  • Fatigue during the day
  • Sleep deprivation can lead to anxiety and depression
  • Problems falling asleep and waking up frequently at night or early in the morning
  • Mood swings and memory problems

Diagnosis of insomnia

If you have had sleep problems for a long time, you may have developed insomnia, which is the diagnosis for more severe sleep problems. It is a common condition, with around one million people suffering from it in Sweden. It also comes in different degrees of severity, with mild to severe problems. It can be challenging, but it is possible to get help and treatment. Insomnia means that you have:

  1. Difficulty falling asleep, waking up often, and waking up too early in the morning.
  2. You function less well during the day.
  3. You are dissatisfied with your sleep and suffer from sleep problems.
  4. Having sleep problems at least three nights per week on average.
  5. You have had these problems for at least three months.

Treatment for sleep problems and insomnia

There are both medical and psychological treatments that can be effective for people with sleep problems. Psychological treatment includes tools and strategies specifically designed to treat sleep problems and has been shown in research to be effective. A psychological treatment lasts between 4-8 sessions, depending on the severity of the problem and whether you also need to work on another problem, such as stress. Anxiety is also treated during sleep therapy, as there is often a lot of anxiety associated with sleep. When treating sleep problems, it has been seen that other symptoms, such as depression, also improve. Treatment for sleep problems is:

  • Cognitive Behavioural Therapy for sleep problems (CBT)
    CBT for sleep problems is an evidence-based method for improving sleep quality and reducing daytime fatigue. During treatment, you may complete a sleep diary and work on sleep hygiene and sleep routines. It also addresses anxiety and stress, including through mindfulness.
  • Medical treatment
    Medication for sleep problems can be prescribed in some cases, but it is important to note that this should be seen as a temporary solution. If you want to try medication, talk to your doctor.

Managing sleep problems on your own can be a challenge. Many people also use alternative treatments with natural remedies, which can be helpful, but consulting a professional therapist can help you understand the underlying causes and create a tailored treatment plan if you are experiencing any sleep difficulties.

Taking a step towards better sleep and quality of life

If you or someone you know is experiencing sleep problems, help is available. Our psychologists and therapists can help you improve your sleep and health. Don’t be afraid to step towards recovery; we make the hard things more accessible.


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12 FAQs about Sleep Difficulties

What is sleep deprivation?

Sleep deprivation often means having difficulty falling asleep, waking up at night or early in the morning. You may worry a lot, and sleep problems are often linked to other mental health problems.

What are the causes of sleep problems?

Different factors can cause sleep problems. These can be lifestyle factors or external events such as crises, stress, or anxiety, but there can also be underlying medical causes. Life changes such as having children or going through menopause can also impact sleep.

How common are sleep problems?

Sleep problems are widespread and can affect people of all ages. It is estimated that 25% of the population has some form of sleep disorder.

How do sleep problems affect my physical health?

Sleep problems can lead to issues such as fatigue, reduced concentration, and difficulties with memory. Often, there is a lot of anxiety associated with sleep problems, but there may also be other underlying symptoms, such as stress or mental illness. Contact your health centre for a medical assessment and possible tests if you have many physical symptoms.

How can I improve my sleep quality?

Try to keep regular bedtimes, avoid caffeine and alcohol before bedtime, and create a calm sleep environment. Exercise can also improve sleep quality.

Are sleep problems common in children?

Sleep difficulties are quite common among children. These difficulties can vary in form and intensity depending on the child’s age and stage of development and can be caused by different factors. If sleep problems affect everyday life, you can seek help from a child psychologist or doctor.

Are sleep problems common for parents of young children?

Sleep problems are expected during the toddler years, with around 20% experiencing sleep problems. Help is available if you need it.

Can sleep deprivation be treated?

Sleep deprivation can be treated, and Cognitive Behavioural Therapy (CBT) has shown the best results.

What is ‘sleep hygiene’?

Sleep hygiene is a set of habits and routines contributing to better sleep. It includes avoiding screens and heavy meals before bed and working on relaxation.

Do natural sleep aids work?

Some natural preparations, such as valerian and chamomile, can help with sleep. However, you should always consult a doctor before trying new supplements.

How can stress and anxiety affect sleep?

Stress and anxiety are common causes of insomnia. It is possible to work with, for example, CBT for this.

Is it dangerous to take sleeping pills?

Sleeping pills can be effective in the short term, but they are not a long-term solution and can have side effects. Always consult a doctor before starting such treatment.

What should I do if I have severe sleep problems?

At Lavendla, we have experienced psychologists and therapists working with CBT who can help you feel better. If you have thoughts of self-harm or suicide, contact your nearest emergency department.

How to treat insomnia with Cognitive Behavioural Therapy (CBT)

In this step-by-step guide, we will walk you through how a treatment for sleep problems can be treated using Cognitive Behavioral Therapy (CBT).

  • Step 1: Assessment interview
    During an initial assessment interview, we will review your history, and you may be asked to complete forms such as the Insomnia Severity Index (ISI), which measures sleep problems. A doctor can prescribe medication for severe sleep problems or acute crises if necessary.
  • Step 2: Treatment with Cognitive Behavioural Therapy (CBT)
    If the problem is psychological, CBT is an option. During treatment, you will work on sleep hygiene, i.e. your sleep habits. You will also complete a sleep diary and work on strategies to get into your natural sleep rhythm. You can also work on your anxiety and stress through exercises and mindfulness.
  • Step 3: Follow-up and adjustments
    Follow-up sessions evaluate the effect of the treatment and make any necessary adjustments.
  • Step 4: Continued follow-up
    After the treatment, you will be given a plan to maintain your progress and ensure a long-term effect.

How can I get help with my insomnia?

Do not hesitate to seek professional help. It is the first step to regaining a good night’s sleep and improving quality of life. You are not alone, and we are here to help you every step of the way. Please book an appointment with one of our licensed psychologists or therapists today.


Written by Samantha Pieterse

Sr. Samantha Pieterse is a registered psychiatric nurse who is deeply committed to mental health and well-being. Samantha brings a unique and valuable perspective to her role as an editor for Lavendla South Africa. She has worked in Government and Private mental healthcare institutions in Gauteng and her expertise ensures that the articles on our website are accurate and accessible. Samantha is dedicated to enhancing mental health awareness and education in South Africa.