Help with sleeping problems

Lying awake at 3am, dreading the alarm, poor sleep wrecks your days and feeds anxiety. The good news: the most effective treatment for chronic insomnia is psychological, not a pill.
Dr Zoe Case
June 19, 2026

Summary

  • Ongoing poor sleep is common, and it feeds straight into mood, focus and health.
  • A psychologist can treat the most common sleep problems without medication.
  • Sessions can be Medicare-rebated with a GP Mental Health Treatment Plan.

Everyone has the odd bad night. The problem is when bad nights become the norm. You lie awake wired, or wake at 3am and cannot get back. The days that follow are foggy and short-tempered. Poor sleep and low mood feed each other, which is why getting on top of sleep can lift so much else.

The trap that keeps insomnia going

Once sleep becomes a struggle, we often try to force it. We go to bed earlier, watch the clock, and worry about not sleeping. Ironically, that effort keeps the brain alert. Breaking that cycle is the heart of effective treatment.

The treatment that actually works

For long-term insomnia, the recommended first-line treatment is not a tablet. It is a structured approach called CBT for insomnia. A psychologist helps you reset your sleep patterns, quiet the racing mind, and rebuild trust that you can sleep. The effects tend to last, unlike sleeping pills.

Getting started

It is worth ruling out medical causes with your GP first. They can also write a Mental Health Treatment Plan for rebated sessions. If stress or anxiety is keeping you up, our guide to stress and anxiety may help too.

Frequently asked questions

Can a psychologist really help me sleep?

Yes. CBT for insomnia is the recommended first-line treatment for ongoing insomnia, and a psychologist delivers it.

Is it better than sleeping pills?

For long-term insomnia, the effects tend to last longer than medication, without the downsides of ongoing pills.

How long does it take?

Many people see real improvement within a handful of sessions.

Can it be done by telehealth?

Yes. Sleep treatment works well over video.

Important: This is general information, not personal medical advice. See your GP to rule out medical causes, and a registered psychologist for treatment. In a crisis, call Lifeline 13 11 14 or 000.
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