What is generically referred to as ‘a good night’s sleep’ differs from person to person. For optimal brain function, some people need 8 hours of sleep a night, while others can subsist on much less. Regardless, your brain requires a specific number of hours sleep to restore and maintain itself as well as to enhance your neural connectivity. It is common to experience some variation in sleep patterns from time to time, however ongoing sleep difficulties that leave you feeling tired and exhausted can be debilitating and can affect multiple areas of your life.

What is Insomnia?
Insomnia is more common than most people think, with at least 1 in 3 adults experiencing it at some point in their lifetime. Insomnia can present itself in a series of different ways, and if it continues it can have a very negative impact on your life.
Insomnia symptoms may include:
- Difficulty falling asleep at night
- Waking up during the night
- Waking up too early
- Not feeling well-rested after a night’s sleep
- Daytime tiredness or sleepiness
- Irritability, depression or anxiety
- Difficulty paying attention, focusing on tasks or remembering
- Increased errors or accidents
- Ongoing worries about sleep
Common causes of poor sleeping and insomnia include:
- Increased stress
- Depression
- Anxiety and excessive worry
- Postnatal depression and anxiety
- Postraumatic stress
- Changes in sleep patterns (e.g. due to ageing)
- Sleep related disorders (e.g. sleep apnoea)
- Changes in health (e.g. chronic pain)
Nearly everyone has an occasional sleepless night. But your risk of insomnia is greater if:
- You’re a woman. Hormonal shifts during the menstrual cycle and in menopause may play a role. During menopause, night sweats and hot flushes often disrupt sleep. Insomnia is also common with pregnancy.
- You’re over age 60. Because of changes in sleep patterns and health, insomnia increases with age.
- You have a mental health disorder or physical health condition. Many issues that impact your mental or physical health can disrupt sleep.
- You’re under a lot of stress. Stressful times and events can cause temporary insomnia. And major or long-lasting stress can lead to chronic insomnia.
- You don’t have a regular schedule. For example, changing shifts at work or traveling can disrupt your sleep-wake cycle.
How is insomnia treated?
Treating insomnia depends on the underlying cause of the sleeping difficulties. Generally, psychologists treat insomnia using the following approaches:
- Teaching good sleep habits, referred to as sleep hygiene
- Mindfulness to improve present moment focus and help you ‘let go’ of unhelpful thoughts
- Relaxation strategies to reduce physiological arousal
- Tackling unhelpful thoughts contributing to anxiety and insomnia (e.g. “If I don’t get enough sleep tonight, my day tomorrow will be ruined” or “Now that I am awake, “I will never fall back asleep again”).
If you would like more information or to book an appointment with one of our clinical psychologists, contact us.
Frequently Asked Questions About Insomnia and Sleep Problems
What counts as “insomnia” or a “sleep problem”?
Insomnia and sleep problems are not just about having the occasional bad night. They generally involve ongoing difficulty falling asleep, staying asleep, waking too early, or feeling unrefreshed despite spending enough time in bed. If poor sleep is affecting your mood, concentration, energy levels, or overall wellbeing, it may be worth exploring support through insomnia therapy in Sydney or speaking with a qualified sleep psychologist.
When should I consider seeing a sleep therapist or sleep psychologist in Sydney?
You may benefit from seeing a sleep therapist in Sydney if sleep problems have been present for several weeks or months, or if they are starting to interfere with your work, relationships, or mental health. Many people seek support when they notice patterns such as persistent exhaustion, increasing anxiety about sleep, or reliance on sleeping aids. Early support can often prevent sleep difficulties from becoming long-term.
What kinds of sleep problems can be helped — just insomnia or other sleep disorders too?
While insomnia is one of the most common concerns, sleep disorder therapy can support a wide range of sleep-related difficulties. These may include chronic insomnia, stress-related sleep disruption, anxiety-related sleep problems, shift work sleep issues, sleep difficulties linked to depression or trauma, and/or poor sleep habits developed over time. If another medical sleep disorder is suspected, your psychologist can also help coordinate appropriate referrals.
What treatment methods do you use? Do you use sleeping pills?
Our psychologists focus on evidence-based psychological approaches rather than medication. We are not medical doctors, so we do not prescribe any medications, including sleeping pills. Psychological treatment typically involves learning practical skills to improve sleep patterns, manage stress, and reduce unhelpful thinking around sleep. While medication can sometimes provide short-term relief, it does not address the underlying causes of sleep difficulties. Our approach aims to build long-term, sustainable improvements.
What is Cognitive Behavioural Therapy for Insomnia (CBT-I)? How is it different from just “sleep hygiene”?
Cognitive Behavioural Therapy for Insomnia (CBT-I) is a structured, research-backed approach used by many sleep psychologists in Sydney – it looks at the thoughts, behaviours, and habits that maintain sleep problems over time. While sleep hygiene focuses on healthy routines and environments, CBT-I goes further. It also helps you:
- Change unhelpful beliefs about sleep
- Reduce anxiety around bedtime
- Rebuild confidence in your ability to sleep
- Improve sleep patterns through tailored strategies
CBT-I is widely considered one of the most effective long-term treatments for insomnia.
How long before I see improvements?
Many people begin to notice changes within a few weeks of starting therapy, particularly once new routines and strategies are in place. For others, improvements occur more gradually as patterns shift. The timeframe can vary depending on how long sleep problems have been present, stress levels, and any underlying mental health concerns. Your sleep therapist will regularly review progress and adjust treatment as needed.
Could my sleep problems be due to something other than insomnia (e.g. a medical condition)?
Yes, sleep difficulties can sometimes be linked to physical health conditions like chronic pain, hormonal changes, breathing-related sleep disorders, or medication side effects. Part of working with a sleep psychologist in Sydney involves carefully exploring possible contributing factors. If a medical issue is suspected, your psychologist can recommend further assessment through your GP or a medical specialist.
Is sleep therapy better than just relying on sleeping pills?
For many people, psychological treatment offers longer-lasting benefits than medication alone. Sleeping pills may help in the short term, but they do not teach skills for managing stress, thoughts, or behaviours that affect sleep. Insomnia therapy in Sydney focuses on helping you develop confidence in your ability to sleep naturally, reducing reliance on medication over time where appropriate.
What does a typical session with a sleep psychologist in Sydney involve?
Your first session usually focuses on understanding your sleep history, daily routines, stress levels, and current concerns (this helps your psychologist develop a personalised treatment plan). Ongoing sessions may involve reviewing sleep patterns, learning practical sleep strategies, working through unhelpful thoughts about sleep, building relaxation and stress-management skills, as well as tracking progress and adjusting techniques. Sessions are collaborative and supportive, with a strong focus on helping you feel more in control of your sleep and overall wellbeing.
