When Does Insomnia Require Medical Attention?

Insomnia is one of the most common sleep disorders, affecting people of all ages and often disrupting their ability to get a restful night’s sleep. But at what point does this persistent difficulty in sleeping warrant a visit to the doctor?

According to Professor Königinga Richter, a German sleep-medicine specialist, medical advice should be sought if insomnia occurs more than three times a week and continues for over three months. This concern becomes even more pressing when sleeplessness is accompanied by daytime symptoms such as poor concentration, persistent headaches, fatigue, reduced stamina, or a noticeable decline in productivity.

Professor Richter explained that individuals with chronic insomnia are typically advised to undergo Cognitive Behavioural Therapy for Insomnia (CBT-I) — a structured, evidence-based programme designed to improve sleep quality without relying on medication. The therapy combines relaxation techniques, sleep-related education, and practical strategies to help patients manage their symptoms and develop healthier sleep patterns.

CBT-I usually consists of four to six sessions, each lasting around 50 minutes.

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